scholarly journals Autologous Blood Transfusion in Surgical Outreach Camp

2015 ◽  
Vol 2 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Apurb Sharma ◽  
Balkrishna Bhattarai
Keyword(s):  
Autologous Blood ◽  
Surgical Care ◽  
Blood Collection ◽  
Autologous Blood Transfusion ◽  
Blood Products ◽  
Pelvic Floor Repair ◽  
Allogenic Blood ◽  
Poor Access ◽  
Acute Normovolaemic Haemodilution ◽  
Donated Blood

Poor access to healthcare including surgical care is one of the known problems faced by people living in the remote terrains of Nepal. Reaching to the community with the help of health camps has been exercised for many years in Nepal. However, surgery in such camps is often hindered by many obstacles including unavailability of blood products, lack of or poor storage facility for donated blood. Surgery often needs to be deferred in otherwise healthy patients with rare blood groups. Autologous blood collection with acute normovolaemic haemodilution is one of the blood sparing techniques used in cases where it is difficult to get matched blood or when allogenic blood cannot be used. We report a case of autologous blood collection and subsequent transfusion in a patient undergoing vaginal hysterectomy and pelvic floor repair performed at a surgical outreach camp organized in a remote district of Nepal.Journal of Society of Anesthesiologists of Nepal 2015; 2(1): 28-30

Acute Isovolaemic Haemodilution: The Best Option for Autologous Blood Transfusion in Africa?

1995 ◽  
Vol 25 (4) ◽  
pp. 152-155 ◽  
Author(s):  
Zacharia A Berege ◽  
Bart Jacobs ◽  
Michael R Matasha ◽  
Frank Mpelumbe ◽  
Ernestini Kimaro
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Autologous Blood ◽  
Autologous Blood Transfusion ◽  
Total Blood Volume ◽  
East African ◽  
Homologous Blood ◽  
Total Blood ◽  
Induction Of Anaesthesia ◽  
Donated Blood

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 One of the 16 patients from whom 2 units were withdrawn by haemodilution experienced hypovolaemia which was rapidly restored by additional transfusion of colloid.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.

scholarly journals Management of intraperitoneal hemorrhage bleeding as a complication of a gynecologic disease

2014 ◽  
Vol 95 (2) ◽  
pp. 211-216
Author(s):  
O Ya Nazarenko ◽  
S V Timofeyeva
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Blood Transfusion ◽  
Blood Loss ◽  
Autologous Blood ◽  
Blood Substitutes ◽  
Autologous Blood Transfusion ◽  
Blood Products ◽  
Female Patients ◽  
Intraperitoneal Hemorrhage

Aim. To evaluate the effectiveness of intra- and post-surgical resuscitation targeted at blood loss replacement in patients with moderate, severe and profuse intraperitoneal hemorrhage caused by ectopic pregnancy and ovarian apoplexy. Methods. Heart rate variability and cardiac intervals assessment were used as additional criteria for patient monitoring. 97 female patients with intraperitoneal hemorrhage of 500-1500 ml underwent endoscopic surgery. Autologous blood transfusion, as well as packed blood products and blood substitutes were used for blood loss replacement. Heart rate variability assessment and analysis of cardiac intervals indicate that pathogenesis of adaptation and blood loss compensation in female patients with intraperitoneal hemorrhage exceeding 500 ml depends on blood loss volume and methods of blood loss replacement. Results. Parameters of adaptation and blood loss compensatory mechanisms in patients with moderate and severe blood loss, who underwent intrasurgical autologous blood transfusion, were close to normal values at days 7 and 14 after treatment. Patients with severe and profuse intraperitoneal hemorrhage treated with packed blood products had the longest red blood count and heart rate variability recovery period. Conclusion. Heart rate variability assessment allowed effectively estimating the treatment effect in female patients with intraperitoneal hemorrhage as a complication of a gynecologic disease exceeding 500 ml.

scholarly journals Autologous blood transfusion in patients undergoing hip replacement surgery

