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Auto-Transfusion: Is It For You?

Kathy McKay, R.N.
Department of Nursing and Patient Care Services,
Medical Surgical Nursing Division,
University of Iowa Hospitals and Clinics

First Published: 1992
Last Revised: March 2004
Peer Review Status: Internally Peer Reviewed


If you are scheduled for joint repIacement surgery, one of your concerns may be the safe replacement of your lost blood. Instead of receiving donor blood, you may be a candidate for auto-transfusion. Auto-transfusion means you receive your own blood. This can be done in three different ways.
  1. Before surgery: You may schedule appointments and donate your own blood. This is known as autologous blood. It will be stored and reinfused as needed during or after your surgery. Your body will replace your blood cells between donations.
  2. During surgery: Blood lost from your surgical site may be saved, washed, and replaced while in surgery. This is known as cell saving. While many orthopaedic surgical sites shed little blood during surgery, a significant amount may be lost following surgery.
  3. After surgery: In many orthopaedic patients, a wound drain is placed in the surgical site to reduce bruising, swelling, and the risk of infection. Drains are important to aid in healing. Some of the blood collected from the wound drain can be reinfused into the patient in the recovery room or on the nursing unit.
The OrthoPAT® System is currently available for use in our hospital. It applies a gentle vacuum suction to the wound drain. The blood from the surgical site is collected, filtered, and washed. Any blood safe to give back to the patient after this washing is separated by the achine and sent into its own bag. When enough blood is collected, it is reinfused back to the patient.

This system helps to return your lost blood to your circulation quickly and efficiently. Your own blood is easily accepted by your body. It is a perfect match. While there are always some risks with reinfusion, each transfusion is carefully monitored. The reinfusion system is a safe way to help you in your recovery. You supply the best blood to aid in your healing--your own.

Discuss the possibilities of auto-transfusion with your physician. In most cases, auto-transfusion is possible.


See related Patient Textbooks about Orthopaedic Surgery or Pathology.

See related Patient Topics Blood Transfusion and Donation, Blood/Lymphatic System, Orthopaedic Surgery, Pathology or Surgeries.

See related Provider Textbooks about Orthopaedic Surgery or Pathology.

See related Provider Topics Blood Transfusion and Donation, Blood/Lymphatic System, Orthopaedic Surgery, Pathology or Surgeries.


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All contents copyright © 1992-2004 the Author(s) and The University of Iowa. All rights reserved.

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