This article is part of the supplement: Anemia in Critical Care: Etiology, Treatment and Prevention
Autologous blood donation
Professor of Medicine and Pathology and Immunology, Washington University School of Medicine, and Director, Transfusion Services, Barnes-Jewish Hospital, St Louis, Missouri, USA
Critical Care 2004, 8(Suppl 2):S49-S52 doi:10.1186/cc2408Published: 14 June 2004
Although preoperative autologous blood donation is employed in elective surgery, this is declining because of the increasingly safe allogeneic blood supply. However, it continues to be used because of the public's perception of allogeneic blood risks and increasing blood shortages. Patients may donate a unit of blood (450 ± 45 ml) as often as twice weekly, up to 72 hours before surgery. Preoperative autologous blood is most beneficial in procedures that cause significant blood loss. It has been determined that preoperative autologous blood donation is poorly cost-effective; the use of this procedure must be based on evidence that it is safe and of value for the patient.