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M9610743.TXT
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1996-01-30
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Document 0743
DOCN M9610743
TI [Surgery and blood transfusion]
DT 9601
AU Catania G; Petralia G; Catalano F; Marzullo E; Dipartimento di
Chirurgia, Universita degli Studi di Catania.
SO G Chir. 1995 Mar;16(3):132-6. Unique Identifier : AIDSLINE MED/96005308
AB Advances in surgery and the extension of the surgical indications have
amplified the problems due to hemorrhage, main side effect, and its
treatment, which in the past consisted primarily in whole blood
transfusion. Such practice, however, involves the surgeon in a series of
problems due to shortage of blood donors, religious beliefs and most of
all the risks related to the transfusion practice itself. Apart from
early and late reactions, the risk of transmission of infective
diseases, post-transfusional immunodepression and legal problems must be
pointed out. Recently, to solve these problems, the indications to blood
transfusion have been restricted to severe hypovolemic shock and severe
untreatable hypoxia; the separate use of blood components has been
privileged; and autologous blood transfusion techniques like pre-deposit
for donation, normovolemic preoperative hemodilution and intraoperative
autologous transfusions have been used. It's mandatory that the surgeon
keeps in date with the Transfusional Medicine progresses working in
strict collaboration with the Transfusional Services to best protect the
good health of the patients he has in care.
DE Acquired Immunodeficiency Syndrome/TRANSMISSION Blood Donors *Blood
Transfusion/ADVERSE EFFECTS Blood Transfusion, Autologous English
Abstract Hemodilution Human Immune Tolerance Intraoperative Care
Preoperative Care Risk Factors *Surgery, Operative Virus
Diseases/TRANSMISSION JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).