Autologous blood transfusion: Preoperative blood collection and blood salvage techniques

Acta Anaesthesiologica Scandinavica

Volumn 40, Issue 8 II, 1996, Pages 1041-1056

  Bengtsson, A ^a   Bengtson, J P ^a  

^a SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

autologous blood; autologous blood donation; blood salvage; blood transfusion practice; transfusion techniques

Indexed keywords

BLOOD AUTOTRANSFUSION; HUMAN; PREOPERATIVE TREATMENT; PRIORITY JOURNAL; REVIEW;

EID: 0029831092     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1399-6576.1996.tb05622.x     Document Type: Review

References (120)

1. Adegboyega P A, Patten E D. A review of presurgical autologous blood donation by high-risk patients. Transfusion Med Rev 1994: 8: 200-209.
2. American Medical Association Council on Scientific Affairs. Autologous blood transfusions. JAMA. 1986: 256: 2378-2380.
3. Anderson A, Fangman J, Wager G, Uden D. Retrieval of placental blood from the umbilical vein to determine volume, sterility and presence of clot formation. AJDC. 1992: 146: 36-39.
4. Arnestad J P, Bengtsson A, Bengtson J P, Tylman M, Redl H, Schlag G. Formation of cytokines by retransfusion of shed whole blood. Br J Anaesth 1994: 72: 422-425.
5. Arnestad J P, Bengtsson A, Bengtson J P. Release of cytokines, PMN elastase and terminal C5b-9 complement complex by reinfusion of wound drainage blood. Acta Orthop Scand 1995: 66: 329-333.
6. AuBuchon J P. Minimizing donor exposure in hemotherapy. Arch Pathol Lab Med 1994: 118: 380-391.
7. Azzopardi N, Yabri M. A fatal reaction following scavenged autologous blood transfusion. Anaesth Intens Care 1993: 21: 335-336.
8. Beauregard P, Blajchman M A. Hemolytic and pseudo-hemolytic transfusion reactions: an overview of the hemolytic transfusion reactions and the clinical conditions that mimic them. Transfusion Mec Rev 1994: 8: 184-199.
9. Behrman M, Keim H. Perioperative red blood salvage in spine surgery. Clin Orthop Rel Res 1992: 278: 51-57.
10. Bengtson J P, Backman L, Stenqvist O, Heideman M, Bengtsson A. Complement activation and reinfusion of wound drainage blood. Anesthesiology 1990: 73: 376-380.
11. Bengtsson A, Lisander B. Anaphylatoxin and terminal complement complexes in red cell salvage. Acta Anaesthesiol Scand 1990: 34: 339-341.
12. Biesma D H, Bronkhorst P J H, de Groot P G, van de Wiel A, Kraaijenhagen R J, Marx J J M. The effect of recombinant human erythropoietin on hemostasis, fibrinolysis, and blood rheology in autologous blood donors. J Lab Clin Med 1994: 124: 42-47.
13. Biesma D H, Marx J J M, Kraaijenhagen R J, Franke W, Messinger D, van de Wiel A. Lower homologous blood requirement in autologous blood donors after treatment with recombinant human erythropoietin. Lancet 1994: 344: 367-370.
14. Birkmeyer J D, Aubuchon J P, Littenberg B. Cost-effectiveness of preoperative autologous blood donation in coronary artery bypass grafting. Ann Thorac Surg 1994: 57: 161-169.
15. Birkmeyer J D, Goodnough L T, AuBuchon J P, Noordsij P G, Littenberg B. The cost-effectiveness of preoperative autologous blood donation for total hip and knee replacement. Transfusion 1993: 33: 544-551.
16. Blevins F T, Shaw B, Valeri C R, Kasser J, Hall J. Reinfusion of shed blood after orthopaedic procedures in children and adolescents. J Bone Joint Surg 1993: 75-A: 363-371.
17. Blumberg N, Heal J M. Effects of transfusion on immune function. Cancer recurrence and infection. Arch Pathol Lab Med 1994: 118: 371-379.
