Blood Conservation and Blood Salvage

1994 ◽  
Vol 9 (2) ◽  
pp. 86-97 ◽  
Author(s):  
Lawrence T. Goodnough ◽  
Mathew S. Bodner ◽  
Jeffrey W. Martin

Autologus blood transfusion has been recommended as the blood of choice for surgical patients. Procurement of autologus blood can be accomplished by utilizing one or more conservation interventions: preoperative autologous blood donation, acute preoperative hemodilution, and perioperative autologous salvage. Recent estimates of cost-effectiveness emphasize that blood conservation interventions need to be held accountable with regards to their costs as well as their benefits. Despite recent advances in blood safety, patients need to be informed of the relative risks of blood transfusion and blood conservation, so that a careful balance of the need for blood conservation along with an acknowledgment of the life-saving properties of blood can be maintained.

2002 ◽  
Vol 30 (6) ◽  
pp. 775-781 ◽  
Author(s):  
K. S. Lo ◽  
B. F. M. Chow ◽  
H. T. Chan ◽  
S. Gunawardene ◽  
K. D. K. Luk

A retrospective audit was conducted to determine the safety, efficacy and patient satisfaction related to a preoperative autologous blood donation program for children and teenagers undergoing corrective surgery for scoliosis. Forty-five of the 77 patients donated the requested amount of blood. These 45 compliant patients had been requested to donate fewer units of blood than noncompliant patients (mean 4.0 vs 4.6 respectively, P=0.02). Twelve patients required allogeneic blood transfusion. Two patients had surgery delayed making the collected autologous blood unavailable. The extent of the operation was associated with the need for allogeneic blood transfusion. Six and a half percent of all donated units of blood were discarded. No major complications were reported. Overall, 93% of patients were satisfied with the program. With careful patient selection, good inter-departmental coordination and teamwork, preoperative autologous blood donation in paediatric patients undergoing extensive corrective surgery for scoliosis is safe and effective.


1998 ◽  
Vol 175 (6) ◽  
pp. 461-465 ◽  
Author(s):  
Angus C.W. Chan ◽  
Leslie H. Blumgart ◽  
David L. Wuest ◽  
Jose A. Melendez ◽  
Yuman Fong

Transfusion ◽  
2006 ◽  
Vol 46 (6) ◽  
pp. 934-941 ◽  
Author(s):  
Volker Weisbach ◽  
Lothar Schnabel ◽  
Robert Zimmermann ◽  
Jurgen Zingsem ◽  
Reinhold Eckstein

Sign in / Sign up

Export Citation Format

Share Document