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Introduction
Although the term "bloodless medicine and surgery" is relatively
new, the desire to restrict blood loss and transfusion need is not.
In fact, medicine has searched for alternatives to allogeneic blood
ever since transfusion became a practical reality. The history of
transfusion can be followed by tracking the conve...
A Definition of Bloodless Medicine and Surgery
To most people, the term bloodless medicine and surgery (BM&S) is
defined as the avoidance of allogeneic blood transfusion. However,
the practice of bloodless medicine and surgery entails more than this.
As understood by both practitioners and advocates, BM&S requires a
balance of transfusion risks and benefits, a knowledge of a broad
spectrum of techniques and methods to minimize blood loss, and the
employment of autologous alternatives to allogeneic blood as dictated
by the individual patient's condition and needs. At the heart of BM&S
is a philosophy of transfusion avoidance based on a desire to provide
the best possible .... |
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References
1. Diamond, L., A History of Blood Transfusion, in Blood, Pure and
Eloquent, W. MM, Editor. 1980, McGraw-Hill: New York, New York. p.
659-683.
2. Blundell, J., Experiments on the Transfusion of Blood by the Syringe.
Medicochirurgical Transactions, 1818. IX: p. 56-92.
3. Tawes, R. and T. Duvall, Autotransfusion in Cardiac and Vascular
Surgery: Overview of a 25 - Year Experience with Intraoperative Autotransfusion,
in Autotransfusion. Therapeutic Principles and Trends, R. Tawes, Editor.
1997, Gregory Appleton: Detroit. p. 147-8. |
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