Who needs
autologous blood donation in joint replacement?
In addition to the NBTS, Princess Marina Hospital has set up its own
Autologous Blood donation unit.
ABT includes three options: preoperative
autologous blood donation (PABD), acute normovolemic hemodilution (ANH), and intraoperative and postoperative autotransfusion.
Preoperative
autologous blood donation followed by autotransfusion is an expensive procedure with logistic problems in many Hospitals.
Preoperative
autologous blood donation, erythropoietin, cell salvage, hypotensive anesthesia, normovolemic hemodilution, and antifibrinolytics have all been tried with varying degrees of success.
Some orthopedic surgical procedures, such as total joint arthroplasty and spinal fusion are associated with significant blood loss; and the need for allogeneic blood transfusions, despite preoperative
autologous blood donation and re-transfusion.
Autologous blood donation, in which you donate your own blood for use during a surgical procedure, was quite popular in the early 1980s when the risk of HIV infection was very real.
Alternatives to allogeneic transfusion include preoperative
autologous blood donation and priming with erythropoietin.
Acute normovolemic hemodilution can replace preoperative
autologous blood donation as a Standard of care for autologous blood procurement in radical prostatectomy.
Preoperative
autologous blood donation: benefit or detriment?
Autologous blood donation in total knee arthroplasties is not necessary.