Four years' experience with a hospital-based autologous blood transfusion program.

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  • Fujii Yasuhiko
    Department of Transfusion Service, Yamaguchi University School of Medicine
  • Ooba Yuzou
    Department of Transfusion Service, Yamaguchi University School of Medicine Central Clinical Laboratory, Yamaguchi University School of Medicine

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  • 当院における貯血式自己血輸血の現状貯血式自己血の採血，保存の一元的管理

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Autologus blood donation is used to avoid homologous blood transfusion for blood loss during surgery. We report 4 years' experience of the practice with an autologous blood predeposit program in our hospital. All units of autologous blood were collected by the nurse and the doctor of the Department of Transfusion Service in our hospital. We used three methods of storage: 1) CPD (liquid storage) 2) MAP (liquid storage) 3) cryopreservation. Frozen units were stored in a regional blood center. Other units were stored at the Department of Transfusion Service in our hospital. Over a 4-year period, 227 patients deposited one or more units of autologous blood in anticipation of surgery. 143 (63%) patients underwent orthopedic surgery, 43 (19%) cardiac surgery and 41 (18%) other surgery. The operations of 7/227 patients were cancelled. Of 220 patients, 191 (87%) did not require allogeneic blood. Administration of recombinant human erythropoietin is effective for autologous blood donation in patients with anemia and aged patients. Autologous blood transfusion represented 4% of all transfused RBC at our hospital in 1995. Our hospital-based predeposit program is effective in promoting autologous blood transfusion in surgery.

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