18. Boldt J, von Bormann B, Kling D, Jacobi M, Moosdorf R, Hempelmann G. Preoperative plasmapheresis in patients undergoing cardiac surgery procedures. Anesthesiology 1990: 72: 282-288.
19. Bull B S, Bull M H. The salvaged blood syndrome: a sequel to mechanochemical activation of platelets and leukocytes? Blood Cells 1990: 16: 5-20.
20. Canadian Orthopedic Perioperative Erythropoietin Study Group. Effectiveness of perioperative recombinant human erythropoietin in elective hip replacement. Lancet 1993: 341: 1227-1232.
21. Chambers L A, Kruskall M S. Preoperative autologous blood donation. Transfusion Med Rev 1990: 4: 35-46.
22. Clements D H, Sculco T P, Burke S W, Mayer K, Levine D B. Salvage and reinfusion of postoperative sanguineous wound drainage. A preliminary report. J Bone Joint Surg 1992: 74-A: 646-651.
23. Clifford P C, Kruger A R, Smith A, Chant A D B, Webster J H H. Salvage autotransfusion in aortic surgery: initial studies using a disposable reservoir. Br J Surg 1987: 74: 755-757.
24. Dale R F, Kipling R M, Smith M F, Collier D S J, Smith P J. Separation of malignant cells during autotransfusion. Br J Surg 1988: 75: 581.
25. Dekkers R J, Rizzo R J, Body S C, Fitzgerald D J, Cohn L H. Shed whole blood autotransfusion during aortic aneurysm operation with a modified collection infusion system. Ann Thorac Surg 1995: 59: 184-186.
26. Domen R E, Hnat H, Panasiuk M. Autologous blood donation by patients with cardiovascular disease. Vox Sang 1992: 63: 137.
27. Druzin M L, Wolf C F W, Edersheim T G, Hutson J M, Kogut E A, Salamon J L N. Donation of blood by the pregnant patient for autologous transfusion. Am J Obstet Gynecol 1988: 159: 1023-1027.
28. Duchateau J, Nevelsteen A, Suy R et al. Autotransfusion during aorto-iliac surgery. Eur J Vasc Surg 1990: 4: 349-354.
29. Dzik W H, Sherburne B. Intraoperative blood salvage: medical controversies. Transfus Med Rev 1990: 4: 208-235.
30. Dzik W H. Effects on recipients of exposure to allogeneic donor leukocytes. J Clin Apheresis 1994: 9: 135-138.
31. Emergency Care Research Institute. Automated intraoperative processing autotransfusion machines. Health Devices 1988: 17: 219-242.
32. Etchason J, Petz L, Keeler E et al. The cost effectiveness of preoperative autologous blood donations. N Engl J Med 1995: 332: 719-724.
33. Fantus B. Blood preservation. JAMA 1937: 109: 128-131.
34. Faris P M, Ritter M A, Keating E M, Valeri C R. Unwashed filtered shed blood collected after knee and hip arthroplasties. A source of autologous red blood cells. J Bone Joint Surg 1991: 73-A: 1169-1178.
35. Fenwick J C, Cameron M, Naiman S C et al. Blood transfusion as a cause of leucocytosis in critically ill patients. Lancet 1994: 344: 855-856.
36. Ferguson K J, Strauss R G, Toy P T C Y, the Preoperative Autologous Blood Donation Study Group. Physician recommendation as the key factor in patients' decisions to participate in preoperative autologous blood donation programs. Am J Surg 1994: 168: 2-5.
37. Forbes J M, Anderson M D, Anderson G F, Bleecker G C, Rossi E C, Moss G S. Blood transfusion costs: a multicenter study. Transfusion 1991: 31: 318-323.
38. Giordano G F, Dockery J, Wallace B A et al. An autologous blood program coordinated by a regional blood center: a 5-year experience. Transfusion 1991: 31: 509-512.
39. Giurati G, Zanetta G, Caspani L et al. Autologous blood transfusion in patients undergoing radical hysterectomy. Br J Obstet Gynecol 1995: 102: 64-65.
