[The "concept of autologous transfusion"].
This study analyzes the need for homologous blood in a prospectively studied group of 4,357 orthopedic-surgical patients after having established the 'Concept of Autologous Transfusion' (CAT) in 1989, in comparison to a retrospectively studied group of 7,485 orthopedic-surgical patients that had been treated exclusively with homologous blood (in 1986 and 1987). Despite an increase by 18% of the number of operations performed (in 1986: 3,698 operations vs. 4,357 operations in 1989), the need for homologous blood has been reduced by more than 80% (in 1986: 12,600 units of homologous packed red blood cells vs. 1989: 2,145 units of homologous blood). This effect has been achieved by the combination of various blood-saving techniques, namely by normovolemic hemodilution in 3,591 patients (82.4%), intra- and post-operative blood salvage in 1,936 patients (44.4%) as well as by 2,261 preoperative autologous blood donations, and by 5,279 preoperative plasmaphereses. Preoperative autologous donations have been accompanied by side effects in 1.3% (mild and moderate); no serious or even fetal complications occurred and all ambulatory patients coming to the hospital just for an autologous donation left for home on the same day.
Singbartl
G
G
Abteilung Anästhesiologie, Intensiv- und Transfusionsmedizin, ENDO-Klinik, Hamburg.
Schleinzer
W
W
D016913:Blood Component Transfusion / Q000706:statistics & numerical data*; D001804:Blood Transfusion, Autologous / Q000706:statistics & numerical data*; D001847:Bone Diseases / Q000097:blood / Q000601:surgery*; D005858:Germany; D006801:Humans; D007592:Joint Diseases / Q000097:blood / Q000601:surgery*; D011183:Postoperative Complications / Q000097:blood / Q000628:therapy; D011446:Prospective Studies; D012189:Retrospective Studies
Das "Concept der Autologen Transfusion" (CAT).