[Respiratory function of thawed wasted erythrocytes].
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Biomedical subjects
Publications and source records attributed to N N Samsonova.
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Autohemotransfusion is one of the perspective methods of transfusion used in cardiosurgery. Intraoperative autohemotransfusion was used in surgical correction of congenital heart diseases in patients of various age groups, including children aged 6 to 8. The exfusion volume made up 300-600 ml, depending on the patient's body mass and the hematologic parameters. Clinical follow-up and assessment of the laboratory parameters have proved the possibility of blood exfusion in the patients with the blue congenital heart disease. Autoblood infusion was performed directly after artificial circulation switch-off, this providing a better hemostasis stabilization and correction of the patient's hemogram. Autoblood volume in blood substitution made up 30% on an average, this saving donor blood.
Modified ultrafiltration (MUF) was used in radical correction of complex congenital heart disease in 61 newborns and infants. The children were divided into 2 groups: group 1, 46 patients subjected to MUF, and group 2, 15 children operated on without MUF. Hemodynamic, hematological, biochemical, and immunological parameters were monitored. MUF in the newborns and infants helped adequately correct the hemohydrobalance due to ultrafiltration in the patient and hemoconcentration of the remaining volume in artificial ventilation device; it normalized the hematocrit values without additional infusion of donor blood. Elimination of inflammation mediators and cytokines recommends MUF for the treatment of newborns and infants.