Autologous Blood Transfusion: A Lahad Datu Experience

Authors

  • 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

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

Gross JB. Estimating allowable blood loss: correction for dilution Anesth 1983; 56: 577-80

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.

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Published

25.03.2019

Issue

Vol. 30 No. 2 (2019): Gazi Medical Journal

Section

Case Report