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[Autologous blood transfusion].

K T Schricker, E Schricker

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |June 1, 1983
    PubMed
    Summary

    Reducing heterologous blood transfusions involves methods like hemodilution and autotransfusion. Freshly collected whole blood is best for neonates, with donor screening crucial for safety.

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    Area of Science:

    • Transfusion Medicine
    • Hematology

    Context:

    • Discusses strategies to minimize allogeneic blood transfusions.
    • Highlights current limitations and alternatives for coagulation factor replacement therapy.
    • Addresses transfusion-associated risks like hepatitis.

    Purpose:

    • To review methods for reducing heterologous blood transfusions.
    • To evaluate indications, contraindications, and risks of various transfusion strategies.
    • To examine the use of autologous and homologous blood products.

    Summary:

    • Explores hemodilution, intraoperative autotransfusion, and cryopreserved autologous erythrocytes for reducing donor blood needs.
    • Compares fresh frozen plasma to older coagulation factor concentrates.
    • Examines transfusion practices in neonates and infants, emphasizing the benefits of freshly collected whole blood.
    • Details the effective implementation of a dedicated donor pool from clinical staff.

    Impact:

    • Provides a comprehensive overview of blood conservation techniques in clinical practice.
    • Informs transfusion guidelines by evaluating the efficacy and safety of different blood products.
    • Emphasizes the importance of donor selection and screening for safe blood transfusion practices.

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