Advances in postoperative autologous blood transfusion in cardiovascular surgery

VernacularTitle:心血管手术术后回收式自体输血的临床应用进展
Author: Jiachen SHAN ¹ ; Hongwen JI ^{1
,

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Author Information

1. Department of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
2. Department of Anesthesiology, Chinese Academy of Medical Sciences Fuwai Hospital Shenzhen Hospital, Shenzhen 518057, China
Publication Type:Journal Article
Keywords: patient blood management; postoperative cell salvage; cardiovascular surgery; postoperative autotransfusion
From: Chinese Journal of Blood Transfusion 2025;38(7):980-984
CountryChina
Language:Chinese
Abstract: Significant hemorrhage following cardiovascular surgery is common, with allogeneic blood transfusion frequently used, despite its association with increased complications and mortality. Patient Blood Management (PBM) is an evidence-based, multidisciplinary approach designed to prevent and manage preoperative anemia, optimize intraoperative hemostasis, and implement perioperative blood conservation, aiming to reduce allogeneic transfusions and related risks. Autologous blood transfusion, effective in recovering patients' own blood during surgery, reduces reliance on allogeneic transfusions. However, its postoperative use, especially in high-risk cardiovascular surgeries, is limited. This review explores the key aspects, challenges, and future directions of postoperative autologous transfusion.