Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Acute normovolemic hemodilution and intraoperative autotransfusion

Hematol Transfus Cell Ther. 2024 Apr;46 Suppl 1(Suppl 1):S48-S52. doi: 10.1016/j.htct.2024.02.019. Epub 2024 Mar 27.

Abstract

Autologous blood transfusion can be achieved through different techniques, including by the patient donating blood before surgery (pre-deposit), collecting blood from the patient immediately before the operation and replacing the volume with colloids or plasma expanders (acute normovolemic hemodilution) or through the salvage of lost blood, during or immediately after surgery, and its retransfusion after washing (intraoperative or postoperative recovery). We will focus on the two methods used intraoperatively that are of fundamental importance in the management and conservation of the patient's own blood.

Keywords: Cardiac surgery; Hemodilution; Intraoperative management; Reinfusion; Surgical bleeding.