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Intraoperative Blood Unit Collection/Transfusion


PMcPeek

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What are the regulations related to  Anesthesia or Perfusionist performing intraoperative collection of one or two units of blood then transfusion  back to the patient when procedure is finished?  Are these units subject to the same regulations as autologous units of blood collected at a donor center?  Or is this completely different?   If your facility has addressed this,  any information you can share with me is greatly appreciated.  

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AABB has published Standards for Perioperative Autologous Blood Collection and Administration.  Our Surgical Services and Txn Med Quality Committee found these standards helpful when updating our interoperative processes.  Similar organization to Txn Med Standards, including labeling, process control, documentation, and QC measures

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We have had docs that have wanted to and done the intraoperative collection/reinfusion.

We set up guidelines:  we will not accept the blood into the blood bank.  It has to be reinfused within 6 hours of collection or discarded.  Treated like shed blood.

This was only done for a short time.  The MD became seriously ill - none of the other docs cared to use this process.

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