January 1974

Autotransfusion in Three Variations

Author Affiliations

From the departments of surgery and anesthesia, Peter Bent Brigham Hospital; and Harvard Medical School, Boston.

Arch Surg. 1974;108(1):121-122. doi:10.1001/archsurg.1974.01350250107028

The three clinically applicable forms of autotransfusion are preoperative blood collection and storage, hemodilution and autotransfusion, and intraoperative blood salvage.

Preoperative blood collection and storage can be used in patients with a normal hematocrit reading, who are free of substantial coronary or cerebrovascular occlusive disease. Hemodilution and autotransfusion is useful in patients undergoing elective surgery where blood loss greater than 500 ml is predicted. Intraoperative blood salvage is recommended in operations where blood loss exceeds 500 ml; it is especially useful in intra-abdominal vascular operations and in the surgery of trauma.