By B. Gérard Adhoute M.D. (auth.)

The perform of autologous blood assortment and transfusion has been progressively expanding. the idea that isn't new; despite the fact that, its program has been restricted as a result of loss of curiosity and willingness to make the additional attempt required. additionally there was quandary concerning the security of the process. Homologous blood transfusion is straightforward and has allo­ wed us to salvage lives and practice methods which might now not were possible with no the supply of complete blood or its elements. Transfusion with homologous blood items is secure; besides the fact that, com­ plications can and do happen. The transmission of AIDS via transfusion of homologous blood items has considerably elevated sufferer and general practitioner information of the risks one faces. This power complica­ tion has promoted autotransfusion. it's now ordinary and reques­ ted by means of sufferers and physicians. Blood for autotransfusion is gathered pre or intraoperatively by way of phle­ botomy and retrieved intra and submit operatively from websites of hemor­ rhage. as soon as accrued, the blood is both saved or again to the sufferer as entire or processed blood. To have a profitable autotransfusion application calls for anticipation of its wishes and coordination and coaching of concerned personel within the blood financial institution, emergency room, working room and post-surgical care devices. Pre deposit and processing of amassed blood calls for remission of donor standards and labeling and garage procedures.

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The refusal of such a method by the doctor could be considered as negligent. Homologous transfusion is carried out under strict rules covering the protection of the donor as well as the recipient. Autologous transfusion should give the patient at least an equal protection. Is it necessary to have the same biological controls over something which is to be reinjected into the its proper owner? Yes, according to Pouliquen [43] including a full blood count and platelets and reticulocyte count. If these examinations are carried out, is it possible to divert the blood for use in homologous transfusion, if the blood is not required by the patient?

13b). Example 1. 4 1. If her Hti is about 40, the volume to be removed is about 900 ml. Hemodilution 27 Example 2. 5 1. 900 ml. It should be noted that the most critical value for these calculations is certainly the initial blood volume which, in the- absence of routine measurement"with isotopes, has a margin of error of 5 % to 10 %. The actual volume is affected by the body build and the age of the patient. The theoretical volume in the male seems to be overestimated by 13 % in the formulae used by Laxenaire, but to be correct for the female.

Example 1. 4 1. If her Hti is about 40, the volume to be removed is about 900 ml. Hemodilution 27 Example 2. 5 1. 900 ml. It should be noted that the most critical value for these calculations is certainly the initial blood volume which, in the- absence of routine measurement"with isotopes, has a margin of error of 5 % to 10 %. The actual volume is affected by the body build and the age of the patient. The theoretical volume in the male seems to be overestimated by 13 % in the formulae used by Laxenaire, but to be correct for the female.

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