← Escolhas sobre sangue Procedimento autólogo
Hemodilution
O que é
Blood is drawn immediately before surgery and replaced with IV fluids. The blood is returned to the patient after surgery, reducing the loss of concentrated blood.
Se aceitar vs. se recusar
Aceitar Por que algumas pessoas aceitam
- Uses your own blood — drawn immediately before surgery and returned after
- Reduces the concentration of red cells lost during surgery
- Blood never leaves the operating room — stays connected via IV line
- Simple technique available at most surgical facilities
Recusar Por que algumas pessoas recusam
- Blood is temporarily stored outside the body in collection bags
- Some consider this equivalent to storing blood, which conflicts with their beliefs
- Less studied than cell salvage for efficacy
Conceitos relacionados
Topic Patient Blood Management An evidence-based, multidisciplinary approach to optimizing the care of patients who might need transfusion. Endorsed by the WHO since 2010.
Topic Surgical Blood Management Techniques and protocols to minimize blood loss during surgery: controlled hypotension, meticulous hemostasis, cell salvage, and hemodilution.
Procedimento autólogo Cell Salvage A technique that collects blood lost during surgery, washes and filters it, then returns it to the patient. No donor blood involved.Procedimento autólogo Heart-Lung Bypass Blood is circulated through an external machine (cardiopulmonary bypass) during cardiac surgery. The patient's own blood is used throughout. Glossário Autologous From oneself. Autologous procedures use the patient's own blood, not blood from a donor.
Referências médicas
Shander et al. (2004) Alternatives to Blood Transfusion. British Journal of Anaesthesia. Landmark paper on non-blood strategies. →Vaislic et al. (2003) Cardiac surgery in Jehovah's Witness patients: ten-year experience. Annals of Thoracic Surgery. →Carless et al. (2010) Cell salvage for minimising perioperative allogeneic blood transfusion. Cochrane Review. Gold-standard evidence for cell salvage efficacy. →
Na sua diretiva
Your directive will indicate that you consent to acute normovolemic hemodilution during surgery.
Registre esta decisão na sua Diretiva
Suas decisões sobre produtos sanguíneos são registradas claramente e compartilhadas com seu Care Team.
Criar sua Diretiva