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KMID : 0374919940150030467
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Inje Medical Journal
1994 Volume.15 No. 3 p.467 ~ p.472
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Effect of Autologous Blood Conservation of Intraoperative Autotransfusion by Intraoperative Blood Salvage and Induced Hypotensive Anesthesia During Spinal Sugery
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권정순
노주석/김문철/우성/조강희
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Abstract
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Twenty-seven patients were undergone major spinal surgery by using the Haemonetics Cell Saver which was employed as intraoperative blood salvage and autologous blood tranfuser under induced hypotensive anesthesia. Blood conservation techniques
often
involved the preoperative-autologous donation, intraoperative isovolemic hemodilution, intraoperative and postoperative blood salvage, induced hypotension, drug therapy and optimal use of blood components. Seven (26%) Patients received 2.57 units
of
banked blood in intraoperative period. This group was had intraoperative mean retained volume of salvaged blood of 964 ml which had mean Hct of 34.33%. The other group, which 20 patients were not transfused banked blood, was had intraoperative
mean
retained volume of salvaged blood of 637ml which was mean Hct of 35.5% But 14 patients received 2.36 units of banked blood in postoperative period. Our experience in blood conservation have resulted that was needed the use of various blood saving
apparatuses and maneuver in perioperative period.
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KEYWORD
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