Abstract
The introduction of current technologies into traumatology and orthopedics, anesthesiology and reanimatology and the accumulation of practical experience extend the feasibilities of highly skilled care to patients with pelvic fractures. Reconstructive operations that are one of the most complex and highly traumatic types in orthopedics are accompanied by massive intra- and postoperative blood loss. Its level is as high as 800 to 6000 ml. Until recently, blood loss has been compensated for with allogenic blood preparations. However, the complications resulting from the use of donor blood are universally known. This has caused indications for the use of blood preparations to be revised and a number of alternatives associated with the use of a patient’s blood to be developed. This alternative is current blood salvage technologies. Key words: autodonation, acute hypervolemic hemodilution, instrumental washed autoerythrocyte reinfusion, drainage blood reinfusion.
Highlights
The introduction of current technologies into traumatology and orthopedics, anesthesiology and reanimatology and the accumulation of practical experience extend the feasibilities of highly skilled care to patients with pelvic fractures
Reconstructive operations that are one of the most complex and highly traumatic types in orthopedics are accompanied by massive intra and postoperative blood loss
The complications resulting from the use of donor blood are universally known
Summary
Reconstructive operations that are one of the most complex and highly traumatic types in orthopedics are accompanied by massive intra and postoperative blood loss. При отборе больных на аутодонорство учитывают необходи мость переливания крови при операции, исходя из объема предполагаемой интраоперационной кровопотери, наличия ин фекции (противопоказание), адекватного уровня Hb и Ht, спо собности больного перенести временную кровопотерю. Острая интраоперацион ная гемодилюция (ОИГ) — метод терапевтической гемодилю ции, позволяющий уменьшить интраоперационную кровопо терю путем частичного удаления и депонирования цельной крови пациента с адекватным замещением ее коллоидными и/или кристаллоидными растворами.
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