• Autologous blood transfusion
• Allogenic Tx risks transmission of hep viruses, HIV, HTLV vCJD (reduced by leukodepletion)
• Techniques
• Cell salvage
• Via intra-op cell salvage (ICS) or post-op cell salvage (PoCS).
• Pre-operative autologous donation (PAD)
• Acute normovolaemic haemodilution (ANH)
• Advantages
• Reduced risk of transmission of infection
• Reduced transfusion reactions
• May be acceptable to some JW patients
• Safer transfusion in patients with rare blood groups/antibodies
• Reduces demand on allogenic supplies
• Disadvantages
• Cost pressure
• Logistics for collection/storage
• Unused blood is wasted and can't be returned to donor pool
• Increased risk of bacterial contamination.
• Pre-op autologous blood transfusion
• 1 unit taken every few days prior to elective surgery, up to 4 units
• Last donation 48-72hrs before surgery
• Useful in patients with rare blood groups/multiple transfusions
• CI with bowel surgery, malignant disease & questioned in obstetrics
• Complications of ICS
• Electrolyte disturbances (low Mg, Ca, albumin)
• Dilutional coagulopathy
• DIC (salvaged blood syndrome)
• Air embolus
• CEACCP
  Link:ceaccp.oxfordjournals.org/content/6/5/192.full.pdf