Abstract
The objective of this survey was to study the present status of autologous blood transfusion practice from April 1992 to March 1993 in the hospitals including small clinics without blood transfusion service in Akita prefecture. A questionnaire was sent to 146 surgical divisions of 37 hospitals with more than 50 beds in Akita prefecture.A total of 129 answers (88.4%) were collected and evaluated. Autologous blood transfusion program was performed in 42 divisions (32.6%) in total. Predeposit autologous blood transfusion was widely applied. Enforcement percentage of autologous blood transfusion was higher in cardiovascular surgery and orthopedic surgery divisions compared with other surgical divisions. No homologous blood was transfused in 76% of total cases and 46% and 82% cases in cardiovascular surgery and orthopedic surgery, respectively. Ninety four divisions (73%) answered that they are performing or planning one of various autologous blood transfusion programs in future. However, 29% of general surgery divisions have no plans to perform autologous blood transfusion. Several practical problems such as a shortage of man power or time to participate, short preservation duration of predeposit blood and unavailability of erythropoietin for the program were pointed out to perform predeposit autologous transfusion program. Cooperation by the Japan Red Cross blood center was strongly requested in autologous transfusion practice. Since the MAP autologous blood needs to be separated by centrifugation, separation and freezing of autologous blood products were specially requested to be performed by the blood center.
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