40. Godet G, Arock M, De Almeida P et al. Comparison of quality of processed-blood obtained from five cell-washing devices during aortic surgery. Brit J Anaesth 1995: 74: Suppl 1: A66.
41. Godet G, Arock M, De Almeida P et al. Intraoperative blood salvage: comparison of devices with and without cell-washing. Br J Anaesth 1995: 74: Suppl 1: A65.
42. Goodnough L T, Grishaber J E, Birkmeyer J D, Monk T G, Catalona W J. Efficacy and cost-effectiveness of autologous blood predeposit in patients undergoing radical prostatectomy procedures. Urology 1994: 44: 226-231.
43. Goodnough L T, Shafron D, Marcus R E. The impact of preoperative autologous blood donation on orthopaedic surgical practice. Vox Sang 1990: 59: 65-69.
44. Goodnough L T, Verbrugge D, Marcus R E, Goldberg V. The effect of patient size and dose of recombinant human erythropoietin therapy on red blood cell volume expansion in autologous blood donors for elective orthopedic operation. J Am Coll Surg 1994: 179: 171-176.
45. Goulet J A, Arbor A, Bray T J, Timmerman L A, Benson D R, Bargar W L. Intraoperative autologous transfusion in orthopaedic patients. J Bone Joint Surg 1989: 71-A: 3-8.
46. Goulet J A, Bray T J, Timmerman L A, Benson D R, Bargar W L. Intraoperative autologous transfusion in orthopaedic surgery. J Bone Joint Surg 1989: 71-A: 3-8.
47. Gravlee G P, Hoskins M B, Yetter C R, Buss D H. Heparin content of washed red blood cells from the cardiopulmonary bypass circiut. J Cardiothorac Vasc Anesth 1992: 6: 140-142.
48. Green D, Handley E. Erythropoietin for anemia in Jehovah's Witnesses. Ann Intern Med 1990: 113: 720-721.
49. Heddle N M, Brox W T, Klama L N, Dickson L L, Levine M N. A randomized trial on the efficacy of an autologous blood drainage and transfusion device in patients undergoing elective knee arthroplasty. Transfusion 1992: 32: 742-746.
50. Heiss M M, Mempel W, Jauch K-W et al. Beneficial effect of autologous blood transfusion on infectious complications after colorectal cancer surgery. Lancet 1993: 342: 1328-1333.
51. Hillyer C D, Hart K K, Lackey III D A, Lin L S, Bryan J A. Comparable safety of blood collection in "high-risk" autologous donors versus non-high-risk autologous and directed donors in a hospital setting. Am J Clin Pathol 1994: 102: 275-277.
52. Holleufer R F, von Bormann B. Continuous autotransfusion system (CATS-Fresenius) vs Dideco autotransfusion system (Autotrans-Dideco). First clinical results with a new continuous operating autotransfusion device in vascular surgery. Br J Anaesth 1995: 74: Suppl 1: A64.
53. Jackson S H, Lonser R E. Safety and effectiveness of intracesarean blood salvage (letter). Transfusion 1993: 33: 181.
54. Jameson L C, Popic P M, Bruce A, Harms B A. Hyperkalemic death during use of a high-capacity fluid warmer for massive transfusion. Anesthesiology 1990: 73: 1050-1052.
55. Kajikawa M, Nonami T, Kurokawa T, Hashimoto S, Harada A, Takagi H. Autologous blood transfusion for hepatectomy in patients with cirrhosis and hepatocellular carcinoma: use of recombinant human erythropoietin. Surgery 1994: 115: 727-734.
56. Kang Y, Aggarwal S, Virji M, Pasculle A W et al. Clinical evaluation of autotransfusion during liver transplantation. Anest Analg 1991: 72: 94-100.
57. Kent P, Ashley S, Thorley P J, Shaw A, Parkin A, Kester R C. 24-hour survival of autotransfused red cells in elective aortic surgery: a comparison of two intraoperative autotransfusion systems. Brit J Surg 1991: 78: 1473-1475.
58. Kindscher J D. Hemolysis, plasma free hemoglobin, and washing efficiency during red cell scavenging. Anesth Analg 1995: 80: SCA120.
