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Autologous Blood Donation for Elective Surgery in Children Weighing 8–25 kg
Author(s) -
Mayer M.N.,
Montalembert M.,
Audat F.,
Brusset M.C.,
Houfani B.,
Merckx J.,
Barrier G.,
Gazengel C.
Publication year - 1996
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 - 10.1111/j.1423-0410.1996.tb01331.x
Subject(s) - medicine , phlebotomy , donation , perioperative , surgery , autologous blood , blood volume , blood transfusion , venipuncture , anesthesia , economics , economic growth
To determine whether autologous blood donation can be used safely and efficiently in children weighing 8–25 kg, we studied children whose perioperative blood losses were expected to exceed 25% of total blood volume. Blood donations were performed in pediatric units, under the direction of an anesthesiologist and a blood bank physician experienced in pediatric care. Twenty‐four children, median age 6 years (1–13), were included. They underwent surgery mainly for digestive or urological disorders, and for orthopedic defects. Forty blood collections were performed of the 46 prescribed. Phlebotomies could not be performed in 1 child because of the mother's apprehension, and in 5 cases because of venous access problems. All phlebotomies were hemodynamically well tolerated. Hemodilution was also performed in 17 children, and cell saver used in 2. Allogeneic blood transfusion was avoided in 21/24 children.