Résumé
Divers facteurs contribuent déjà à limiter la quantité de sang de banque disponible et il faut peut-être même prévoir une réduction des arrivages devant la désaffection relative de la jelnesse à l’égard du don de sang et la multiplication des porteurs d’antigène Australien.
De plus, de nouvelles opérations surgissent, qui augmentent les besoins. Il est impérieux d’adopter des attitudes et pratiquer des techniques visant à conserver le sang.
Dans cette optique, ce travail présente les avantages d’un comité d’étude des transfusions qui, à lui seul, peut réduire la consommation de sang de 20 pour cent; de plus, on passe en revue les techniques proprement dites visant à épargner du sang, soit: l’hypotension contrôlée en anesthésie chirurgicale, l’hémodilution et l’auto-transfusion.
Summary
Many factors already contribute to limit the amount of bank blood available for therapeutic use; a possible reduction in the amount of available blood could stem from the relative indifference of young people towards the gift of blood and the increase in the size of the pool of positive carriers of Australian antigen.
Moreover, new operations appear (coronary by-pass) which increase the demand for blood.
It is imperative that we adopt attitudes and practice techniques that will contribute to the conservation of blood.
This paper discusses the advantages of an active blood bank committee which, alone, can reduce the consumption of blood by 20 per cent.
Moreover, actual techniques for conservation of blood are reviewed: controlled hypotension, haemodilution and intraoperative blood salvage.
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Bibliographie
Perreault, R.A. Directeur National Service de Transfusion de la Croix Rouge. Communication personnelle (1974).
Conference Report: Serum hepatitis: a major challenge to workers in infectious and iatrogenic disease. Canad. Med. Assoc. J.110: 974 (1974).
Roche, J.K. &Stengle, J.M. Open-heart surgery and the demand for blood. J.A.M.A.225: 1515 (1973).
Lawson, N.W., Ochner, J.L., Mills, N.L., &Léonard, G.L. The use of hemodilution and fresh autologous blood in open-heart surgery. Anesth. & Analg.53: 672 (1974).
Walz, D.V. An effective hospital transfusion committee. J.A.M.A.189: 660 (1964).
Allen, G.J. The case for the single transfusion. Editorial. New Engl. J. Med.287: 984 (1972).
Reece, R.L. &Beckett, R.S. Epidemiology of single unit transfusion. J.A.M.A.195: 113 (1966).
Okuno, T. The Cunningham case and blood usage. Letter to Editor. J.A.M.A.220: 1015 (1972).
Devitt, J.E. Blood wastage and cholecystectomy. Canad. Med. Assoc. J.109: 120 (1973).
Shier, K.J. Letter to Editor: Blood wastage. Canad. Med. Assoc. J.109: 1078 (1973).
Little, D.M., Jr. Controlled hypotension in anesthesia and surgery. Charles C. Thomas, Illinois (1956).
Eckenoff, J.E. Ann. N.Y. Acad. Sciences115: 341 (1964).
Wylie, W.D. &Churchill-Davidson, H.C. A practice of anaesthesia. 2ième édit. Chicago, Year Medical Publisher.
Jordan, W.S., Graves, C.L., Boyd, W.A., Ueda, I., &Roberts, T.S.S. Cardiovascular effects of three technics for inducing hypotension during anesthesia. Anesth. & Analg.50: 1059 (1971).
Jones, G.O.M. &Cole, P. Sodium nitroprusside as a hypotensive agent. Brit. J. Anaesth.40: 804 (1968).
Schiffmann, H. &Fuchs, P. Controlled hypotension effected by sodium nitroprusside. Acta. Anesth. Scand., Suppl.23: 704 (1966).
Moraca, P.P., Bitte, E.M., Hale, D.E., Wasmuth, O.E., &Poutasse, E.F. Clinical evaluation of sodium nitroprusside as a hypotensive agent. Anesthesiology23: 193 (1962).
Wildsmith, J.A.W., Marshall, R.L., Jenkinson, J.L., Macrae, W.R., &Scott, D.B. Hemodynamic effects of sodium nitroprusside during nitrous oxide/halothane anaesthesia. Brit. J. Anaesth.45: 71 (1973).
Styles, M., Coleman, A.J., &Leary, W.P. Some hemodynamic effects of sodium nitroprusside. Anesthesiology38: 173 (1973).
Boxer, G.E. &Rickards, J.C. Studies on the metabolism of the carbon cyanide and thiocyanate. Arch. Biochem.39: 7 (1952).
Goldstein, F. &Rieders, F. Conversion of thiocyanate to cyanide by an etrythropoietic enzyme. Amer. J. Physiol.173: 287 (1953).
Schlant, R.C., Tsacaris, T.S., &Robertson, R.J. Studies on the acute cardiovascular effects of intravenous sodium nitroprusside. Anesthesiology38: 51 (1973).
Franciosa, J.A., Guiha, N.H., Limas, D. J.,et al. Improved left ventricular function during nitroprusside infusion in acute myocardial infarction. Lancet1: 650 (1972).
Bodman, R.I. Controlled hypotension. Internation. Anaesthesiology Clinics5: 90 (1967).
Moore, F.D. Metabolic care of surgical patient. Philadelphia and London, W.B. Saunders Company (1959).
Boba, A. Support of blood volume during operation without blood transfusion. Surg. Forum17: 61 (1966).
Shires, T., Williams, J., &Brown, F. Acute change in extracellular fluids associated with major surgical procedures. Ann. Surg.154: 803 (1961).
Moore, F.D. &Shires, G.T. Moderation. Editorial. Ann. Surg.166: 300 (1967).
Roth, E., Lax, L.C., &Maloney, J.V. Ringer’s lactate solution and extracellular fluid volume in the surgical patient: A critical analysis. Ann. Surg.169: 149 (1969).
Serkes, K.D. &Lanc, S. Changes in extracellular fluid volume after hemorrage and tournique trauma. Surg. Forum17: 58 (1966).
Virtue, R.W., Levine, D.S., &Aikawa, J.K. Fluid shifts during the surgical period RISA and S determination following glucose, saline or lactate infusion. Ann. Surg.263: 523 (1966).
Cleland, J., Pluth, J.R., Tauxe, W.N., &Kirklin, J.W. Blood volume and body fluid compartment changes soon after closed and open intracardiac surgery. J. Thorac. Cardiovasc. Surg.52: 698 (1966).
Rush, B.F., Richardson, J.D., Bosomworth, P., &Eiseman, B. Limitations of blood replacement with electrolyte solutions. Arch. Surg.98: 49 (1969).
Wilson, J.D. &Taswell, H.F. Autotransfusion: Historical review and preliminary report on a new method. Mayo Clin. Proc.43: 26 (1968).
Brenner, B.J., Raines, J.K., &Darling, R.C. Intra-operative auto-transfusion in abdominal aortic resections. Arch. Surg.107: 78 (1973).
Klebanoff, G. An experience of 100 cases of introperative auto-transfusion with a commercially available device. Read before the 25th meeting of the American Association of Blood Banks. Washington DC (1972).
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Ce travail a été présenté, en anglais, lors du Symposium “The Clinical Aspects of Blood Transfusion,” tenu sous l’égide de la Société Canadienne des Anesthésistes lors de son congrès annuel à St-Jean, Terre-Neuve, le 17 juin 1974.
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Boulanger, M., Paiement, B. & Maillé, J.G. La conservation du sang. Canad. Anaesth. Soc. J. 22, 387–398 (1975). https://doi.org/10.1007/BF03004853
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DOI: https://doi.org/10.1007/BF03004853