Autologous Blood Donations Before Elective Cardiac Surgery

Donald R. Avoy, MD
JAMA. 1990;263(9):1202. doi:10.1001/jama.1990.03440090032020.
Text Size: A A A
Published online

To the Editor.—  I was intrigued by the excellent report of Owings et al1 in The Journal entitled "Autologous Blood Donations Prior to Elective Cardiac Surgery." They have made a substantial contribution by documenting how benign phlebotomy is, even in what would generally be considered to be a high-risk group. They also demonstrate how effective such a program can be in avoiding the risks still tragically and unavoidably present in homologous blood transfusion. Other points merit specific comment.As the authors point out, hypovolemic symptoms are most unusual following the removal of 10% or less of the circulatory volume. By far the most frequent cause of postphlebotomy hypotension is vasovagal syncope. I am not aware of any mechanism by which saline infusion could be expected to prevent this phenomenon. I urge the investigators to pursue their promise to document the need for this part of the process. If it


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.