Universidade de Fortaleza, Fortaleza, CE, Brazil; Hospital Instituto Doutor José Frota, Departamento de Ortopedia, Fortaleza, CE, Brazil.
Centro de Hematologia e Hemoterapia do Ceará, Fortaleza, CE, Brazil.
Braz J Anesthesiol. 2021 Sep-Oct;71(5):545-549. doi: 10.1016/j.bjane.2021.02.061. Epub 2021 Jun 11.
To report a case series of Intraoperative Blood Salvage (IOS) in surgeries during the treatment for Slipped Capital Femoral Epiphysis (SCFE) with controlled dislocation of the hip, identifying its efficacy, complications, and the profile of patients with SCFE.
Descriptive study reporting a case series, comprising patients seen between January 2016 and March 2018, diagnosed with SCFE, and treated with controlled surgical dislocation of the hip using IOS.
Sample comprised of 15 patients, with a mean age of 13.1 years. The most affected side was the left with 8 cases. None of the patients required allogeneic blood in the postoperative period. Mean pre- and postoperative hemoglobin were 13.2 and 11.2 g.dL, respectively, and mean hemoglobin difference was 1.8 g.dL. Mean pre- and postoperative hematocrit were 39.13% and 33.20%, respectively, and mean hematocrit difference was 5.52%. No intraoperative complications were observed. One patient presented vomiting and another one, wound infection in the postoperative period.
IOS was an alternative blood salvage approach and prevented allogeneic blood transfusion, enabling reduction of potential complications.
报告一系列在治疗股骨颈滑脱（SCFE）伴髋关节控制性脱位手术中应用术中血液回收（IOS）的病例，确定其疗效、并发症以及 SCFE 患者的特征。
描述性研究报告了一系列病例，纳入 2016 年 1 月至 2018 年 3 月期间诊断为 SCFE 并采用 IOS 行髋关节控制性脱位治疗的患者。
样本包括 15 例患者，平均年龄为 13.1 岁。最常受累的是左侧 8 例。术后没有患者需要异体输血。术前和术后血红蛋白的均值分别为 13.2 和 11.2 g/dL，平均血红蛋白差值为 1.8 g/dL。术前和术后红细胞压积的均值分别为 39.13%和 33.20%，平均红细胞压积差值为 5.52%。术中未观察到并发症。1 例患者术后出现呕吐，另 1 例患者出现伤口感染。
IOS 是一种血液回收的替代方法，可预防异体输血，从而减少潜在并发症。
