Mannova J

Mannova J

Czech Republic

Publications
  • Review Article
    Blood Transfusion Strategies in Elective Vascular Surgery
    Author(s): Mannova J, Silhart Z and ProkesMannova J, Silhart Z and Prokes

    Autotransfusion techniques used in vascular surgery: intraoperative cell salvage (ICS) and acute normovolemic haemodilution (ANH), are evaluated in this article, especially their effectiveness in the reduction of allogeneic blood transfusions and cost. In comparison with ICS, ANH does not need any special equipment, is more accessible and cheaper, but the other method, ICS, is more adopted by vascular surgeons and anaesthetists. Even if ICS is preferred to ANH, only one study among the randomized studies confirmed the convincing benefit of using the cell salvage technique, and only 2 non-randomized studies had similar results, moreover, meta-analyses of these studies have not resolved the dispute over the efficiency of ICS. Only three meta-analyses assessing ICS in a subpopulation of patients who underwent abdominal aortic aneurysm surgery showed a decrease in the use of allogeneic bl.. View More»

    Abstract PDF