59. Kirkley S A, Cowles J, Pellegrini Jr V D, Harris C M, Boyd A D, Blumberg N. Cytokine secretion after allogeneic or autologous blood transfusion. Lancet 1995: 345: 527.
60. Kjaergard H K, Weis-Fogh U S, Sorensen H, Thiis J, Rygg I. Autologous fibrin glue: preparation and clinical use in thoracic surgery. Eur J Cardiothorac Surg 1992: 6: 52-54.
61. Kristiansson M, Soop M, Saraste L, Sundqvist K-G, Blombäck M. Characteristics of salvaged blood. Intens Care Med 1994: 20 :S131.
62. Kruskall M S, Leonard S, Klapholz H. Autologous blood donation during pregnancy: analysis of safety and blood use. Obstet Gynecol 1987: 70: 938-940.
63. Kulier A, Gombotz H, Stubenvoll E. Erythropoietin in patients undergoing coronary artery bypass graft surgery. Clin Invest 1994: 72: 19-24.
64. Laub G W, Riebman J B. Autotransfusion: methods and complications. In: Blood: hemostasis, transfusion, and alternatives in the perioperative period (Lake CL, Moore RA, eds.) New York: Raven Press, 1995: 381-394.
65. Lindenbaum C R, Schwartz I R, Chibber G, Teplick F B, Cohen A W. Safety of predeposit autologous blood donation in the third trimester of pregnancy. J Reprod Med 1990: 35: 537-540.
66. Long G W, Glover J L, Bendick P J et al. Cell washing versus immediate reinfusion of intra-operatively shed blood during abdominal aortic aneurysm repair. Am J Surg 1993: 166: 97-102.
67. Majkowski R S, Newman J H, Currie I C. Postoperative collection and reinfusion of autologous blood in total knee arthroplasty. Ann Royal Coll Surg Engl 1991: 73: 381-385.
68. McShane A J, Power C, Jackson J F et al. Auotransfusion: Quality of blood prepared with a red cell processing device. Br J Anaesth 1987: 59: 1035-1039.
69. McVay P A, Andrews A, Kaplan E B et al. Donation reactions among autologous donors. Transfusion 1990: 30: 249-252.
70. McVay P A, Hoag R W, Hoag M S, Toy P T C Y. Safety and use of autologous blood donation during the third trimester of pregnancy. Am J Obstet Gynecol 1989: 160: 1479-1488.
71. Means R T. Clinical application of recombinant erythropoietin in the anemia of chronic disease. Hematology/Oncology Clin North Am 1994: 8: 933-944.
72. Mercuriali F, Gualtieri G, Sinigaglia G et al. Use of recombinant human erythropoietin to assist autologous blood donation by anemic rheumatoid arthritis patients undergoing major orthopedic surgery. Transfusion 1994: 34: 501-506.
73. Mercuriali F, Inghilleri G, Biffi E et al. Erythropoietin treatment to increase autologous blood donation in patients with low basal hematocrit undergoing elective orthopedic surgery. Clin Invest 1994: 72: 16-18.
74. Mercuriali F, Zanella A, Barosi G, Inhilleri G, Biffi E, Colotti M T. Use of erythropoietin to increase the volume of autologous blood donated by orthopedic patients. Transfusion 1993: 33: 55-60.
75. Murphy P, Heal J M, Blumberg N. Infection or suspected infection after hip replacement with autologous or homologous blood transfusion. Transfusion 1991: 31: 212-217.
76. Murray D J, Gress K, Weinstein S L. Coagulpathy after reinfusion of autologous scavenged red blood cells. Anesth Analg 1992: 75: 125-129.
77. Napoli V M, Symbas P J, Vroon D H, Symbas P N. Autotransfusion from experimental hemothorax: levels of coagulation factors. J Trauma 1987: 27: 296-300.
78. Ness P M, Walsh P C, Zahurak M, Baldwin M L, Piantadosi S. Prostate cancer recurrence in radical surgery patients receiving autologous or homologous blood. Transfusion 1992: 32: 31-36.
