Clotting competence of intracavitary blood in trauma victims.

Abstract:

:In order to assess more rationally the requirement for anticoagulation during intraoperative autotransfusion, the clotting competence of blood collected from the body cavities of 31 trauma victims entering our emergency department with indications for intraoperative transfusion was assessed. Blood was collected at thoracotomy or laparotomy prior to the institution of any anticoagulant measures and was assessed for clotting competence, the presence of fibrinogen, the presence of soluble fibrin monomere, and the appearance of fibrin degradation products. The prothrombin time, partial thromboplastin time, and thrombin time of this blood were markedly elevated; fibrinogen was absent; soluble fibrin monomer was absent; and fibrin degradation products were markedly elevated. Blood collected from body cavities is then incoagulable, and we suggest that in the autotransfusion of such a product the need for anticoagulation may be reduced.

journal_name

Ann Emerg Med

authors

Broadie TA,Glover JL,Bang N,Bendick PJ,Lowe DK,Yaw PB,Kafoure D

doi

10.1016/s0196-0644(81)80375-7

subject

Has Abstract

pub_date

1981-03-01 00:00:00

pages

127-30

issue

3

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(81)80375-7

journal_volume

10

pub_type

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