Revista médica del Instituto Mexicano del Seguro Social
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The origin of bloodless medicine was probably generated due to the religious impediment of Jehovah's witnesses. In 1988 in Brooklyn New York, U. S., a hospital information center was created help Jehovah's witnesses 24 h/7 days a week. ⋯ Nonetheless, transfusion of blood components is needed in surgical cases such as those involving liver, heart, and bone marrow transplantation, as well as in regenerative anemia or thrombocytopenia. Bloodless medicine costs are lower, but there is no precise way to estimate the costs of resources and other concepts for the operation of bloodless medicine. Alternatives such as auto-donation prior to surgery or acute normovolemic hemodilution can be proposed to patients who reject allogenic blood transfusion.