[Intra-operative autotransfusion for massive bleeding (author's transl)]

Only intra-operative re-infusion with a special apparatus is suitable for autotransfusion in the management of massive and unexpected haemorrhage. Haemolysis and air embolism are the only problems directly related to it. Since haemolysis does not cause clinical complications it can be ignored, while air embolism can be prevented by continuous close supervision. Clotting disorders are the combined result of the underlying disease, circulatory shock, massive homologous blood transfusion and autotransfusion. No pulmonary problems have been encountered. The Bentley ATS system has proven to be the most effective means of replacing volume in life-threatening massive bleeding. It is a safe procedure which not only helps to save large volumes of homologous blood but also the life of many patients with extreme massive haemorrhages.