Autologous Blood Donation Elective Surgery in Children

Abstract

Studies were made on 59 children (cardiac 42, orthopaedic 13, miscellaneous 4) scheduled for autologous blood donation before elective surgery. The donor-patients' ages ranged from 3 to 15 years (mean 9.9 years) and their weights from 13 to 70 kg (mean 34 kg). All patients received 50-100 mg of oral iron sulphate per day. As a rule, about 10% of intravascular blood volume was drawn once a week. Before surgery, an average of 720 ml of autologous blood per patient was prepared. Two patients failed to donate autologous blood because of anxiety about the procedure; however, none of the donors was deferred due anaemia associated with the phlebotomy. Of the 53 patients undergoing surgery and participating in autologous predonation, 50 (94%) were able to avoid homologous blood transfusion. 600 ml of homologous blood were transfused to each of 2 orthopaedic patients and 400 ml to 1 cardiac patient. We conclude that a predeposit autologous transfusion programme is logistically possible in small children when the patients are cooperative.

"No Allogeneic Blood Transfusion" protocol for the surgical correction of craniosynostoses

“…When dealing with children, exclusion criteria based on age, weight, general conditions and hematological state have a critical role in the decision-making process, to ensure a safe procedure and exclude patients who may not be optimal candidates for the procedure [63,67].…”

Autologous blood transfusion for hemodialysis patients: A case report and review of clinical reports and therapeutic features

“…AB collection was not carried out as originally scheduled, due to the patient's anemia. For several decades, ABT has been offered as an option to patients contemplating surgery for a variety of reasons [1][2][3][4][5]20]. Some HD patients need ABT, but low Hb levels can be a problem in this population, because patients with HD are ideally managed to keep their Hb levels in a narrow range between 10.0 and 11.0-11.5 g/dl of Hb, to avoid anemia, access thrombus and other adverse events [15][16][17][18].…”

“…ABT is often preferred due to several advantages over nonautologous blood transfusion, such as preventing transfusiontransmitted viral and parasitic infections, preventing development of irregular antibodies to red blood cells and protecting blood resources [1][2][3][4][5]. During collection of autologous blood (AB), minimum hemoglobin (Hb) and hematocrit (Ht) levels of 11 g/dl and 33% have been recommended by the Japan Society of Autologous Blood Transfusion (JSABT) and British Guideline [6].…”

Pharmacological Approaches to Reduce Perioperative Transfusion Requirements in the Aged

“…200 or 400ml of autologous blood (approximately 10% of intravascular blood volume in cases of children or small older patients) [40] is drawn once a week if haemoglobin levels before each donation are at least 6.8 mmollL (11 g/dl) and the patient's general health and attitude to autotransfusion are favourable .…”