Summary:
Introduction: Autologous blood transfusions remain despite the increasing safety and quality of
allogeneic transfusions an important part of haemotherapy. Methods: 151 departments were sent
questionnaires mapping the implementation of autologous programmes in the CR in 2001. Results: 101
departments responded. 19318 preoperative autologous whole blood donations were made (4.5 % of all
whole blood donations, incl. allogeneic ones). This number included 100 donations in children and 7 in
pregnant women. In 2001 182 autologous donations by erythrocytopheresis and 118 by plasmapheresis,
2642 acute normovolaemic haemodilution (ANH) and 208 cases of perioperative blood salvage (PBS)
were made. From collected autologous blood two thirds served production of whole blood, one third
production of red blood cells and somewhat less plasma. Discussion and conclusion: Among autologous
transfusions preoperative autologous blood donation (PAD) dominates, although since 1999 the number
of PADhas been declining.MorePADwere implemented in the Moravian regions.Detection of anti-HCV,
anti-HIV 1,2, HBsAg, and syphilis is higher in autologous blood donations than in alogeneic ones. In
subjects who donated for the first time the incidence ofHCVwas surprisingly higher than in autologous
blood donors. The number of apheretic autologous donations declined as compared with previous year.
Data on ANH and PBS are underrated due to the non-participation of many anaesthesiological and
resuscitation departments incl. large hospitals.
Key words:
autologous blood transfusion, apheresis, acute normovolaemic haemodilution, perioperative
blood salvage, preoperative blood donation
|