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Revue médicale suisse · Nov 2006
Review[Autologous blood pre-donation and perioperative use of erythropoietin].
- Burkhard Michaeli, Patrick Ravussin, and Pierre-Guy Chassot.
- Département d'anesthésiologie et de réanimation CHCVs, 1950 Sion. Burkhard.Michaeli@web.de
- Rev Med Suisse. 2006 Nov 22;2(88):2662-4, 2666-7.
AbstractThe general concept of blood saving covers a number of technical and pharmacological actions which all aim to maintain the erythrocyte mass of the patient, and of which blood transfusion is only one. Severe anemia (Hb <60-80 g/l) increases postoperative mortality and morbidity. However, its correction by blood transfusion tends to worsen the prognosis. It is therefore imperative to conserve the patient's blood by any means possible. Detecting anemia is of primary importance. Whenever possible, its cause should be identified and treated. Depending on the detected anemia, as well as the blood loss expected during surgery, the patient should receive EPO (anemia with foreseeable moderate blood loss), or autologous pre-donation associated with EPO (anemia with foreseeable large blood loss).
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