Autotransfusion

• Previous message: Autotransfusion
• Next message: Autotransfusion
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

Thank you very much, Christos. We have pretty much the same experience
although I deal with chest injuries.

Best regards.

Jose Luis J. Danguilan, MD
Manila, Philippines


On 1/23/09, Christos Giannou <x.giannou at gmail.com> wrote:
>
> Dear friends,
>
> When I receive my mailing there is a repitition, sometimes several, of the
> various postings. Sorry, if in the middle of them all, I have missed
> someone.
>
> Dr McSwain gave a succinct summary of the indications: critical patient,
> lack of blood in-time. We don't perform an autotransfusion for a small
> haemothorax 500-1000 ml; crystalloids should suffice. The need is usually a
> straight forward clinical observation; life-threatening shock in a chest or
> abdominal trauma patient, or ectopic pregnancy, and not enough time to
> obtain blood or none is available. He also confirmed (thank you for the
> references) the anecdotal evidence of our Russian colleague (Professor
> Minoushin, formerly of the St Petersburg Military Medical Academy) about
> enteric contamination.
>
> Again, I have tried with and without anticoagulants, and it doesn't seem to
> matter; again confirmed by several colleagues.
>
> As for Brad, and whether his well-equipped Australian hospital would ever
> require such a technique, he may well need it in the out-back some day.
> Nonetheless, if you have the BRAT or Cell Saver, or the autotransfusion
> module on Pleur-Evac, so much the better. Otherwise, two situations present
> themselves: abdomen and chest.
>
> Peter in Italy, when working in Africa, keeps a large soup ladle sterilised
> and in his emergency equipment set. A kidney dish will also do very well.
> What is really useful is a metal funnel. I line this with my 6 layers of
> gauze compresses and place it into my glass bottle and ladle or scoop the
> blood into it. Fills quite easily.
>
> The metal funnel, gauze compresses, and bottle can also be put directly
> underneath the open end of the chest tube. (I include a sketch from an
> article in Tropical Doctor.) Alternatively, you can collect the blood in a
> urine bag or, as several colleagues have mentioned, the drainage reservoir.
> Having diagnosed a massive haemothorax clinically that will probably
> require
> autotransfusion, I do not have an underwater seal in the reservoir if I am
> using this.
>
> The most important thing is to be prepared. In the ICRC, we try to arrange
> some sort of autotransfusion device to be available before any patients
> arrive.
>
> A few other references:
>
> Ahmed AM, Sabrie MH, Baldan M. Autotransfusion in penetrating chest war
> trauma with haemothorax: the Keysaney Hospital experience. East Cent Afr J
> Surg 2003;8:51–54.
>
>
>
> Baldan M, Giannou C, Rizzardi G, Irmay F, Sasin V. Autotransfusion from
> haemothorax after penetrating chest trauma: a simple life-saving procedure.
> Tropical Doctor 2006; 36: 21-22.
>
>
>
> Carrol P. Salvaging blood from the chest. RN 1996;59:32–39.
>
>
>
> Cheesbrough M. Blood transfusion practice. In: Cheesbrough M, ed. District
> Laboratory Practice in Tropical Countries. Part 2. UK: Cambridge
> UniversityPress, 2000: 354.
>
>
>
> Cook J, Sankaran B, Wasunna AEO. Fluid and electrolyte therapy, blood
> transfusion, and management of shock. Chest. In: Cook J, Sankaran B,
> Wasunna
> AEO, eds. General Surgery at the District Hospital. Geneva: WHO, 1988:
> 43–92.
>
>
>
> King M, Bewes P, Cairns J, Thornton J. The surgery of pregnancy:
> autotransfusion. In: King M, Bewes P, Cairns J, Thornton J. eds. Primary
> Surgery: Non Trauma. Vol. 1. Oxford: Oxford University Press, 1993: 241.
>
>
>
> Jevtic M, Petrovic M, Ignjatovic D, et al. Treatment of wounded in the
> combat zone. J Trauma 1996;40:173–176.
>
>
>
> Oltjen AM, Santrach PJ. Autologous transfusion techniques. J Intraven Nurs
> 1997;20:305–310.
>
>
>
> Parker-Williams EJ. Autologous blood transfusion. Postgrad Doctor Africa
> 1989;11:52–55.
>
>
>
> Marquis MC, Gyger D. Autotransfusions peroperatoires en zone rurales
> africaines: une solution d'urgence. Labor Med 1998;9:284–285.
>
>
>
> Roostar L. Clinical pictures of penetrating chest injuries: infusion
> therapy
> and haemotransfusion. In: Roostar L. Gunshot Chest Injuries. Tartu,
> Estonia:
> Tartu University Press, 1996: 33–34.
>
>
>
> cheers
>
> --
> christos giannou
> Monemvasia Lakonia
> 23070 Greece
> tel & fax: (++30) 27320-61772
> mob: (++30) 69 74 83 28 18
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
>

• Previous message: Autotransfusion
• Next message: Autotransfusion
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]