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Increased Withdrawal Volume per Deposit for Pre‐Operative Autologous Blood Donation in Adolescents
Author(s) -
Erb T.,
Möller R.,
Christen P.,
Signer E.,
Frei F.J.
Publication year - 2000
Publication title -
vox sanguinis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.68
H-Index - 83
eISSN - 1423-0410
pISSN - 0042-9007
DOI - 10.1046/j.1423-0410.2000.7840231.x
Subject(s) - phlebotomy , medicine , blood volume , blood donor , bloodletting , group b , erythropoietin , surgery , hemodynamics , donation , group a , anesthesia , immunology , alternative medicine , pathology , economics , economic growth
Objectives:This study was undertaken to assess the feasibility, tolerance, haemodynamic and haematologic effects of an aggressive phlebotomy schedule for autologous blood donation (ABD) in adolescents undergoing major orthopaedic surgery. Methods: Twenty adolescents were studied prospectively; 10 patients in group A donated 20% of the circulating blood volume on 2 occasions, whereas 10 patients in group B donated 10% on 4 occasions. Results: The amount of blood donated, subjective tolerance, cardiovascular changes during the procedure and pre‐operative haemoglobin level did not differ between the study groups (group A 111±16 vs. group B 106±10 g/l). The increase in erythropoietin was greater and occurred sooner in group A than in group B. Conclusion: In adolescents ABD is feasible with a reduced number of appointments as they demonstrate tolerance to phlebotomies with a volume which is double the standard per deposit.