       Document 0384
 DOCN  M9630384
 TI    Intraoperative blood salvage: a new artificial organ?
 DT    9603
 AU    Valbonesi M; Frisoni R; Florio G; Ferrari M; Immunohematology Services,
       San Martino University Hospital,; Genova, Italy.
 SO    Int J Artif Organs. 1995 Mar;18(3):136-42. Unique Identifier : AIDSLINE
       MED/96121795
 AB    Optimal blood supply is critical to modern medical practice. Among the
       different possibilities of improving the quality and safety of blood, it
       is generally felt that autologous donation has played an important role
       and has contributed to changing transfusional practices, mainly since
       the appearance of HIV and HCV on the blood transfusion scene. At the San
       Martino Hospital Immunohematology Service, the autotransfusion era began
       in 1985. Autologous predeposit donation was the first to be introduced,
       followed by intentional perioperative hemodilution, intraoperative blood
       salvage with DFC apparatuses and lastly post-operative blood salvage.
       From about 200 autologous donations in 1985 we reached 5,372 in 1993 and
       more than 6,000 autologous donations are expected for 1994. Only 189
       intraoperative blood salvages, were carried out in 1986, 593 in 1989,
       1,207 in 1993 and more than 1,500 blood salvage sessions are anticipated
       for 1994. In the meantime, the total number of homologous RBC units
       employed in the Hospital dropped from 45,000 in 1985 to 18,000 in 1994,
       with the Onco-hematological Divisions using approximately 10,000 units
       of packed RBC.
 DE    Blood Platelets/CYTOLOGY/PHYSIOLOGY  Blood Transfusion,
       Autologous/ADVERSE EFFECTS/METHODS/*STANDARDS
       Erythrocytes/CYTOLOGY/PHYSIOLOGY  Hemodilution  Hemofiltration  Human
       *Infection Control  Intraoperative Complications/ETIOLOGY  Risk Factors
       Transplantation, Homologous/STANDARDS  JOURNAL ARTICLE

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

