Experience of intraoperative hardware-controlled self-blood reinfusion for massive obstetrical hemorrhage at Prenatal Center of Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan
A.A. KHASANOV1,2, I.R. GALIMOVA2,1, N.V. YAKOVLEV1,2, D.R. SABIROVA1, E.A. TRUBKINA1
1Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012
2Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064
Khasanov A.A. ― D. Med. Sc., Professor, Head of the Obstetrics and Gynecology Department №1, tel. (843) 236-08-73, e-mail: [email protected]
Galimova I.R. ― Cand. Med. Sc., Associate Professor of the Obstetrics and Gynecology Department №2, Deputy Head of Obstetrics and Gynecology Service, tel. +7-987-226-92-87, e-mail: [email protected]
Yakovlev N.V. ― Cand. Med. Sc., Associate Professor of the Obstetrics and Gynecology Department №1, physician of Obstetrics Probationary Department, tel. +7-903-307-55-02, e-mail: [email protected]
Sabirova D.R. ― resident of the Obstetrics and Gynecology Department №1, tel. +7-987-297-00-87, e-mail: [email protected]
Trubkina E.A.― resident of the Obstetrics and Gynecology Department №1, tel. +7-987-219-28-77, e-mail: [email protected]
Obstetric hemorrhage is a leading cause of maternal and perinatal mortality worldwide. The first devices for intraoperative blood reinfusion were made in 1974. The safety and efficiency of blood reinfusion in obstetrics patients by intraoperative erythrocytes reinfusion were examined. The retrospective analysis of 110 cases of caesarean section with blood loss more than 1000 ml from 2011 till 2015 was made. The cases were divided into three groups by the technique of blood reinfusion: reinfusion with solutions only, reinfusion with solutions and donor blood components, and reinfusion with solutions and intraoperative erythrocytes reinfusion. The data was statistically analyzed. Intraoperative hardware-controlled self-blood reinfusion is a safe and effective technique.
Key words: intraoperative hardware-controlled erythrocytes reinfusion obstetrical bleeding.
REFERENCES
1. Say L. et al. Global Causes of Maternal Death: A WHO Systematic Analysis. Lancet, 2014.
2. Teodori J., Rampersad K., Teodori G. et al. Transfusion related acute lung injuri with massive pulmonave secretion during cardiac surgery. A case report. Journal of Cardiothoracic Surgery, 2014, 9, p. 64.
3. Batskikh S.N. Latent HBV-infection: a harmless laboratory phenomenon or a serious clinical problem? Gepatologicheskiy forum (prilozhenie k zhurnalu “Farmakologiya i terapiya”), 2010, no. 3, pp. 2-8 (in Russ.).
4. Gorobets E.S., Gromova V.V., Budeynok Yu.V. et al. Intraoperatsionnaya apparatnaya reinfuziya eritrotsitarnoy massy kak metod krovosberezheniya [Intraoperative apparatus reinfusion of packed red cells, as a method krovosberezheniya]. Moscow, Rossiyskiy onkologicheskiy nauchnyy tsentr, RAMN, NII neyrokhirurgii im. N.N. Burdenko, RAMN.
5. Elagamy A., Abdelaziz A., Ellaithyb M. The use of cell salvage in women undergoing cesarean hysterectomy for abnormal placentation. International Journal of Obstetric Anesthesia, 2013, 22, pp. 289-293.
6. Bartels C., Bechtel J.V.M., Winkler C., et al. Intraoperative autotransfusion in aortic surgery: Comparison of whole blood autotransfusion versus cell separation. J. Vasc. Surg, 1996, vol. 24, pp. 102-108.
7. Kasper S.M., Kasper A.S. History of autologous blood transfusion in the 19th century. Zentralbl. Chir, 1996, Bd. 121, pp. 250-257.
8. Kongsgaard U.E., Wang M.Y., Kvalheim G. Leucocyte depletion filter removes cancer cells in human blood. Acta Anaesthesiol. Scand, 1996, vol. 40, pp. 118-120.
9. Catling S.J., Williams S., Fielding A.M. Cell salvage in obstetrics: anevaluation of the ability of cell salvage combined with leucocyte depletion filter to remove amniotic fluid from operative blood loss at caesarean section. Int. J. Obstet. Anesth, 1999, 8, pp. 79-84.
10. Orr M.D., Blenko J.W. Autotransfusion of concentrated washed red cells from the surgical fields: a biochemical and physiological comparison of homologus cell transfusion. Proceedingof Blood Conservation Institute, 1978, pp. 116-128.
11. McShane A.J., Power C., Jackson J.F., et al. Autotransfusion: quality of blood prepared with a red cell processing device. British Journal of Anaesthesia, 1987, 59, pp. 1035-1039.
12. Fong J., Gurewitsch E.D., Kang H.L., et al. Analysis if transfusion practice and role of intraoperative red blood cell salvage during cesarean delivery. Anesth. Analg, 2007, 104, pp. 666-672.