       Document 0743
 DOCN  M9610743
 TI    [Surgery and blood transfusion]
 DT    9601
 AU    Catania G; Petralia G; Catalano F; Marzullo E; Dipartimento di
       Chirurgia, Universita degli Studi di Catania.
 SO    G Chir. 1995 Mar;16(3):132-6. Unique Identifier : AIDSLINE MED/96005308
 AB    Advances in surgery and the extension of the surgical indications have
       amplified the problems due to hemorrhage, main side effect, and its
       treatment, which in the past consisted primarily in whole blood
       transfusion. Such practice, however, involves the surgeon in a series of
       problems due to shortage of blood donors, religious beliefs and most of
       all the risks related to the transfusion practice itself. Apart from
       early and late reactions, the risk of transmission of infective
       diseases, post-transfusional immunodepression and legal problems must be
       pointed out. Recently, to solve these problems, the indications to blood
       transfusion have been restricted to severe hypovolemic shock and severe
       untreatable hypoxia; the separate use of blood components has been
       privileged; and autologous blood transfusion techniques like pre-deposit
       for donation, normovolemic preoperative hemodilution and intraoperative
       autologous transfusions have been used. It's mandatory that the surgeon
       keeps in date with the Transfusional Medicine progresses working in
       strict collaboration with the Transfusional Services to best protect the
       good health of the patients he has in care.
 DE    Acquired Immunodeficiency Syndrome/TRANSMISSION  Blood Donors  *Blood
       Transfusion/ADVERSE EFFECTS  Blood Transfusion, Autologous  English
       Abstract  Hemodilution  Human  Immune Tolerance  Intraoperative Care
       Preoperative Care  Risk Factors  *Surgery, Operative  Virus
       Diseases/TRANSMISSION  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

