Autologous blood transfusion: Preoperative blood collection and blood salvage techniques

1996 ◽  
Vol 40 (8P2) ◽  
pp. 1041-1056 ◽  
Author(s):  
A Bengtsson ◽  
J P Bengtson
1995 ◽  
Vol 23 (4) ◽  
pp. 472-477 ◽  
Author(s):  
E. T. Mah ◽  
R. Davis ◽  
P. Seshadri ◽  
T. L. M. Nyman ◽  
R. Seshadri

The efficacy of predeposited autologous blood transfusion (PABT) with and without intra/postoperative blood salvage to reduce or eliminate the need for homologous blood transfusion (HBT) in primary total hip or knee replacement surgery was investigated by retrospective and prospective studies. Depending on the type of surgery, one to three units of PABT eliminated the need for HBT in 50 to 78% of patients, but, intra/postoperative blood salvage alone reduced the need only in 11 to 29%. In contrast, blood salvage, when combined with three units of PABT, eliminated the need for HBT in all patients undergoing primary joint replacement surgery. A cost comparison analysis showed that blood salvage was more expensive than PABT, and therefore it should be limited to patients who had predeposited fewer than three units of autologous blood.


Medicina ◽  
2008 ◽  
Vol 44 (6) ◽  
pp. 482
Author(s):  
Audronė Veikutienė ◽  
Edmundas Širvinskas ◽  
Dalia Adukauskienė

Recently the use of allogeneic (donor) blood transfusion is widely accepted in the clinical practice. Despite of good quality and safety of preparation of allogeneic blood, there are some risks related with transfusion: hemolytic, febrile, and allergic reactions, transfusion related acute lung injury, negative immunomodulatory effect, transmission of infections diseases, dissemination and recurrence of cancer. This is why the indications for donor blood transfusion are restricted, so new safer methods are discovered to avoid or to decrease the heed for allogeneic blood transfusion. Nowadays, there is an increased interest in autologous blood transfusion as the most acceptable alternative to allogeneic blood transfusion. Autologous transfusion is the collection and reinfusion of the patient’s own blood (donor and recipient is the same person). Several types of autologous transfusion can be used: preoperative autologous blood donation, acute normovolemic hemodilution, intraoperative blood salvage, postoperative blood salvage. Neverless, autologous transfusion does not protect from all risks, it still remains the safest type of blood transfusion and is important in the strategy of blood conservation.


2000 ◽  
Vol 32 (7) ◽  
pp. 1853-1854 ◽  
Author(s):  
T Chikaraishi ◽  
T Iwamoto ◽  
T Hoshino ◽  
K Makizumi ◽  
N Yanagisawa ◽  
...  

2001 ◽  
Vol 12 (5) ◽  
pp. 479-484 ◽  
Author(s):  
Tetsuji Uemura ◽  
Takashi Hayashi ◽  
Yoshihiko Furukawa ◽  
Nobuyuki Mitsukawa ◽  
Atsushige Yoshikawa ◽  
...  

2005 ◽  
Vol 20 (6) ◽  
pp. 513-518 ◽  
Author(s):  
Chad E. Lewis ◽  
Loren F. Hiratzka ◽  
Scott E. Woods ◽  
Mary P. Hendy ◽  
Amy M. Engel

1992 ◽  
Vol 79 (4) ◽  
pp. 355-357 ◽  
Author(s):  
S. Harrison ◽  
R. J. C. Steele ◽  
A. K. Johnston ◽  
J. A. Jones ◽  
D. L. Morris ◽  
...  

1995 ◽  
Vol 25 (4) ◽  
pp. 152-155 ◽  
Author(s):  
Zacharia A Berege ◽  
Bart Jacobs ◽  
Michael R Matasha ◽  
Frank Mpelumbe ◽  
Ernestini Kimaro

The purpose of this study was to identify the best method of autologous blood transfusion to be applied in an East African hospital. One hundred and nine consecutive patients for whom major blood loss was anticipated were enrolled. Seventeen patients donated 1 unit of blood 3 days preoperatively and 92 underwent acute isovolaemic haemodilution prior to induction of anaesthesia. For the haemodiluted patients a 2:1 ratio of sterile pryogen-free saline to collected blood was used. One of the 16 patients from whom 2 units were withdrawn by haemodilution experienced hypovolaemia which was rapidly restored by additional transfusion of colloid. Of the patients who donated blood preoperatively only 23.5% were autotransfused compared to 98.9% of the haemodiluted patients. Of the latter 23.9% (22) had an intraoperative blood loss exceeding 15% of their total blood volume and 7.6% (7) lost more than 25%. Only one received homologous blood in addition. For hospitals with limited blood bank facilities and regular cancellation of surgery, the use of acute isovolaemic haemodilution is recommended. A 3:1 ratio of saline to blood is now advised when 1 unit is withdrawn and a part replacement with crystalloid when 2 units are collected.


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