Revista do Colégio Brasileiro de Cirurgiões
https://revistadocbc.org.br/article/doi/10.1590/0100-6991e-20253788
Revista do Colégio Brasileiro de Cirurgiões
Artigo Original

Sinais vitais após o uso de um sistema de autotransfusão em pacientes submetidas à lipoaspiração e procedimentos estéticos concomitantes

Vital signs following autotransfusion in liposuction and concurrent aesthetic procedures

Juliana Almeida Oliveira; Pollyana Magalhães Gontijo; Julie Stephanny de Souza Gurgel Paranhos; Leandro Costa Contijo

http://dx.doi.org/10.1590/0100-6991e-20253788 RCBC, vol.52, e20253788, 2025
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Resumo

Introdução: A lipoaspiração pode ter como complicações a hemorragia e a anemia, e o volume de sangue perdido não pode ser previsto. A autotransfusão possui benefícios hemodinâmicos e pode estar associada a melhor recuperação do paciente.

Objetivo: Avaliar se o Autolog IQTM impacta os sinais vitais de pacientes submetidos a lipoaspiração.

Métodos: Estudo retrospectivo de caso-controle com pacientes submetidos a lipoaspiração de julho a novembro de 2023. Os observadores foram cegados para coleta e análise de dados, e 98 pacientes foram incluídas e classificadas em grupo de intervenção (autotransfusão durante o procedimento) ou controle.

Resultados: 49 pacientes foram usaram o Autolog e 49 pacientes compuseram o grupo controle, por seleção conveniente. 94 pacientes (96%) eram mulheres, com idade média de 39±9,17 anos e peso médio de 26,5±3,55kg. A resposta da frequência cardíaca (FC) no período pós-operatório (MD -12, IC95%: -19,42 a -4,58, p=0,002) e na recuperação da anestesia (MD -8, IC95%: -13,56 a -2,44, p=0,005) comparada ao período perioperatório favoreceu o grupo Autolog. A média da pressão arterial na recuperação anestésica comparada ao período perioperatório (MD -25, IC95%: -30,5 a -19,95, p<0,001); o escore MEWS na alta hospitalar (MD: 1, IC95%: 0,56 a 1,44, p<0,001); e a FC na alta hospitalar comparada ao pós-operatório (MD: 10,5, IC95%: 2,5 a 18,5, p=0,01) e à recuperação da anestesia (MD: 8, IC95%: 1,45 a 14,55, p=0,02) favoreceram o grupo controle.

Conclusão: A autotransfusão apresentou potenciais benefícios na resposta cardíaca pós-operatória imediata e na recuperação anestésica. Necessita-se de estudos mais abrangentes nessa população.

Palavras-chave

Lipectomia; Lipoabdominoplastia; Transfusão Autóloga de Sangue; Técnicas Cosméticas; Procedimentos Cirúrgicos Plásticos; Sinais Vitais

Abstract

Introduction: Liposuction might lead to complications such as bleeding and anemia, and the volume of blood lost cannot be predicted. Autotransfusion has hemodynamic benefits and may be associated with better patient recovery.

Objective: To evaluate whether Autolog IQTM impacts the vital signs of patients undergoing liposuction.

Methods: A retrospective case-control study with patients undergoing liposuction from July to November 2023. Observers were blinded to data collection and analysis, and 98 patients were included and classified into an intervention group (autotransfusion during the procedure) or control group.

Results: 49 patients used Autolog, and 49 patients made up the control group, selected conveniently. 94 patients (96%) were women, with a mean age of 39±9.17 years and a mean weight of 26.5±3.55kg. Heart rate (HR) response in the postoperative period (MD -12, 95% CI: -19.42 to -4.58, p=0.002) and during anesthesia recovery (MD -8, 95% CI: -13.56 to -2.44, p=0.005) compared to the perioperative period favored the Autolog group. Mean arterial pressure during anesthesia recovery compared to the perioperative period (MD -25, 95% CI: -30.5 to -19.95, p<0.001); the MEWS score at hospital discharge (MD 1, 95% CI: 0.56 to 1.44, p<0.001); and HR at hospital discharge compared to postoperative (MD 10.5, 95% CI: 2.5 to 18.5, p=0.01) and anesthesia recovery (MD 8, 95% CI: 1.45 to 14.55, p=0.02) favored the control group.

Conclusions: Autotransfusion showed potential benefits in immediate postoperative heart rate response and anesthesia recovery. Broader studies are needed in this population.

Keywords

Lipectomy; Blood Transfusion, Autologous; Cosmetic Techniques; Plastic Surgery Procedures; Vital Signs

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