Wesson D E, Ein S H, Villamater J
J Pediatr Surg. 1980 Dec;15(6):735-6. doi: 10.1016/s0022-3468(80)80273-9.
We have used intraoperative autotransfusion in three cases of massive intraabdominal hemorrhage following blunt trauma. Based on this experience we recommend that: (1) To prevent sudden collapse the abdomen should be decompressed slowly through a small incision while blood is collected into the autotransfusion reservoir; (2) A skilled person is required to operate the autotransfusor; and (3) To prevent consumption coagulopathy, autotransfusion must be supplemented by the use of blood components, especially fresh frozen plasma.
