Blood loss during liver transplantation (OLTx) is a common consequence of pre-existing abnormalities of the hemostatic system, portal hypertension with multiple collateral vessels, portal vein thrombosis, previous abdominal surgery, splenomegaly, and poor "functional" recovery of the new liver. The intrinsic coagulopathic features of end stage cirrhosis along with surgical technical difficultie...

The National Blood Service for England collects, tests, processes, stores, and issues 2.1 million blood donations each year, and the optimal use of this scarce resource is of paramount importance. Allogeneic red blood cell (RBC) transfusion is associated with wellknown adverse effects. These include febrile, anaphylactic, and haemolytic transfusion reactions, transfusion-related acute lung inju...

THE JOURNAL OF BONE AND JOINT SURGERY for haematinics. The patient returns the next week as an out-patient to the haematology department and a further unit ofblood is taken. A week later the patient is admitted to the orthopaedic wards for surgery. Results. During the two years from January 1988 to December 1989, 96 patients were willing to undergo autologous transfusion ; of these, six had too...

Preoperative autologous blood donation (PABD) can be an adequate solution to a patient’s problem before nonurgent surgery if a high (>10%) probability of perioperative blood transfusion exists in this individual case and, at the same time, pre-existing alloimmunization or a different ethnic background make it difficult to supply this patient with compatible red blood cell concentrates. In times...