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Transoperative refusion: a simple and safe method in emergency surgery
Luiz Carlos Buarque Gusmão1, Sérgio Henrique Chagas Valoes2, José da Silva Leitão Neto3
1Federal University of Alagoas.
Revista Do Colegio Brasileiro De Cirurgioes
|October 9, 2014
Summary
Autologous blood reinfusion is a cost-effective and safe alternative to allogeneic blood transfusions, reducing risks and improving patient outcomes. This method is suitable for all hospitals, especially those without blood banks.
Area of Science:
- Transfusion Medicine
- Surgical Hemostasis
Background:
- Allogeneic blood transfusions carry risks including coagulation disorders and pathogen transmission.
- Limited access to blood banks in smaller hospitals necessitates alternative transfusion methods.
Purpose of the Study:
- To highlight the benefits of autologous blood reinfusion (ABR) as a safe, cost-effective, and simple transfusion method.
- To compare ABR with allogeneic transfusion, particularly in scenarios with contaminated surgical fields.
Main Methods:
- Review of existing studies comparing autologous and allogeneic transfusion methods.
- Analysis of cost-benefit ratios and safety profiles of both transfusion types.
Main Results:
- ABR demonstrates a superior cost-benefit ratio compared to allogeneic transfusion, even with blood contamination.
- Allogeneic transfusion is associated with risks such as Factor V deficiency and transmission of unknown pathogens (e.g., West Nile Fever, Creutzfeldt-Jacob disease).
Conclusions:
- Autologous blood reinfusion offers significant advantages over heterologous transfusion in various hospital settings.
- Discarding a patient's own blood should be avoided unless sufficient allogeneic blood is available for critical situations like hemorrhagic shock.
