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Autologous Blood Transfusions FREE

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Report H of the Council on Scientific Affairs, adopted by the House of Delegates of the American Medical Association at the Annual Meeting, June 15 through 19, 1986.

This report is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all of the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the views of the scientific literature as of June 1986.

Reprint requests to Council on Scientific Affairs, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (William R. Hendee, PhD).


JAMA. 1986;256(17):2378-2380. doi:10.1001/jama.1986.03380170094025
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Blood collected from a patient for retransfusion at a later time into that same individual is called "autologous blood." When the guidelines established by the American Association of Blood Banks are followed, autologous blood is the safest type of blood for transfusion. It also decreases the demand for banked blood and eliminates the risk of infection and alloimmunization from a transfusion. Autologous transfusions are becoming widely available; since 1974 the number of institutions providing autologous transfusion programs has increased more than fourfold. The Council on Scientific Affairs endorses the use of autologous blood transfusions.

(JAMA 1986;256:2378-2380)

REFERENCES

 Blood, blood components, and blood substitutes , in Drug Evaluations , ed 6. Chicago, American Medical Association, 1986;, pp 625-641.
Sandler SG, Silvergleid AJ (eds): Autologous Transfusion . Arlington, Va, American Association of Blood Banks, 1983;.
Oberman HA (ed): Standards for Blood Banks and Transfusion Services , ed 11. Washington, DC, American Association of Blood Banks, 1984;.
General Principles of Blood Transfusion . Chicago, American Medical Association, 1985;.
Mann M, Sacks HJ, Goldfinger D:  Safety of autologous blood donation prior to elective surgery for a variety of potentially 'high-risk' patients . Transfusion 1983;;23:229-232.
Milles G, Browne WH, Barrick RG:  Autologous transfusions for elective cesarean section . Am J Obstet Gynecol 1969;;103:1166-1167.
Duncan J:  On reinfusion of blood in primary and other amputations . Br Med J 1886;;1:192.
Thurer RL, Hauer JM:  Autotransfusion and blood conservation . Curr Probl Surg 1982;;19:97-156.
Mattox KL:  Autotransfusion in an emergency department . J Am Coll Emerg Phys 1975;;4:218-222.
Hauer JM, Dawson RB:  Autotransfusion: An evaluation of its value in reducing homologous blood use in trauma . Ann Clin Res 1979;;27:583A.
Rakower SR, Worth MH, Laekner H:  Massive intraoperative autotransfusion of blood . Surg Gynecol Obstet 1973;;137:633-636.
Carter RF, McArdle B, Morritt GM:  Autologous transfusion of mediastinal drainage blood . Anaesthesia 1981;;36:54-59.
Cordell AR, Lavender SW:  An appraisal of blood salvage techniques in vascular and cardiac operations . Ann Thorac Surg 1981;;31:421-425.
Johnson RG, Rosenkrantz KR, Preston RA, et al:  The efficacy of postoperative autotransfusion in patients undergoing cardiac operations . Ann Thorac Surg 1983;;36:173-179.
Ottesen S, Froysaker T:  Use of Haemonetics Cell Saver for autotransfusion in cardiovascular surgery . Scand J Thorac Cardiovasc Surg 1982;; 16:263-268.
Schaff HV, Hauer J, Gardner TJ, et al:  Routine use of autotransfusion following cardiac surgery: Experience in 700 patients . Ann Thorac Surg 1979;;27:493-499.
Thomas GI, Jones TW, Stavney LS, et al:  Experiences with autotransfusion during abdominal aortic aneurysm resection . Am J Surg 1980;; 139:628-633.
Gillott A, Thomas JM:  Clinical investigation involving the use of the Haemonetics Cell Saver in elective and emergency vascular operations . Am Surg 1984;;50:609-612.
O'Hara PJ, Hertzer NR, Santilli PH, et al:  Intraoperative autotransfusion during abdominal aortic reconstruction . Am J Surg 1983;;145:215-220.
Cali RF, O'Hara PJ, Hertzer NR, et al:  The influence of autotransfusion on homologous blood requirements during aortic reconstruction . Cleve Clin Q 1984;;51:143-148.
Cutler BS:  Avoidance of homologous transfusion in aortic operations: The role of autotransfusion, hemodilution, and surgical technique . Surgery 1984;;95:717-723.
Young JN, Ecker RR, Moretti RL, et al:  Autologous blood retrieval in thoracic, cardiovascular, and orthopedic surgery . Am J Surg 1982;; 144:48-52.
Dzik WH, Jenkins R:  Use of intraoperative blood salvage during orthotopic liver transplantation . Arch Surg 1985;;120:946-948.
Merrill BS, Mitts DL, Rogers W, et al:  Autotransfusion: Intraoperative use in ruptured ectopic pregnancy . J Reprod Med 1980;;24:14-16.
Boudreaux JP, Bornside GH, Cohn I:  Emergency autotransfusion: Partial cleansing of bacteria-laden blood by cell washing . J Trauma 1983;; 23:31-35.
Alter HJ, Holland PV, Purcell RH, et al:  Posttransfusion hepatitis after exclusion of commercial and hepatitis B antigen positive donors . Ann Intern Med 1972;;77:691-699.
Hauer JM, Thurer RC:  Controversies in autotransfusion . Vox Sang 1984;;46:8-12.
Mintz PO:  Autologous transfusion endorsed . JAMA 1985;;254:507-508.