79. Novak R W. Autologous blood transfusion in a pediatric population. Clin Pediatr 1988: 27: 184-187.
80. O'Hara P J, Hertzer N R, Krajewski L P, Cox G S, Beven E G. Reduction in the homologous blood requirement for abdominal aortic aneurysm repair by the use of preadmission autologous blood donation. Surgery 1994: 115: 69-76.
81. Ouriel K, Shortell C K, Green R M, DeWeese J A. Intraoperative autotransfusion in aortic surgery. J Vasc Surg 1993: 18: 16-22.
82. Owings D V, Kruskall M S, Thurer R L, Donovan L M. Autologous blood donations prior to elective cardiac surgery. Safety and effect on subsequent blood use. JAMA 1989: 262: 1963-1968.
83. Ozman V, McSwain N E, Nichols R L, Smith J, Flint L M. Autotransfusion of potentially culture-positive blood (CPB) in abdominal trauma: preliminary data from a prospective study. J Trauma 1992: 32: 36-39.
84. Paravicini D, Wasylewski A H, Rassat J, Thys J. Red blood cells survival and morphology during and after intraoperative autotransfusion. Acta Anaesthesiol Belg 1984: 35: 43-49.
85. Parrot D, Lankan J B, Mere J P et al. Blood salvage in cardiac surgery. J Cardiothorac Vasc Anesth 1991: 5: 454-456.
86. Perttilä J, Leino L, Pšyhšnen M, Salo M. Leucocyte content in blood processed by autotransfusion devices during open-heart surgery. Acta Anaesthesiol Scand 1995: 39: 445-448.
87. Pindyck J, Avorn J, Kuriyan M et al. Blood donation by the elderly: clinical and policy considerations. JAMA 1987: 257: 1186-1188.
88. Pinkerton P H. Autologous blood donation in support of cardiac surgery: a preliminary report on a hospital-based autologous donor programme. Can J Anaesth 1994: 41: 11: 1036-1040.
89. Pisters L L, Wajsman Z. Use of predeposit autologous blood and intraoperative autotransfusion in urologic cancer surgery. Urology 1992: 40: 211-215.
90. Qutaishat S. Autologous blood transfusion: evaluation of an alternative strategy in reducing exposure to allogeneic blood transfusion. Immunol Invest 1995: 24: 435-441.
91. Riou B, Arock M, Guerrero M et al. Haematological effects of postoperative autotransfusion in spinal surgery. Acta Anaesthesiol Scand 1994: 38: 336-341.
92. Robicsek F, Duncan G D, Born G V, Wilkinson H A, Masters T N, McClure M. Inherent dangers of simultaneous application of microfibrillar collagen hemostate and blood-saving devices. J Thorac Cardiovasc Surg 1986: 92: 766-770.
93. Rosengart T K, Helm R E, Klemperer J, Krieger K H, Isom O W. Combined aprotinin and erythropoietin use for blood conservation: results with Jehovah's Witnesses. Ann Thorac Surg 1994: 58: 1397-1403.
94. Rothstein P, Roye D, Verdisco L, Stern L. Preoperative use of erythropoietin in an adolescent Jehovah's Witness. Anesthesiology 1990: 73: 568-570.
95. Rutherford C J, Schneider T J, Dempsey H, Kirn D H, Brugnara C, Goldberg M A. Efficacy of different dosing regimens for recombinant human erythropoietin in a simulated perisurgical setting: the importance of iron availability in optimizing response. Am J Med 1994: 96: 139-145.
96. Schindler E, Scholz S, Boldt J et al. Wirkung oraler versus parenteraler Eisensubstitution bei Eigenblutspendern. Infusionsther Transfusionsmed 1994: 21: 236-241.
97. Schmidt P J. Blood donation by the healthy elderly. Transfusion 1991: 31: 681-683.
98. Schönberger J P A M, van Oeveren W, Bredée J J, Everts P A M, de Haan J, Wildevuur C R H. Systemic blood activation during and after autotransfusion. Ann Thorac Surg 1994: 57: 1256-1262.
