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. 2011 Jan;9(1):10–18. doi: 10.2450/2010.0088-10

Table VI.

Factors to be considered when deciding whether to use a PABD programme in an individual patient.

Type of elective surgery

  • - aseptic

  • - infectious

  • - tumour

  • - time interval to scheduled surgery

  • - expected surgical blood loss

Patient's individual situation

  • - age

  • - co-existing diseases

  • - co-medication

  • - initial Hct/initial RBC mass

  • - minimal Hct/minimal RBC mass acceptable

  • - allowable blood loss calculated from initial Hct/initial RBC-mass to minimal Hct/minimal RBC-mass versus expected blood loss; including an individual margin of safety (appropriate formulae have been published elsewhere18–23)

  • - need for blood transfusion expected from the calculation

  • - rare blood group/special constellation of erythroid allo-antibodies

  • - physical fitness to deposit autologous units pre-operatively

  • - autologous alternatives possible/reasonable

  • - pharmacological alternatives possible/reasonable

Specific preliminaries for pre-operative autologous blood donation versus (autologous) transfusion alternatives in order to apply pre-operative autologous blood donation safely, efficaciously, effectively and efficiently

  • - decision on pros/cons of pre-operative autologous blood donation