J.Jpn. Surg. Soc.. 82(12): 1528-1535, 1981

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Original article

OUR EXPERIENCES OF INTRAOPERATIVE AUTOTRANSFUSION IN MAJOR ELECTIVE VASCULAR SURGERY

Nine patient undergoing major elective vascular surgery received 400-10,500ml (average of 3,300 ml) of intraoperative autotransfusion (IAT) of shed blood, being 18-79% (average of 56%) of total blood volume transfused in one operation. Except 2 cases who died post-operatively of other causes not related to IAT, the rest of all the cases took uneventfull postoperative course and showed noc omplication of IAT, such as bleeding tendency. On the other hand blood cell injury and decreased coagulation factor were observed in post IAT patient. Because of apparent hemolysis and thrombocytopenia when more than 2,000-3,000ml of shed blood was transfused and significantly abnormal coagulation test data of aspirated blood it was concluded that fresh blood or platelet rich plasma should be transfused in cases large amount of transfusion was needed.

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