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1996-02-27
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Document 0384
DOCN M9630384
TI Intraoperative blood salvage: a new artificial organ?
DT 9603
AU Valbonesi M; Frisoni R; Florio G; Ferrari M; Immunohematology Services,
San Martino University Hospital,; Genova, Italy.
SO Int J Artif Organs. 1995 Mar;18(3):136-42. Unique Identifier : AIDSLINE
MED/96121795
AB Optimal blood supply is critical to modern medical practice. Among the
different possibilities of improving the quality and safety of blood, it
is generally felt that autologous donation has played an important role
and has contributed to changing transfusional practices, mainly since
the appearance of HIV and HCV on the blood transfusion scene. At the San
Martino Hospital Immunohematology Service, the autotransfusion era began
in 1985. Autologous predeposit donation was the first to be introduced,
followed by intentional perioperative hemodilution, intraoperative blood
salvage with DFC apparatuses and lastly post-operative blood salvage.
From about 200 autologous donations in 1985 we reached 5,372 in 1993 and
more than 6,000 autologous donations are expected for 1994. Only 189
intraoperative blood salvages, were carried out in 1986, 593 in 1989,
1,207 in 1993 and more than 1,500 blood salvage sessions are anticipated
for 1994. In the meantime, the total number of homologous RBC units
employed in the Hospital dropped from 45,000 in 1985 to 18,000 in 1994,
with the Onco-hematological Divisions using approximately 10,000 units
of packed RBC.
DE Blood Platelets/CYTOLOGY/PHYSIOLOGY Blood Transfusion,
Autologous/ADVERSE EFFECTS/METHODS/*STANDARDS
Erythrocytes/CYTOLOGY/PHYSIOLOGY Hemodilution Hemofiltration Human
*Infection Control Intraoperative Complications/ETIOLOGY Risk Factors
Transplantation, Homologous/STANDARDS JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).