Surgical correction of craniosynostosis in infants is a very haemorrhagic p
rocedure. The aim of this study was to determine whether the perioperative
use of the continuous autotransfusion system (CATS) would reduce homologous
transfusion during repair of craniosynostosis. Two groups of patients were
studied according to the availability of the CATS in our hospital. The con
trol group had surgery before the system was introduced and the study group
had operations subsequently. Use of CATS was associated with a significant
decrease in the median (95% confidence interval) volume of homologous bloo
d transfused [413 (250-540) ml in the control group versus 317 (150-410) mi
in the CATS group, P=0.02] and in the median (95% confidence interval) num
ber of packed red cell units transfused [2 (1-2) in the control group versu
s 1 (1-2) in the CATS group, P=0.04] in the perioperative period. Use of CA
TS is associated with a reduction in homologous transfusion during the surg
ical correction of craniosynostosis in infants.