The efficacy and safety of predonated autologous blood transfusion in elective orthopaedic surgeries.

Dr Nipun Kalsotra; Dr Vidhu Mahajan; Dr Vijay Vikas Sharma; Dr Prince Raina; Dr Anil Gupta

Volume : IV, Issue : XI, November - 2015

The efficacy and safety of predonated autologous blood transfusion in elective orthopaedic surgeries.

Dr Nipun Kalsotra, Dr Vidhu Mahajan, Dr Vijay Vikas Sharma, Dr Prince Raina, Dr Anil Gupta

Abstract :

 Safest blood a patient can receive is his own. Therefore, autologous blood transfusion is required to be revisited. Blood collected from a patient and retranfusion into same individual is called autologous blood transfusion. There are numerous advantages of autologous transfusion. Cross matching is not required, iso–immunization to a foreign protein is excluded, allogenic blood is conserved for those who need it particularly in emergencies and the fear of transfusion transmissible disease can be ignored. This study was done on patients of orthopaedics department of Government Medical College Jammu from December 2013 to January 2015. Total 25 cases were included out of which 21 were male and 4 were female. Each patient was planned for phlebotomy 5–7 days before the elective surgery. 16 patients (64%) were transfused autologous blood during surgery and 9 patients (36%) were transfused on first post operative day. Average pre phlebotomy hemoglobin was found to be 11.4 g%. Average 2nd day post phlebotomy Hemoglobin is found to be 10.3 g% and average 3rd day post phlebotomy hemoglobin is found to be 10.1 g%. Average 2nd post operative week hemoglobin was 11.3 g% and average 6th post operative week hemoglobin was 11.6 g%. This is normal value of hemoglobin which is higher than pre phlebotomy value, so this shows advantage of pre deposit autologous transfusion in elective surgery. Mild adverse reactions were found in 2 patients. In conclusion, autologous blood transfusion is safe, effective and economical, with benefits for the patient.