What question did this study set out to answer?

To evaluate whether combining predonated autologous blood with perioperative blood salvage eliminates the requirement for homologous blood transfusion in adolescent idiopathic scoliosis surgery.

December 1, 1998Journal of Spinal Disorders

The Effects of Perioperative Blood Salvage and Autologous Blood Donation on Transfusion Requirements in Scoliosis Surgery

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Authors

NANeel AnandCedars-Sinai Medical Center FIFrancis G. IdioNew York Blood Center SRStuart RemerLady of Mercy Medical Center

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Implication

Prospective study demonstrates zero donor transfusions in adolescent idiopathic scoliosis surgery, indicating blood salvage and autologous donation eliminate homologous transfusion needs.

Key Points

To evaluate whether combining predonated autologous blood with perioperative blood salvage eliminates the requirement for homologous blood transfusion in adolescent idiopathic scoliosis surgery.
Prospective study of 50 consecutive adolescents undergoing posterior instrumentation and fusion for idiopathic scoliosis (averaging 11 segments fused; 19 had rib resection).
Applied a perioperative blood conservation protocol featuring two units of predonated autologous blood, intraoperative cell salvage, postoperative drain reinfusion for drainage exceeding 300 ml in 4 hours, and hypotensive anesthesia.
Mean blood loss was 1,055 ml overall (91 ml per segment; 1,105 ml with rib resection vs. 955 ml without), with cell salvage returning a mean of 391 ml (mean hematocrit 46%) and 12 patients receiving postoperative drained blood reinfusion.
Zero patients (0%) required homologous blood transfusion, with mean hematocrit changing from 35.6% preoperatively to 32.4% at discharge on day seven, and no transfusion reactions or complications reported.

Cite This Study

Anand et al. (1998) studied this question.

synapsesocial.com/papers/6a82572bca5f0d7ba374b3ac https://doi.org/10.1097/00002517-199812000-00014

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Implication

Prospective study demonstrates zero donor transfusions in adolescent idiopathic scoliosis surgery, indicating blood salvage and autologous donation eliminate homologous transfusion needs.

The Effects of Perioperative Blood Salvage and Autologous Blood Donation on Transfusion Requirements in Scoliosis Surgery

Discussion

Member takes

Implication

Key Points

Cite This Study

The Effects of Perioperative Blood Salvage and Autologous Blood Donation on Transfusion Requirements in Scoliosis Surgery

Discussion

Member takes

Implication

Key Points

Cite This Study

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