trauma-list Digest, Vol 67, Issue 34

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Mike,
I'm NOT questioning autotransfusing blood from the pleurovac, and while we/I also don't give contaminated blood, if my memory serves me right, there was an old paper by McSwain that failed to show worse outcomes when infusing contaminated blood (but I seem think that wasa caninestudy...). My only question is regarding the needto add citrate to shedblood prior to autotransfusion. I always did, but I am now hearing that there are some that say thzt citrate is not necessary & they don't add it - ever.

What say you?

Ron


________________________________
From: Sise, Mike MD <Sise.Mike at scrippshealth.org>
Sent: Thursday, January 22, 2009 7:23 AM
To: trauma-list at trauma.org <trauma-list at trauma.org>
Subject: RE: trauma-list Digest, Vol 67, Issue 34

Regarding using the autotransufion module on Pleur-Evac drainage system for hemothorax - I thought everyone used it. Am I reading this discussion correctly? We use it for all hemothoraces on the right, all but a very few on the left - no if we suspect an enteric spill from a combined chest and abdominal injury. Not uncommon to pull 2 to 4 units and reinfuse promptly through a filter. Any credible evidence against this? What's the consensus out there? Who does and who does not use this autotransfusion approach?

Mike Sise
San Diego

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From: trauma-list-bounces at trauma.org on behalf of trauma-list-request at trauma.org
Sent: Thu 1/22/2009 4:00 AM
To: trauma-list at trauma.org
Subject: trauma-list Digest, Vol 67, Issue 34


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