2014 ◽  
Vol 67 (3-4) ◽  
pp. 101-107 ◽  
Author(s):  
Ivana Tesic ◽  
Jovan Sekulic ◽  
Vladimir Arbutinov ◽  
Dragana Popov ◽  
Dusan Velisavljev
Keyword(s):  
Blood Transfusion ◽  
Blood Donation ◽  
Autologous Blood ◽  
Oral Iron ◽  
Allogeneic Blood ◽  
Control Group ◽  
Autologous Blood Transfusion ◽  
Blood Products ◽  
Post Operative Period ◽  
Experimental Group

Introduction. Autologous blood transfusion is a set of procedures done in order to collect a patient?s blood and reinfuse it during or after a surgical intervention. The aim is to meet the patient?s need for blood products without allogeneic transfusion. By observing the hemoglobin and hematocrit values during blood donation in the pre-operative and post-operative period and by counting transfused blood units, the aim of this article was to detect whether there was any difference between the patients receiving autologous blood and those receiving only allogeneic blood. Material and Methods. This prospective study was performed at the General Hospital ?Djordje Joanovic? Zrenjanin from October 24th, 2011 to January 24th, 2013. The study included 60 patients who were divided into the experimental group of 30 patients who had been transfused autologous blood and the control group of 30 patients who had been transfused only allogeneic blood. Results. The average values of hemoglobin and hematocrit in the first and the second donation were 148.9 g/l and 44.2%, and 138.7 g/l and 40.8%, respectively. Oral iron preparation was given to 12 patients for two weeks before the first donation. The level of hemoglobin and hematocrit in both groups of patients had approximately the same values in the pre-operative and post-operative period. In the post-operative period, 2.53 units were transfused per patient in the experimental group and 3.73 units were transfused per patient in the control group. Conclusion. Administration of pre-operatively donated autogenous blood reduces the number of transfused deplasmatised erythrocytes units in comparison to the number of units transfused to the patients receiving only allogeneic blood products. The pre-operative use of oral iron preparations increases hemoglobin values significantly.

scholarly journals 2021 ISFM Consensus Guidelines on the Collection and Administration of Blood and Blood Products in Cats

2021 ◽  
Vol 23 (5) ◽  
pp. 410-432
Author(s):  
Samantha Taylor ◽  
Eva Spada ◽  
Mary Beth Callan ◽  
Rachel Korman ◽  
Ellie Leister ◽  
...  
Keyword(s):  
Autologous Blood ◽  
Good Health ◽  
Evidence Base ◽  
Blood Type ◽  
Blood Collection ◽  
Blood Transfusions ◽  
Blood Products ◽  
Naturally Occurring ◽  
Cross Matching ◽  
Recipient Selection

Practical relevance: Blood and blood products are increasingly available for practitioners to use in the management of haematological conditions, and can be lifesaving and therapeutically useful for patients with anaemia and/or coagulopathies. It is important for feline healthcare that donors are selected appropriately, and transfusions of blood or blood products are given to recipients that will benefit from them. Complications can occur, but can be largely avoided with careful donor management and recipient selection, understanding of blood type compatibility, and transfusion monitoring. Clinical challenges: Feline blood transfusion, while potentially a lifesaving procedure, can also be detrimental to donor and recipient without precautions. Cats have naturally occurring alloantibodies to red cell antigens and severe reactions can occur with type-mismatched transfusions. Blood transfusions can also transmit infectious agents to the recipient, so donor testing is essential. Finally, donors must be in good health, and sedated as appropriate, with blood collected in a safe and sterile fashion to optimise the benefit to recipients. Transfusion reactions are possible and can be mild to severe in nature. Autologous blood transfusions and xenotransfusions may be considered in certain situations. Evidence base: These Guidelines have been created by a panel of authors convened by the International Society of Feline Medicine (ISFM), based on available literature. They are aimed at general practitioners to provide a practical guide to blood typing, cross-matching, and blood collection and administration.

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