Spine surgery for scoliosis correction in pediatric patients is a major procedure associated with a high risk of perioperative blood loss. Homologous blood transfusion carries inherent risks, including immunological reactions, infections, and increased healthcare costs. Identifying high-risk patients is crucial to optimize blood conservation strategies. This retrospective study aims to identify preoperative and intraoperative risk factors associated with homologous red blood cell (RBC) transfusion and to evaluate the quantitative impact of Cell Saver volume reinfusion on reducing homologous transfusion requirements.
Study Type
OBSERVATIONAL
Enrollment
200
Standard surgical correction of scoliosis via a posterior approach with spinal instrumentation and arthrodesis, performed under general anesthesia
Use of an intraoperative autologous blood salvage device (Cell Saver) during spine surgery. Collected blood is washed, filtered, and reinfused to the patient peroperatively to reduce the need for homologous blood transfusion.
Bechir Hamza Children Hospital
Tunis, Tunisia
RECRUITINGProportion of patients requiring perioperative homologous Red Blood Cell (RBC) transfusion
Time frame: : From the start of surgery (anesthesia induction) up to postoperative day 3 (Day 0 to Day 3).
Blood conservation rate achieved by intraoperative autologous blood salvage
Time frame: Intraoperative period (from skin incision to skin closure)
Total volume of homologous Red Blood Cells (RBC) transfused.
Time frame: From the start of surgery up to postoperative day 3 (Day 0 to Day 3).
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