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[Preoperative autotransfusion for elective surgery].
Revue Medicale De Bruxelles
|April 1, 1989
Summary
A pre-deposited autologous blood program for elective surgery enhances transfusion safety by reducing the need for homologous blood. This approach successfully operated on over 50% of patients using only their own blood, minimizing risks.
Area of Science:
- Transfusion Medicine
- Surgical Safety
Context:
- Hospitals aim to minimize transfusion risks like infectious disease transmission and alloimmunization.
- Elective surgery patients are candidates for autologous blood programs.
Purpose:
- To evaluate the feasibility and outcomes of a pre-deposited autologous blood program for elective surgery.
- To assess the impact of autologous blood donation on homologous blood usage and transfusion safety.
Summary:
- 51 patients donated 111 units of packed red cells and 111 units of fresh plasma over 8 months.
- 53% of patients were transfused solely with autologous blood; 2 vasovagal reactions and 4 withdrawals (hematocrit <34%) occurred.
- Donated autologous blood not used by the patients was transfused to others, with 10% of packed red cells and 24% of plasma utilized.
Impact:
- The program enabled over 50% of elective surgery patients to be operated on using only autologous blood.
- This initiative significantly reduced the demand for homologous blood, enhancing transfusion safety.
- Pre-deposited autologous blood is a valuable tool for improving blood safety and managing blood supply.