title: Effect of autologous blood donation on the central venous pressure, blood loss and blood transfusion during living donor left hepatectomy.
abstract: 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.
authors: Department of Anesthesiology, Chang Gung Memorial Hospital, Kaoshiung Medical Center, Taiwan, China.
authors: Bruno
authors: B
authors: Jawan
authors: Yu-Fan
authors: YF
authors: Cheng
authors: Chia-Chi
authors: CC
authors: Tseng
authors: Yaw-Sen
authors: YS
authors: Chen
authors: Chih-Chi
authors: CC
authors: Wang
authors: Tung-Liang
authors: TL
authors: Huang
authors: Hock-Liew
authors: HL
authors: Eng
authors: Po-Ping
authors: PP
authors: Liu
authors: King-Wah
authors: KW
authors: Chiu
authors: Shih-Hor
authors: SH
authors: Wang
authors: Chih-Che
authors: CC
authors: Lin
authors: Tsan-Shiun
authors: TS
authors: Lin
authors: Yueh-Wei
authors: YW
authors: Liu
authors: Chao-Long
authors: CL
authors: Chen
mesh_terms: 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