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Auto transfusion in military medicine applications

Auto transfusion in military medicine applications. Ebrahim Hazrati(1), Babak Paknejhad(2), Azita Chegini(3), Mohammadreza kosari(4), Mohammadali Sharifi(5), Alireza Rezaei(6)

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Auto transfusion in military medicine applications

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  1. Auto transfusion in military medicine applications Ebrahim Hazrati(1), Babak Paknejhad(2), Azita Chegini(3), Mohammadreza kosari(4), Mohammadali Sharifi(5), Alireza Rezaei(6) 1-Assistant Professor of Anesthesiology Department of AJA University of Medical Sciences, Imam Reza Hospital, Tehran, Iran 2-Assistant Professor of Toxicology-pharmacology department, faculty of medicine, AJA University of Medical Sciences, Tehran, Iran 3-Assistant professor of Blood Transfusion Research center, High Institute for research and Education in transfusion medicine, Tehran, Iran 4-Assistant professor of Neurosurgery department, faculty of medicine, AJA University of Medical Sciences, Tehran, Iran 5-Master of Engineering Project Management, faculty of Engineering, The University of Auckland, Auckland, New Zealand 6-Master of Medical engineering, Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran Electronic Virtual Code: A-10-644-01 Alireza Rezai - Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran

  2. Auto transfusion in military medicine applications Introduction: Challenges of blood transfusion in military medicine • Successful blood support for future conflicts will require : • The agility in thought • Creative solutions • Full array of blood and blood safety products and devices for the health care of armed forces • The Challenges of the blood transfusion in military medicine • Blood supply chain management:The five major elements (collection, processing, storage, shipping, and transfusion activities) • Blood Cost:Additional safety measures add costs to blood products • Patient Safety: Blood transfusion introduces patient risk • Correlated to increased viral and bacterial infections • Longer length of stay (LOS) • Increased incidence of adverse reactions Blood supply chain management Patient Safety Blood Cost Alireza Rezai - Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran

  3. Auto transfusion in military medicine applications Introduction : Auto transfusion Why auto transfusion? Auto transfusion is a process wherein a person receives their own blood for a transfusion, instead of banked allogenic (separate-donor) blood. Alireza Rezai - Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran

  4. Auto transfusion in military medicine applications Type of Auto transfusion in Military medicine & emergency Applications Pre-Operative Blood transfusion (Blood recycling) Acute Normo-volomic Hemodilution (ANH) • Intra & post Operative blood salvaging Alireza Rezai - Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran

  5. Auto transfusion in military medicine applications Indication and risks AAGBI guidelines identified indications for the use of intraoperative cell salvage: 01 Anticipated blood loss of >1000 ml or >20% estimated blood volume Estimated blood loss in trauma 02 Patients with a low hemoglobin or at increased risk of bleeding 03 patients with multiple antibodies or rare blood types 04 patients with objections to receiving allogeneic blood Alireza Rezai - Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran

  6. Auto transfusion in military medicine applications Type of the Intra or post Operative cell salvage Intake Waste out put Alireza Rezai - Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran

  7. Auto transfusion in military medicine applications Conclusion Alireza Rezai - Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran

  8. In Iran, Cost of allogeneic blood is very lowBut the cost of treatment for the complications of allogeneic blood transfusions has never been calculated ...! " Thank you for your attention • References: • Sikorski, R. A., et al. "Autologous blood salvage in the era of patient blood management." Vox sanguinis 112.6 (2017): 499-510 • Ashworth, A., and A. A. Klein. "Cell salvage as part of a blood conservation strategy in anaesthesia." British journal of anaesthesia 105.4 (2010): 401-416. • Spinella, Philip C., et al. "Constant challenges and evolution of US military transfusion medicine and blood operations in combat." Transfusion 52.5 (2012): 1146-1153. • Gourlay, Terence, C. Simpson, and C. A. Robertson. "Development of a portable blood salvage and autotransfusion technology to enhance survivability of personnel requiring major medical interventions in austere or military environments." Journal of the Royal Army Medical Corps (2017): jramc-2017. • Zhou, J. "A review of the application of autologous blood transfusion." Brazilian Journal of Medical and Biological Research 49.9 (2016) • Haider, Adil H., et al. "Military-to-civilian translation of battlefield innovations in operative trauma care." Surgery 158.6 (2015): 1686-1695 • Goodnough, Lawrence T., et al. "Transfusion medicine—blood transfusion." New England Journal of Medicine 340.6 (1999): 438-447. Alireza Rezai - Department of Nano Technology and Advanced Materials, Material and Energy Research Center, Karaj, Iran

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