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 Blood, blood components, and blood substitutes , in Drug Evaluations , ed 6. Chicago, American Medical Association, 1986;, pp 625-641.
Sandler SG, Silvergleid AJ (eds): Autologous Transfusion . Arlington, Va, American Association of Blood Banks, 1983;.
Oberman HA (ed): Standards for Blood Banks and Transfusion Services , ed 11. Washington, DC, American Association of Blood Banks, 1984;.
General Principles of Blood Transfusion . Chicago, American Medical Association, 1985;.
Mann M, Sacks HJ, Goldfinger D:  Safety of autologous blood donation prior to elective surgery for a variety of potentially 'high-risk' patients . Transfusion 1983;;23:229-232.
Milles G, Browne WH, Barrick RG:  Autologous transfusions for elective cesarean section . Am J Obstet Gynecol 1969;;103:1166-1167.
Duncan J:  On reinfusion of blood in primary and other amputations . Br Med J 1886;;1:192.
Thurer RL, Hauer JM:  Autotransfusion and blood conservation . Curr Probl Surg 1982;;19:97-156.
Mattox KL:  Autotransfusion in an emergency department . J Am Coll Emerg Phys 1975;;4:218-222.
Hauer JM, Dawson RB:  Autotransfusion: An evaluation of its value in reducing homologous blood use in trauma . Ann Clin Res 1979;;27:583A.
Rakower SR, Worth MH, Laekner H:  Massive intraoperative autotransfusion of blood . Surg Gynecol Obstet 1973;;137:633-636.
Carter RF, McArdle B, Morritt GM:  Autologous transfusion of mediastinal drainage blood . Anaesthesia 1981;;36:54-59.
Cordell AR, Lavender SW:  An appraisal of blood salvage techniques in vascular and cardiac operations . Ann Thorac Surg 1981;;31:421-425.
Johnson RG, Rosenkrantz KR, Preston RA, et al:  The efficacy of postoperative autotransfusion in patients undergoing cardiac operations . Ann Thorac Surg 1983;;36:173-179.
Ottesen S, Froysaker T:  Use of Haemonetics Cell Saver for autotransfusion in cardiovascular surgery . Scand J Thorac Cardiovasc Surg 1982;; 16:263-268.
Schaff HV, Hauer J, Gardner TJ, et al:  Routine use of autotransfusion following cardiac surgery: Experience in 700 patients . Ann Thorac Surg 1979;;27:493-499.
Thomas GI, Jones TW, Stavney LS, et al:  Experiences with autotransfusion during abdominal aortic aneurysm resection . Am J Surg 1980;; 139:628-633.
Gillott A, Thomas JM:  Clinical investigation involving the use of the Haemonetics Cell Saver in elective and emergency vascular operations . Am Surg 1984;;50:609-612.
O'Hara PJ, Hertzer NR, Santilli PH, et al:  Intraoperative autotransfusion during abdominal aortic reconstruction . Am J Surg 1983;;145:215-220.
Cali RF, O'Hara PJ, Hertzer NR, et al:  The influence of autotransfusion on homologous blood requirements during aortic reconstruction . Cleve Clin Q 1984;;51:143-148.
Cutler BS:  Avoidance of homologous transfusion in aortic operations: The role of autotransfusion, hemodilution, and surgical technique . Surgery 1984;;95:717-723.
Young JN, Ecker RR, Moretti RL, et al:  Autologous blood retrieval in thoracic, cardiovascular, and orthopedic surgery . Am J Surg 1982;; 144:48-52.
Dzik WH, Jenkins R:  Use of intraoperative blood salvage during orthotopic liver transplantation . Arch Surg 1985;;120:946-948.
Merrill BS, Mitts DL, Rogers W, et al:  Autotransfusion: Intraoperative use in ruptured ectopic pregnancy . J Reprod Med 1980;;24:14-16.
Boudreaux JP, Bornside GH, Cohn I:  Emergency autotransfusion: Partial cleansing of bacteria-laden blood by cell washing . J Trauma 1983;; 23:31-35.
Alter HJ, Holland PV, Purcell RH, et al:  Posttransfusion hepatitis after exclusion of commercial and hepatitis B antigen positive donors . Ann Intern Med 1972;;77:691-699.
Hauer JM, Thurer RC:  Controversies in autotransfusion . Vox Sang 1984;;46:8-12.
Mintz PO:  Autologous transfusion endorsed . JAMA 1985;;254:507-508.
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