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巴西血液学、血液治疗与细胞治疗协会关于患者血液管理的共识:急性等容血液稀释与术中自体输血

Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Acute normovolemic hemodilution and intraoperative autotransfusion.

作者信息

Perini Fernanda Vieira, Montano-Pedroso Juan Carlos, Oliveira Luciana Correa, Donizetti Enis, Rodrigues Roseny Dos Reis, Rizzo Silvia Renata Cornélio Parolin, Rabello Guilherme, Junior Dante Mario Langhi

机构信息

Grupo GSH - Gestor de Serviços de Hemoterapia, São Paulo, SP, Brazil; Associação Beneficente Síria HCOR, São Paulo, SP, Brazil.

Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil; Instituto de Assistência Médica do Servidor Público Estadual (Iamspe), São Paulo, SP, Brazil.

出版信息

Hematol Transfus Cell Ther. 2024 Apr;46 Suppl 1(Suppl 1):S48-S52. doi: 10.1016/j.htct.2024.02.019. Epub 2024 Mar 27.

DOI:10.1016/j.htct.2024.02.019
PMID:38580495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11069068/
Abstract

Autologous blood transfusion can be achieved through different techniques, including by the patient donating blood before surgery (pre-deposit), collecting blood from the patient immediately before the operation and replacing the volume with colloids or plasma expanders (acute normovolemic hemodilution) or through the salvage of lost blood, during or immediately after surgery, and its retransfusion after washing (intraoperative or postoperative recovery). We will focus on the two methods used intraoperatively that are of fundamental importance in the management and conservation of the patient's own blood.

摘要

自体输血可通过不同技术实现,包括患者在手术前献血(预存)、在手术即将开始前采集患者血液并用胶体或血浆代用品补充血容量(急性等容血液稀释),或在手术期间或手术后立即回收失血并在洗涤后回输(术中或术后血液回收)。我们将重点关注术中使用的两种方法,这两种方法对于患者自身血液的管理和保存至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c976/11069068/2ead0e544053/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c976/11069068/5a760a10e833/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c976/11069068/2ead0e544053/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c976/11069068/5a760a10e833/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c976/11069068/2ead0e544053/gr2.jpg

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[Role of acute hemodilution in blood transfusion rate in patients submmited to scoliosis surgery: observational retrospective study].[急性血液稀释在脊柱侧弯手术患者输血率中的作用:观察性回顾性研究]
Braz J Anesthesiol. 2020 May-Jun;70(3):209-214. doi: 10.1016/j.bjan.2019.12.014. Epub 2020 May 12.
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J Clin Anesth. 2020 Mar;60:42-43. doi: 10.1016/j.jclinane.2019.08.025. Epub 2019 Aug 20.
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Association of Anaesthetists guidelines: cell salvage for peri-operative blood conservation 2018.英国麻醉医师学会指南:围手术期血液保护用细胞回收 2018 版。
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