Impact of autologous blood transfusion on blood support in general thoracic surgery: Analysis of 969 patients over a 5-year period

Paolo Perseghin, Gaetano Rocco, Claudio Della Pona, Fabio Massera, Mario Robustellini, Gerolamo Rossi, Ivo Beverina, Adriano Rizzi

Research output: Contribution to journalArticle

Abstract

Autologous blood transfusion (ABT) is increasingly used in order to avoid transfusion-related risks. The effectiveness of this simple and feasible procedure depends on several factors, such as the timing of surgery, the patient's overall condition and, last but not least, the pre-disposition of the medical team towards the routine use of ABT. We report our experience in blood support with ABT for general thoracic surgical patients, indicating an overall partially satisfactory outcome due to a limited use of the procedure. In 1992, 61 patients (38%) received autologous blood only, as compared to 9 patients (6%) who had received ABT in 1989. The average pre-deposit per patient ratio in 1992 was 1.2 units, which provided insufficient autologous blood support. In the same period, only 23 patients were subjected to acute normovolemic hemodilution (ANH). However, we noted a reduction of homologous transfusions from 2.9 ± <2.1 in 1989 to 2.0 ± <1.5 in 1992 (P 11 g%. Based on our data, we emphasize a more extensive move to ANH, along with pre-deposit, in order to avoid unnecessary homologous blood transfusions.

Original languageEnglish
Pages (from-to)65-70
Number of pages6
JournalTransfusion Science
Volume16
Issue number1
DOIs
Publication statusPublished - 1995

ASJC Scopus subject areas

  • Immunology
  • Hematology

Fingerprint Dive into the research topics of 'Impact of autologous blood transfusion on blood support in general thoracic surgery: Analysis of 969 patients over a 5-year period'. Together they form a unique fingerprint.

  • Cite this