Autologous blood donation
نویسنده
چکیده
Although preoperative autologous blood donation is employed in elective surgery, this is declining because of the increasingly safe allogeneic blood supply. However, it continues to be used because of the public's perception of allogeneic blood risks and increasing blood shortages. Patients may donate a unit of blood (450 +/- 45 ml) as often as twice weekly, up to 72 hours before surgery. Preoperative autologous blood is most beneficial in procedures that cause significant blood loss. It has been determined that preoperative autologous blood donation is poorly cost-effective; the use of this procedure must be based on evidence that it is safe and of value for the patient.
منابع مشابه
Autologous blood donation and transfusion in obstetrics and gynaecology at the University of Maiduguri Teaching Hospital Maiduguri, Nigeria.
OBJECTIVE To evaluate the practicability of autologous blood donation and transfusion in the practice of obstetrics and gynaecology in our environment. METHOD A prospective study of 1221 obstetric and gynaecological patients to which autologous blood donation and transfusion was carried out at the University of Maiduguri Teaching Hospital, Maiduguri over an 8 year period (January, 1998 to Dec...
متن کاملAutologous blood donation in cardiac surgery: reduction of allogeneic blood transfusion and cost-effectiveness.
OBJECTIVE The purpose of this study was to assess transfusion requirements in patients undergoing cardiac surgery with and without autologous blood donation and to calculate the costs of predonation from the hospital perspective. DESIGN Observational study. SETTING Single university hospital. PARTICIPANTS Four thousand three hundred twenty-five patients undergoing elective cardiac surgery...
متن کاملRegional transfusion centre preoperative autologous blood donation programme: the first two years.
OBJECTIVE To assess the efficacy of a regional autologous blood donation programme. DESIGN Clinical and laboratory data were collected and stored prospectively. Transfusion data were collected retrospectively from hospital blood bank records. SETTING Northern Region Blood Transfusion Service and 14 hospitals within the Northern Regional Health Authority. SUBJECTS 505 patients referred for...
متن کاملNontransfusion hazards of autologous blood donation.
Autologous blood donation may incur hazards that are not directly associated with blood transfusion. Graham et al. 1 reported on 78 patients who donated autologous blood before elective cardiac or orthopedic surgery in Ottawa. Seventy-three (94%) of these patients traveled by automobile to autologous blood donation appointments. These patients drove a mean distance of 130 km (80.8 mi) for this ...
متن کاملThe value of autotransfusion in the management of intraoperative blood loss during orthopedic surgery.
The principal advantage of autologous blood transfusions is the danger of transmitting infectious agents and the adverse immunomodulatory effects of allogenic transfusion can be avoided. The effectiveness of preoperative autologous blood donation in reducing allogenic blood exposure is undisputed. The current discussion focuses on cost effectiveness versus the potential risks of autologous bloo...
متن کاملCost minimization analysis of preoperative erythropoietin vs autologous and allogeneic blood donation in total joint arthroplasty.
Autologous blood donation and erythropoietin (EPO) have been shown to be effective in reducing allogeneic blood transfusion, but the cost-effectiveness of these interventions remains unclear. A cost minimization analysis was performed, comparing the total costs of allogeneic blood transfusion strategy and autologous and allogeneic blood transfusion strategy for 161 primary total hip arthroplast...
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