Effect of autologous blood donation on the central venous pressure, blood loss and blood transfusion during living donor left hepatectomy.
OBJECTIVE
Autologous blood donation (ABD) is mainly used to reduce the use of banked blood. In fact, ABD can be regarded as acute blood loss. Would ABD 2-3 d before operation affect the CVP level and subsequently result in less blood loss during liver resection was to be determined.


METHODS
Eighty-four patients undergoing living donor left hepatectomy were retrospectively divided as group I (GI) and group II (GII) according to have donated 250-300 mL blood 2-3 d before living donor hepatectomy or not. The changes of the intraoperative CVP, surgical blood loss, blood products used and the changes of perioperative hemoglobin (Hb) between groups were analyzed and compared by using Mann-Whitney U test.


RESULTS
The results show that the intraoperative CVP changes between GI (n = 35) and GII (n = 49) up to graft procurement were the same, subsequently the blood loss, but ABD resulted in significantly lower perioperative Hb levels in GI.


CONCLUSIONS
Since none of the patients required any blood products perioperatively, all the predonated bloods were discarded after the patients were discharged from the hospital. It indicates that ABD in current series had no any beneficial effects, in term of cost, lowering the CVP, blood loss and reduce the use of banked blood products, but resulted in significant lower Hb in perioperative period.
Jawan
Bruno
B
Department of Anesthesiology, Chang Gung Memorial Hospital, Kaoshiung Medical Center, Taiwan, China.
Cheng
Yu-Fan
YF
Tseng
Chia-Chi
CC
Chen
Yaw-Sen
YS
Wang
Chih-Chi
CC
Huang
Tung-Liang
TL
Eng
Hock-Liew
HL
Liu
Po-Ping
PP
Chiu
King-Wah
KW
Wang
Shih-Hor
SH
Lin
Chih-Che
CC
Lin
Tsan-Shiun
TS
Liu
Yueh-Wei
YW
Chen
Chao-Long
CL
D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001804:Blood Transfusion, Autologous; D002496:Central Venous Pressure; D005260:Female; D006498:Hepatectomy; D006801:Humans; D007430:Intraoperative Care; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D012189:Retrospective Studies