Resumo

NAVAL, L. et al. Autologous blood transfusions in orthognathic surgery: a necessity. Rev Esp Cirug Oral y Maxilofac [online]. 2006, vol.28, n.6, pp.327-331. ISSN 2173-9161.

Daily medical care can be simplified by saving blood, and the quality of care improved from the point of view of morbidity and safety. The economic and social cost can be reduced for patients and for health professionals such as anesthetists, surgeons, and for the blood banks and teams directing private and public hospitals. Initially the interest in avoiding the adverse secondary effects of allogenic transfusion (ALT) (infectious disease transmission, transfusion reactions, such as Acute Respiratory Distress associated with transfusion, cost, sensitivity...) followed by the desire to save limited resources, has led to multiple work groups developing new strategies for dealing with a common problem: replacing or saving blood lost during surgical interventions and the immediate postoperative period. Over recent years we have seen a reduction in the use of all blood types during surgery, especially allogenic, as a result of improvements in surgical and anesthesia techniques. Among these is the use of the patient’s own blood (autologous transfusion or autotransfusion) (AUT) in its different modalities.1 We have carried out a revision of the different modalities of AUT and the experience of our Service, which has been practicing this since the end of the 80s,² is shown.

Palavras-chave : Autotransfusión; Blood; Orthognathic Surgery.

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