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Autologous blood donation.

Lawrence T Goodnough¹

¹Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, H-1402, Stanford, CA 94305-5626, USA. ltgoodno@stanford.edu

Anesthesiology Clinics of North America

|June 1, 2005

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Preoperative autologous blood donation (PABD) is declining due to safer blood and less invasive surgeries. However, PABD remains crucial for blood conservation, addressing pathogen risks and potential shortages.

Area of Science:

Transfusion Medicine
Surgical Safety
Blood Banking

Background:

Preoperative autologous blood donation (PABD) is a standard practice in elective surgery.
Improvements in blood safety and surgical techniques have reduced blood loss.
National PABD rates have decreased by approximately 50%.

Purpose of the Study:

To assess the continuing relevance of PABD in modern surgical practice.
To highlight the role of PABD in blood conservation strategies.

Main Methods:

Review of trends in PABD.
Analysis of factors influencing PABD rates.
Evaluation of PABD's role in blood management.

Main Results:

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Significant national decline in PABD observed.

Reduced blood loss in surgery and enhanced blood safety are key factors.

Emerging pathogens and inventory shortages underscore PABD's importance.

Conclusions:

Despite declining rates, PABD remains a vital component of blood conservation.
PABD mitigates risks associated with allogeneic transfusions and blood supply instability.
Strategic use of PABD is essential for maintaining patient safety and adequate blood resources.