Korean J Anesthesiol.  2008 Jun;54(6):619-622. 10.4097/kjae.2008.54.6.619.

The Effect of Intraoperative Autotransfusion using a Continuous Autotransfusion System (CATS(R)) on for Homologous Transfusion in Children

• Jeon SY
• Bae JY
• Na HS
• Kim HS
• Kim CS
• Kim SD
• Kim JT

• KMID: 1763515
• DOI: http://doi.org/10.4097/kjae.2008.54.6.619

Abstract

BACKGROUND: Until recently, it was not easy to conduct intraoperative autotransfusion in children due to technical limitations, however, due to advanced technology this is now possible. This study was conducted to determine if the intraoperative use of the continuous autotransfusion system (CATS(R)) can reduce homologous transfusion during pediatric orthopaedic surgery.
METHODS
Fifty-five children scheduled for elective orthopaedic surgery were reviewed and divided into two groups according to the availability of the CATS(R). The control group (n = 29) had surgery without the cell saver, whereas the CATS(R) group (n = 26) had surgery with the cell saver. The amounts of perioperative homologous transfusion were then compared between the two groups.
RESULTS
The amount of homologous blood transfusion required during the operation was significantly less in the CATS(R) group 5 +/- 10 (ml/kg) than in the control group 15 +/- 13 (ml/kg) (P < 0.01). There was no difference in the amount of homologous blood transfusion required after operation between the groups.
CONCLUSIONS
CATS(R) can reduce the need for intraoperative homologous transfusion during pediatric orthopaedic surgery.

Keyword

autotransfusion; cell saver; orthopaedic surgery; pediatrics

MeSH Terms

Blood Transfusion
Blood Transfusion, Autologous
Child
Humans
Pediatrics