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Electrolyte and acid/base changes in dogs undergoing autologous blood transfusion via a cell salvage device
Authors:Jodie L. Lamb  Kelley M. Thieman Mankin  Gwendolyn J. Levine  James Thompson
Affiliation:Department of Small Animal Clinical Sciences (Lamb, Mankin), Department of Veterinary Pathobiology (Levine), Department of Large Animal Clinical Sciences (Thompson), Texas A&M University College of Veterinary Medicine and Biomedical Sciences, 4474 TAMU, College Station, Texas 77843, USA.
Abstract:This study reports electrolyte and acid/base disturbances observed in clinical cases receiving autologous transfusion of blood processed by a cell salvage device. The records of 12 client-owned dogs that received an autologous transfusion via a cell salvage device with pre- and post-autologous transfusion blood work available were reviewed. Blood work from the 12 case dogs was compared to blood work from 12 control dogs with similar diseases. Control dogs received similar surgical treatment and were administered a similar volume per kg of packed red blood cells as case dogs, but did not undergo autologous transfusion. Case dogs that received autologous transfusion via a cell salvage device were significantly more likely to experience a decrease in ionized calcium and magnesium levels post-transfusion than were control dogs. Calcium and magnesium levels should be closely monitored during and after autologous transfusion. Calcium and/or magnesium supplementation may be required.
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