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August 16, 1976

Autologous Transfusion-Reply

Author Affiliations

Hartford, Conn

JAMA. 1976;236(7):821-822. doi:10.1001/jama.1976.03270080013013

In Reply.—  As Dr Lee has indicated, problems have not infrequently been encountered when intraoperative blood salvage for autologous transfusion has been undertaken. It is because of the increased posttransfusion hemolysis of the salvaged blood, the potential for microemboli, and pancoagulopathies that occasionally occur, as well as the growing dissatisfaction with the technique, that only very brief mention of intraoperative salvage was made, and in the article, emphasis was placed on predeposit of blood for autologous transfusion prior to elective surgical procedures.Perhaps it should be pointed out that intraoperative salvage is being used to advantage in several institutions, if only on a limited basis.1,2,3 Convenience is also somewhat of a limiting factor that cannot be ignored. Rapidly transporting the apparatus that is used to the area where it is needed and always having available a team trained in the use of the equipment presents problems that some believe