[Experiences in clinic and blood bank with a program for preoperative donation of autologous blood].
In the period from March 1987 to January 1988 a programme for donation of autologous blood was carried out within the existing cooperation between a regional blood bank and a general hospital. Various organizational problems were avoided by means of a special consulting hour and introduction of a special consultation form. Blood was taken a total of 144 times from 49 orthopaedic patients. No serious problems were encountered; three times, withdrawal of a unit of blood had to be refrained from. Of the 144 units of red cell suspension, 107 (73.3%) were reinfused, while seven patients still required administration of homologous blood. The variations of haemoglobin level, haematocrit, reticulocyte count and red cell distribution width suggest stimulation of erythropoiesis by repeated withdrawal of blood at brief intervals. In the preoperative phase, there were no pronounced differences in this respect between patients who were and those who were not given supplementary iron. Autologous blood transfusion constitutes a safe, valuable addition to the current transfusion forms and is possible within the existing organizations in The Netherlands.
van de Wiel
A
A
Biesma
D H
DH
Kraaijenhagen
R J
RJ
Barmentloo
J H
JH
D000293:Adolescent; D000328:Adult; D000368:Aged; D001771:Blood Banks / Q000458:organization & administration*; D001804:Blood Transfusion, Autologous / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006400:Hematocrit; D006454:Hemoglobins / Q000032:analysis; D006769:Hospitals, General; D006801:Humans; D007373:Interinstitutional Relations; D008297:Male; D008875:Middle Aged
D006454:Hemoglobins
Ervaringen van kliniek en bloedbank met een programma voor preoperatieve donatie van autoloog bloed.