Clinical implications of blood substitutes
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Updated: Oct 30, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
1Brown University School of Medicine, The Miriam Hospital, Department of Surgery, Providence, Rhode Island 02906, USA.
Abstract:
Red cell substitutes are developing rapidly and progressing in their clinical testing. The original concept of a shelf storable oxygen carrying solution for use in trauma and other emergency situations still remains valid. Of interest is the potential for red cell substitutes to be used in other areas of surgery, traditionally the realm of autologous transfusion. This article describes some of the logic behind defining which areas of application are potentially useful in the surgical arena.
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