Maschinelle Autotransfusion (MAT) auch bei der transurethralen Resektion des Prostata-Adenoms (TUR-P)? - Untersuchungen der aufbereiteten gewaschenen Erythrozyten-Konzentrate (AGEK) vor einer möglichen Retransfusion
| العنوان: | Maschinelle Autotransfusion (MAT) auch bei der transurethralen Resektion des Prostata-Adenoms (TUR-P)? - Untersuchungen der aufbereiteten gewaschenen Erythrozyten-Konzentrate (AGEK) vor einer möglichen Retransfusion |
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| المؤلفون: | V. E. Tumbass, G. Schröter, A. Henn-Beilharz, C. Krier, Y. Schmitt |
| المصدر: | AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie. 31:77-84 |
| بيانات النشر: | Georg Thieme Verlag KG, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | medicine.medical_specialty, Blood transfusion, medicine.diagnostic_test, Adenoma, business.industry, Urinary system, medicine.medical_treatment, Erythrocyte fragility, General Medicine, Urine, Critical Care and Intensive Care Medicine, medicine.disease, Gastroenterology, Surgery, Blood cell, Anesthesiology and Pain Medicine, medicine.anatomical_structure, Prostate, Internal medicine, Emergency Medicine, medicine, Blood culture, business |
| الوصف: | Aim Does cell-saving during transurethral resection of prostatic adenoma (TURP) provide autologous washed erythrocyte concentrates (AWECs) of the same haematological and bacteriological quality as that of established indications of a cell-saving device? Should the cell-saving device be used routinely in TURP? Methods 37 patients underwent TURP with written, informed consent. All patients had antibiotic therapy prior to surgery. Shed blood was processed by a cell-saving device. AWECs specimens were analysed for red blood count, electrolytes, LDH, extracellular haemoglobin, osmotic fragility, blood culture and bacterial concentration. In addition, data of urine cultures, adenoma cultures and adenoma histology were analysed. AWEcs were not retransfused. Results Haematological quality was shown to be comparable to that of established applications of a cell-saving device. However, 82% of the AWECs were contaminated with bacteria. Concentrations were as high as > 10(6) bacteria/ml. Isolated bacteria ranged from e. coli and pseudomonas to staphylococci, streptococci and candidae. Bacteria found in the urine cultures of patients with urinary tract infections could also be isolated in their AWECs. 16% of the patients had prostatic cancer not know preoperatively. Mass of resected adenoma and volume of AWEC did not correlate. Conclusions In despite of good haematological quality we considered the rate of 82% bacterial and 16% tumour cell contamination of the AWECs unacceptable and, contrary to some literature data, we no longer use a cell-saving device in TURP. |
| تدمد: | 1439-1074 0939-2661 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::08ae2ec21db4aecab27dbb9d8ed33a2c https://doi.org/10.1055/s-2007-995876 |
| رقم الأكسشن: | edsair.doi...........08ae2ec21db4aecab27dbb9d8ed33a2c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14391074 09392661 |
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