Autologous Blood Transfusion: A Lahad Datu Experience

  • Lin Jett Hau Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
  • Ahmad Rusmili Hasyimah Siti Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
  • Palamong Nurhafizah Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
  • Mat Sani Fauzy Mohd Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
  • Han Yeh Poh Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
  • Tat Boon Yeap Medicine Based Discipline Department Faculty of Medicine and Health Sciences Universiti Malaysia Sabah 88400 Kota Kinabalu Sabah
Keywords: Autologous blood transfusion, polytrauma, hemodilution

Abstract

We describe our invaluable experience in managing a 45-year- old gentleman who sustained polytrauma following a motor vehicle accident requiring life-saving exploratory laparotomy at the district hospital of Lahad Datu, Sabah. Upon requesting blood group and cross match prior to surgery, it was discovered that he was a blood group O Rhesus negative. Unfortunately, our centre did not have ‘safe O’ on hand. Acute normovolemic hemodilution autologous blood transfusion was performed allowing surgery to be performed successfully.

Author Biographies

Lin Jett Hau, Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Senior Medical Officer Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Ahmad Rusmili Hasyimah Siti, Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Senior Medical Officer Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Palamong Nurhafizah, Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Senior Medical Officer Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Mat Sani Fauzy Mohd, Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Consultant Anaesthesiologist Head of Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Han Yeh Poh, Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Senior Medical Officer Department of Anaesthesiology and Intensive Care, Hospital Lahad Datu, Sabah
Tat Boon Yeap, Medicine Based Discipline Department Faculty of Medicine and Health Sciences Universiti Malaysia Sabah 88400 Kota Kinabalu Sabah
Anaesthesiologist and Senior Lecturer Medicine Based Discipline Department Faculty of Medicine and Health Sciences Universiti Malaysia Sabah 88400 Kota Kinabalu Sabah

References

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Oppitz PP, Stefani MA. Acute normovolemic hemodilution is safe in neurosurgery. World Neurosurg. 2013;79:719–24.

Monk TG, Goodnough LT, Brecher ME, Pulley DD, Colberg JW, Andriole GL, Catalona WJ. Acute normovolemic hemodilution can replace preoperative autologous blood donation as a standard of care for autologous blood procurement in radical prostatectomy, Anesth Analg 1997; 85: 953–8.

Published
2019-03-25