Preoperative autologous donation was rarely used before therecognition that HIV could be transmitted by blood transfusion.Fifteen years ago, fewer than 5 percent of eligible patientswho were scheduled for elective surgery chose autologous blooddonation.121 When public awareness of the possibility of transfusion-transmittedHIV became widespread, however, there was concern that too fewpatients were choosing autologous blood donation as an option.Several states, including California, passed legislation requiringthat whenever it was "reasonably" likely that transfusion wouldbe needed, a patient should be informed of all of the optionsregarding and alternatives to allogeneic blood transfusion.Subsequently, . . . [Full Text of this Article]
Erythropoiesis
Use in Managed Care
Acute Normovolemic Hemodilution
Efficacy
Intraoperative Recovery of Blood
Postoperative Recovery of Blood
Emerging Developments in Transfusion Medicine
Inactivation of Microbes in Platelet Units
Use of Plasma with Reduced Viral Infectivity
Use of Red-Cell Substitutes
Conclusions
Source Information
From the Departments of Medicine and Pathology, Washington University School of Medicine, St. Louis (L.T.G.); the Departments of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill (M.E.B.); the Department of Pathology, Southern California Permanente Medical Group, Woodland Hills, Calif. (M.H.K.); and the Department of Pathology, DartmouthHitchcock Medical Center, Lebanon, N.H. (J.P.A.).
Address reprint requests to Dr. Goodnough at Washington University School of Medicine, Division of Laboratory Medicine, Box 8118, 660 S. Euclid Ave., St. Louis, MO 63110-1093.
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