Cytological and bacteriological studies of intraoperative autologous blood in neurosurgery

Surgical Neurology
Hiroshi KudoEiji Kohmura

Abstract

To ensure the safety of salvaged blood in neurologic surgery, reinfused blood through the Cell Saver System (CSS) (Hemonetics) was investigated cytologically and bacteriologically. Specimens of reinfused blood were cytologically examined with Papanicolaou or Giemsa stains. Reinfused blood and air in the operating theater were investigated by microbiologic techniques. The concentration of dust particles in the theater was determined. Tumor cells were positive in reinfused blood in 5 of 9 specimens with glioblastoma, in 2 of 8 with pituitary adenoma, and 1 of 13 with meningioma. The probability of migration of meningioma cells into reinfused blood was significantly low in comparison with that of glioma cells. Of the 30 specimens studied microbiologically, the bacterial growth was detected in salvaged blood of 14 specimens (46.7%) and in the air of the operating theater for 8 specimens (26.7%). In craniotomy, the contamination rate was 10 of 26 specimens of reinfused blood (38.5%). Most microorganisms were found to be staphylococci. No statistically significant correlation could be found between salvaged blood and air as to contamination or between reinfused blood and the concentration of dust particles in the theater as to bacter...Continue Reading

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Citations

Feb 4, 2010·Journal of Clinical Anesthesia·Annette SchmidtHendrik W Gervais
Oct 22, 2008·Transfusion clinique et biologique : journal de la Société française de transfusion sanguine·P-M MertesG Audibert
Feb 26, 2008·Surgical Neurology·Hui LiangBaoguo Wang
Apr 21, 2010·Anaesthesia·P J Cowlishaw, D Belavy
Mar 5, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Shane Anderson, Ben Panizza
Apr 18, 2007·Cell Transplantation·Tatsuya KinJonathan R T Lakey
Mar 17, 2016·World Journal of Gastrointestinal Surgery·Raphael Lc AraujoWellington Andraus
Jan 1, 2007·Cell Transplantation·Tatsuya KinJonathan R T Lakey
Dec 17, 2017·Veterinary Surgery : VS·Brittany CiepluchKelley M Thieman Mankin
Dec 12, 2019·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·A Yu Lubnin

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