July 5, 1971

Autologous Transfusion

Author Affiliations

Stanford, Calif

JAMA. 1971;217(1):80. doi:10.1001/jama.1971.03190010062024

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To the Editor.—  In his LETTER (216: 1037, 1971), Milles makes a good point that autologous transfusion of blood should produce no hepatitis.This procedure was used in the 1930s by Dr. William Deichman, professor of obstetrics and gynecology at the University of Chicago, as a method of minimizing transfusion reactions in pregnant women. In the 1950s it was reintroduced by Dr. William Lees, head of thoracic surgery at Loyola. Lees employed the patient as his own donor primarily in elective thoracic surgery cases.If there is any reason that this excellent procedure has not been used more extensively, it is because there are so many diseases in which a patient is given transfused blood which occur when he has become too ill to serve as his own donor, ie, trauma, cancer, acute vascular accidents, and acute infections. When the patient can serve as his own donor, he should be