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July 8, 1988

Appropriateness of Autologous Blood Transfusion-Reply

Author Affiliations

University of Michigan Medical Center Ann Arbor

University of Michigan Medical Center Ann Arbor

JAMA. 1988;260(2):181-182. doi:10.1001/jama.1988.03410020041019

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In Reply.—  In noting the rarity of complications of blood transfusion, Dr Avoy somewhat overstates the case. In the best of all worlds, human error would not occur; unfortunately, this is hardly the present situation. Only those cases of misidentification of blood recipients that resulted in fatal outcomes were included in the 1980 report by Myhre. Undoubtedly, far more accidental transfusions of inappropriate blood that resulted in adverse reactions short of death occurred during this interval. Similarly, while fluid overload usually results from poor transfusion practice, it is a continuing problem, as is bacterial contamination of units of blood. The latter was responsible for the recent reduc