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Autologous and Aged Blood Donors-Reply
Tibor J. Greenwalt, MD
University of Cincinnati Medical Center Hoxworth Blood Center
JAMA. 1987;258(10):1331-1332.
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In Reply.—
I am familiar with all the resources quoted in the response to my editorial. The data can be used to justify the vested interests of entrepreneurs in providing frozen red blood cell (RBC) programs. However, they are used by the writer in a one-sided fashion. First, let me say that I am not opposed to frozen storage of autologous blood. My blood center offers this service but does not encourage it because we do not want to profiteer from the public hysteria regarding acquired immunodeficiency syndrome. The major reasons for our position are that (1) the needs of patients undergoing elective surgery, eg, coronary artery bypass graft surgery, are readily met by liquid autologous and intraoperative blood salvage and (2) in emergencies, frozen RBC cannot be made available rapidly enough, even if the patient has not moved.
I heartily agree that the decision regarding the use of autologous
. . . [Full Text PDF of this Article]
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