[Blood saving and surgery].
Blood-loss reduction strategies have numerous benefits for the patient. These include less transfusion reactions and decreased transmission of infections. Decreased requirements for bank blood mitigate the scarcity of this vital resource. The techniques for blood "savings" include lowering the transfusion trigger, stimulation of the marrow with erythropoietin, pre-donation, normovolemic hemodilution, and recovery of shed blood. Anesthetic and/or surgical techniques can be chosen to reduce bleeding, while various pharmacology agents can also reduce blood loss. Oxygentransporting artificial hemoglobin or perflurocarbon solutions can also reduce dependence on transfusion. Of the above techniques, the most promising are marrow stimulation, reductions of blood loss, and artificial oxygen transporters.
Larbuisson
R
R
Département d'Anesthésie-Réanimation, CHU Sart Tilman, Liège.
D016063:Blood Loss, Surgical / Q000517:prevention & control; D001804:Blood Transfusion, Autologous / Q000379:methods; D006801:Humans