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August 16, 1976

Autologous Transfusion

Author Affiliations

Mennonite Hospital 8 Bloomington, III

JAMA. 1976;236(7):821. doi:10.1001/jama.1976.03270080013012

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To the Editor.—  The article by Herbert Silver, MD (235:1611, 1976) emphasized the usefulness of "new autologous-blood techniques," ie, a recycling of the blood that has been lost into a closed cavity. This technique is described as "Intraoperative Salvage Autologous Transfusion" in Technical Method and Procedures of the American Association of Blood Banks and in "Retransfusion of Blood Obtained From the Peritoneal Cavity" in Blood Transfusion in Clinical Medicine by P. L. Mollison, MD, FRCP. This technique is said to have been used before the development of transfusion service—as early as 1818.Despite the advantages indicated by Dr Silver, there are complications, such as, hemolysis, microemboli, and consumptive coagulopathy. Also, it was found that the blood collected in the peritoneal cavity was unsuitable for transfusion in many incidents. Because of a possibility of higher incidence of the dangerous transfusion reaction in this technique, unless the additional clinical study shows the