THE PORTION OF AUTOLOGOUS BLOOD IN ORTHOPEDIC DEPARTMENT OF GENERAL HOSPITAL NOVA GORICA IN FIVE YEARS PERIOD (1996–2000)
Abstract
Background. The presentation of autologous blood donation with analysis of used blood and the percentage of autologous blood on Orthopedic Department in the years 1996–2000.
Methods. From card-index of autologous blood donors we analysed 363 preoperative autologous blood donations.We followed the number of doses in one patient and type of operating procedure.We analysed the usage of blood from transfusion issue protocols and the usage of postoperative autotransfusion from patient protocols.
Results. 91% of all preoperative blood donations in our hospital in five years period were from Orthopedic Department. There were 280 operating procedures (hip and knee arthroplasty) that needed blood transfusion. 196 of these (70%) were included in preoperative blood donation programme. We collected 330 doses: 1 dose in 61 cases, 2 doses in 100, 3 doses in 34 and 4 doses in 1 case or 1.68 doses per patient. The relationship between used autologous and allogenic blood were 46 : 54 (doses) or 38 : 62 (mL). Autologous blood represented 38% of all used blood on Orthopedic Department, only 11% of autologous blood were discarded.
Conclusions. The program of preoperative blood donation is well organized on The Orthopedic Department of our Hospital. To our experience we make the most of profit of autotransfusion (to avoid risks of allogenic blood, optimal patient colaboration, low percentage of discarded blood) with two predonated doses in combination with postoperative autotransfusion. Regard to The Law of Blood supply (may 2000) we are going to introduce this protocol of preoperative blood donation for all programed operating procedures in our Hospital, which need blood transfusion.
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References
Lemos MJ, Healy WL. Blood transfusion in orthopedic operations. J Bone Joint Surg 1996; 78-A: 1260–70
Walker RH ed. Autologous transfusion. Technical Manual: 11th ed.: AABB, 1993: 491–1.
Thomas MJG, Desmond MJ, Gillon J. Consensus conference of autologous transfusion. General background paper. Transfusion 1996; 36: 628–32.
Martin-Vega C. Adverse immunological effects of transfusion. Proceedings of the ESTM residetional course: Problems of autologous blood donation and transfusion. Bled 8-11 May 1997. Ljubljana: Zavod RS za transfuzijo krvi, 1997: 15–9.
Blajchman MA. Allogenic blood transfusions, immunomodulation, and postoperative bacterial infection. Do we have the answer yet? Transfusion 1997; 37: 121–5.
Zakon o preskrbi s krvjo. UL RS 2000; 52: 6942–8.
Černelč P. Vloga zdravnika pri postopkih transfuzije krvi. 3. podiplomski seminar Zdravljenje s krvjo v kirurgiji. Portorož, 14.–16. december 2000. Ljubljana: Kirurška klinika, 2000: 87–91.
Lukič L. Priporočilo o pripravi, uporabi in zagotavljanju kakovosti komponent krvi. 6. izdaja. Svet Evrope v Strasbourgu. Ljubljana: ZTK 2000: 151–2.
Lukič L. Avtotransfuzija. Komponentna terapija s krvjo. 2. podiplomski seminar Zdravljenje s krvjo v kirurgiji. Portorož, 9.–11. december. Ljubljana: Kirurška klinika, 1999: 15–5.
Thomas MJG, Desmond MJ, Gillon J. Consensus conference on autologous transfusion. Preoperative autologous donation. Acute normovolaemic haemodilution. Perioperative red cell salvage. Transfusion 1996; 36: 633–51.
Brubnjak-Jevtič V. Autologous blood transfusion in orthopedic surgery. Proceedings of the ESTM residential course. Problems of autologous blood donation and transfusion, Bled 8-11 May 1997. Ljubljana: Zavod RS za transfuzijo, 1997: 95–100.
Thomas MJG. Final Consensus statement; Consensus conference on autologous transfusion 4-6 October, 1995. Vox Sang 1996; 70: 183–4.
Mercuriali F. Preoperative autologous blood donation. Proceedings of the ESTM residential course. Problems of autologous blood donation and transfusion, Bled 8-11 May 1997. Ljubljana: Zavod RS za transfuzijo, 1997: 45–59.
Thomas MJG, Desmond MJ, Gillon J. Consensus conference on autologous transfusion. Final Consensus statement. Transfusion 1996; 36: 667–7.
Sculco TP, Gallina J. Blood management experience: Relationship between autologous blood donation and transfusion in orthopedic surgery.
Nuttall GA, Santrach PJ, Oliver WC et al. A prospective randomized trial of the surgical blood order equation for ordering red cells for total hip arthroplasty patients. Transfusion 1998; 38: 828–33.
Woolson ST, Watt JM. Use of autologous blood in total hip replacement. A comprehensive program. J Bone Joint Surg 1991; 73-A: 76-80.
Churchill WH, McGurk S, Chapman RH et al. The collaborative hospital transfusion study: variations in use of autologous blood account for hospital differences in red cell use during primary hip and knee surgery. Transfusion 1998; 38: 530–9.
National heart, lung, and blood institute expert panel on the use of autologous blood-conference report. Transfusion alert: use of autologous blood. Transfusion 1995; 35: 711–1.
Aubuchon JP, Birkmeyer JD. Controversies in transfusion medicine – Is autologous blood transfusion worth the cost? Transfusion 1994; 34: 79–83.
Singbartl G, Schleinzer W. Perioperative blood salvage (PBS). Proceedings of the ESTM residential course. Problems of autologous blood donation and transfusion. Bled 8-11 May 1997. Ljubljana: Zavod RS za transfuzijo, 1997: 77–82.
Myhre BA, McRuer D. Human error – a significant cause of transfusion mortality. Transfusion 2000; 40: 879–85.
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