open access

Vol 9, No 1 (2007)
Published online: 2007-02-01
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Intraoperative autologous transfusion

Andrzej Pluta, Krzysztof Gutkowski, Anna Pluta
Chirurgia Polska 2007;9(1):43-50.

open access

Vol 9, No 1 (2007)
Published online: 2007-02-01

Abstract

Intraoperative autologous transfusion has been used for over 20 years to avoid the transmission of infections and to decrease a number of transfusions in patients with large intaoperative blood loss. Many patients for religious reasons do not accept banked blood but accept the use of autotransfusion devices. Patients with autoimmune hemolytic anemia could avoid exposure to a donor’s transfused red blood cells. An intraoperative autotransfusion cell saver collects the shedded blood, and washes and centrifugally separates out the erythrocytes. After this procedure red blood cells are reinfused. Cell salvage offers many advantages over transfusion of homologous blood, but fears remains over its use in obstetrics where should be restricted to rare cases in which there is no alternative to provide red blood cells for oxygen transport. Cost savings occur when there is a high blood loss and a high erythrocyte salvage rate. The current views on autologous autotransfusions using cell savers are discussed.

Abstract

Intraoperative autologous transfusion has been used for over 20 years to avoid the transmission of infections and to decrease a number of transfusions in patients with large intaoperative blood loss. Many patients for religious reasons do not accept banked blood but accept the use of autotransfusion devices. Patients with autoimmune hemolytic anemia could avoid exposure to a donor’s transfused red blood cells. An intraoperative autotransfusion cell saver collects the shedded blood, and washes and centrifugally separates out the erythrocytes. After this procedure red blood cells are reinfused. Cell salvage offers many advantages over transfusion of homologous blood, but fears remains over its use in obstetrics where should be restricted to rare cases in which there is no alternative to provide red blood cells for oxygen transport. Cost savings occur when there is a high blood loss and a high erythrocyte salvage rate. The current views on autologous autotransfusions using cell savers are discussed.
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Keywords

intraoperative autologous transfusion; autoimmune hemolytic anemia; coagulopathy

About this article
Title

Intraoperative autologous transfusion

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 9, No 1 (2007)

Pages

43-50

Published online

2007-02-01

Bibliographic record

Chirurgia Polska 2007;9(1):43-50.

Keywords

intraoperative autologous transfusion
autoimmune hemolytic anemia
coagulopathy

Authors

Andrzej Pluta
Krzysztof Gutkowski
Anna Pluta

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