Author/Editor		Černe-Zavadlav, Janka; Mihelič, Željko; Plahuta, Albin
Title		Delež avtologne krvi na Ortopedskem oddelku SBG v petletnem obdobju (1996-2000)
Translated title		The portion of autologous blood in Orthopedic department of General hospital Nova Gorica in five years period (1996-2000)
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 71, št. 4
Publication year		2002
Volume		str. 215-8
Language		slo
Abstract		Background. The presentation of autologous blood donation with analysis of used blood and the percentage of autologous blood on Orthopedic Department in the years 1996-2000. Methods. From card-index of autologous blood donors we analysed 363 preoperative autologous blood donations. We followed the number of doses in one patient and type of operating procedure. We analysed the usage of blood from transfusion issue protocols and the usage of postoperative autotransfusion from patient protocols. Results. 91% of allpreoperative blood donations in our hospital in five years period were from Orthopedic Department. There were 280 operating procedures (hip and knee arthroplasty) that needed blood transfusion. 196 of these (70%) were included in preoperative blood donation programme. We collected 330 doses: 1 dose in 61 cases, 2 doses in 100, 3 doses in 34 and 4 doses in 1 case or 1.68 dosesperpatient The relationship between used autologous and allogenic blood were 46: 54 (doses) or 38: 62 (mL). Autologous blood represented 38% of all used blood on Orthopedic Department, only 11% of autologous blood were discarded. Conclusions. The program of preoperative blood donation is well organized on The Orthopedic Department of our Hospital. To our experience we make the most of profit of autotransfusion (to avoid risks of allogenic blood, optimal patient colaboration, low percentage of discarded blood) with two predonated doses in combination with postoperative autotransfusion. (Abstract truncated at 2000 characters).
Summary		Izhodišča. Predstavitev odvzemov za avtologno transfuzijo v Splošni bolnišnici Šempeter z analizo porabe krvi in ugotavljanjem deleža avtologne krvi na ortopedskem oddelku v letih 1996-2000. Metode. Iz kartonov dajalca smo analizirali 363 odvzemov krvi za predoperativno avtotransfuzijo, in sicer število odvzetih enot na bolnika in vrsto operativnega posega. Porabo krvi smo analizirali po izdaji na oddelku za transfuziologijo, pooperativno avtotransfuzijo pa iz protokolov na ortopedskem oddelku. Rezultati. 91% vseh odvzemov za predoperativno avtotransfuzijo v naši bolnišnici v petletnem obdobju (1996-2000) smo opravili za ortopedski oddelek, kjer so v tem obdobju opravili 280 operativnih posegov kolka in kolena, ki so potrebovali transfuzijo krvi. Pri 196 posegih (ali 70%) so bili bolniki vključeni v program predoperativne avtotransfuzije. Odvzeli smo 330 enot krvi, in sicer v 61 primerih po 1 enoto, v 100 primerih po 2 enoti, v 34 primerih po 3 enote in v 1 primeru po 4 enote krvi ali v povprečju 1,68 enote na bolnika. Razmerje med porabo avtologne in homologne krvi je bilo 46 : 54 (enote) ali 38 : 62 (preračunano na mL). 38% porabe krvi na ortopedskem oddelku v tem obdobju smo krili z avtologno krvjo, samo 11% odvzete krvi v programu predoperativne avtotransfuzije je ostalo neporabljene. Zaključki. Program predoperativne avtotransfuzije je na ortopedskem oddelku naše bolnišnice dobro utečen. Po naših izkušnjah dosežemo najboljši izkoristek dobrih strani avtotransfuzije (izogib homologni krvi, optimalno sodelovanje bolnika, čim manj neporabljene odvzete krvi) z odvzemom dveh enot krvi po že opravljenem pregledu anesteziologa o sposobnosti za operativni poseg v kombinaciji s pooperativno avtotransfuzijo. (Izvleček skrajšan pri 2000 znakih).
Descriptors		ORTHOPEDICS BLOOD TRANSFUSION, AUTOLOGOUS BLOOD DONORS PREOPERATIVE CARE