Abstract
CONSIDER two patients scheduled for elective surgery at the same time in adjacent operating rooms served by the same blood storage refrigerator. Two units of blood have been collected recently from each patient for autologous transfusion. One of the patients is known to be infected with human immunodeficiency virus type 1 (HIV-1). The patient who is not infected with HIV-1 does not want blood from the infected patient on the operating room refrigerator shelf next to his uninfected blood while both patients undergo surgery, during which a single oversight could result in transfusion of the wrong blood. The patient who is infected wants to receive autologous blood and not risk exposure to other transfusion-transmitted viruses that could pose a particular threat to him. He wants the identical care as the patient in the next room. How should the conflict created by these competing interests be resolved? Physicians responsible for blood
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