99. Scott W J, Kode R, Castlemain B, Kessler R, Follis F, Pett S B, Wernly J A. Efficacy, complications, and cost of a comprehensive blood conservation program for cardiac operations. J Thorac Cardiavasc Surg 1992: 103: 1001-1007.
100. Sieunarine K, Langton S, Lawrence-Brown MMD, Goodman M A, Prendergast F J, Hellings M A. Elastase levels in salvaged blood and the effect of cell washing. Austr New Zealand J Surg 1990: 60: 203-208.
101. 4 and lyso platelet-activating factor, in intraoperative salvaged blood. Vox Sang 1992: 63: 168-171.
102. Singbartl G. Adverse events of erythropoietin in long-term and in acute/short-term treatment. Clin Invest 1994: 72: 36-43.
103. Solem J O, Steen S, Tengborn L, Lindgren S, Olin C. Mediastinal drainage blood: potentialities for autotransfusion after cardiac surgery. Scand J Thorac Cardiovasc Surg 1987: 21: 149-152.
104. Solem J O, Vagianos C. Peroperative blood salvage. Acta Anaesthesiol Scand 1988: 32: 71-75.
105. Solomon M O, Rutledge M L, Kane L E, Yawn D H. Cost comparison of intraoperative autologous versus homologous transfusion. Transfusion 1988: 28: 379-382.
106. Stehling L. Autologous transfusion. Int Anesthesiol Clin 1990; 28: 190-196.
107. Tasaki T, Ohto H, Hashimoto C, Abe R, Kikuchi S, Saitoh A. Recombinant human erythropoietin for autologous blood donation: effects on perioperative red-blood cell and serum erythropoietin production. Lancet 1992: 339: 773-775.
108. Tasaki T, Ohto H, Noguchi M, Kikuchi S, Hoshino S. Autologous blood donation elective surgery in children. Vox Sang 1994: 66: 188-193.
109. The National Blood Resource Education Expert Panel. The use of autologous blood. JAMA 1990: 263: 414-417.
110. Timberlake G A, McSwain N E Jr. Autotransfusion of blood contaminated by enteric contents: a potentially life-saving measure in the massively hemorrhaging traum patient? J Trauma 1988: 28: 855-857.
111. Torre G C, Ferrari M, Havre A, Razzetta H, Borgonovo G. A new technique for intraoperative recovery in the cancer patient. Eur J Surg Oncol 1994: 20: 565-570.
112. Turner R H, Capozzi J D, Kim A, Anas P P, Hardman E. Blood conservation in major orthopedic surgery. Clin Orthop 1990: 256: 299-305.
113. Watanabe Y, Fuse K et al. Autologous blood transfusion with recombinant human erythropoietin in heart operations. Ann Thorac Surg 1991: 51: 767-772.
114. Weippert M, Kretschmer V, Roewer J. Die Präoperative autologe Blut- und Plasmaspende. Anesteziol Reanimatol 1991: 16: 305-316.
115. Williamson K R, Taswell H F, Rettke S R, Krom R A F. Intraoperative autotransfusion: its role in orthotopic liver transplantation. Mayo Clin Proc 1989: 64: 340-345.
116. Williamson L. Homologous blood transfusion: the risks and alternatives. Br J Haematol 1994: 88: 451-458.
117. Woda R, Tetzlaff J E. Upper airway oedema following autologous blood transfusion from a wound drainage system. Can J Anaesth 1992: 39: 290-292.
118. Yomtovian R, Kruskall M S, Barber J P. Autologous blood transfusion: the reimbursement dilemma. J Bone Joint Surg 1992: 74-A: 1265-1272.
119. Zehner C, Blumberg A. Human recombinant erythropoietin in anemic patients on maintenance hemodialysis. Comparison between intravenous and subcutaneous administration. Kidney Int 1990: 38: 372.
120. Zipparo L, Gibson J. Study of the actual and potential utilization of autologous blood donation in four Central Sydney Area hospitals. J Qual Clin Practice 1994: 14: 65-75.