1. Autotransfusion Supported by Erythropoietin Therapy in Transurethral Resection of the Prostate
- Author
-
Nobuyuki Goya, Tadahiko Tokumoto, Kazunari Tanabe, Hayakazu Nakazawa, Seiichi Nishino, Yasuhiro Iguchi, Fusako Toda, Tadashi Ohshima, Takashi Yagisawa, Hiroshi Kobayashi, Masaru Shimizu, Hiroshi Toma, Hisaichi Fujii, and Kihara T
- Subjects
Male ,Resuscitation ,Urology ,medicine.medical_treatment ,Prostatic Hyperplasia ,Blood cell ,Blood Transfusion, Autologous ,Hemoglobins ,Prostate ,medicine ,Humans ,Erythropoietin ,Aged ,Transurethral resection of the prostate ,Prostatectomy ,Chemotherapy ,business.industry ,Recombinant Proteins ,medicine.anatomical_structure ,Nephrology ,Case-Control Studies ,Anesthesia ,Erythropoietin therapy ,business ,medicine.drug ,Autotransfusion - Abstract
We investigated the collection and transfusion of autologous blood after treatment with EPO in 68 BPH patients (including 10 controls) who were scheduled to undergo TUR-P. All patients received oral and/or intravenous iron supplements. Assessments were made based on the preoperative increase in blood hemoglobin levels including autologous blood predonation (deltaHb). The deltaHb in patients undergoing collection of 600 ml of blood were as follows: control group: -0.36 +/- 0.57 g/dl; EPO group, 9 x 3000 units intravenously: 1.15 +/- 0.83 g/dl; EPO group, 6 x 6000 units intravenously: 0.79 +/- 0.80 g/dl; EPO group, 3 x 12,000 units subcutaneously: 1.47 +/- 0.62 g/dl. In patients undergoing collection of 800 ml of blood, the results were as follows: EPO group, 3 x 12,000 units subcutaneously: 1.80 +/- 0.69 g/dl; EPO group, 3 x 24,000 units subcutaneously: 2.03 +/- 0.77 g/dl. All EPO-treated patients successfully underwent surgery using their own blood, and none of them required homologous transfusion. The increase of Hb was greater in the patients treated with EPO than in controls, allowing safe preoperative blood collection even in elderly patients. In patients with relatively severe BPH, homologous transfusion could be avoided and surgery was performed safely.
- Published
- 1998