The success of a predeposit autologous transfusion program at our 339-bed community hospital is just such a dream come true.
Although the hospital had made predeposit of autologous blood available on request for many years, not until 1982 did we have sufficient space, in an expanded laboratory facility, for autologous blood drawing on a routine basis.
When the AABB polled its institutional members nearly three years ago, it found that 49 per cent or 861 out of the 1,774 responding hospitals had at least one type of autologous transfusion program--primarily predeposit phlebotomy (blood drawn from the patient before surgery, as in our hospital) or intraoperative salvage (blood displaced during surgery and recycled back into the patient).
The best available information indicates that our hospital has the largest predeposit autologous blood program in Minnesota.
These are ideally suited to a predeposit phlebotomy program.
Doctors at Cedars Sinai Hospital in Los Angeles have also demonstrated the safety of predeposit phlebotomy for certain high-risk individuals, among them patients undergoing major elective cardiovascular surgery, patients over 70 years old, and a small group of pregnant women.
It defines types of elective surgery, such as gallbladder removal, not ordinarily suited to a predeposit phlebotomy program since they are unlikely to require transfusion.