Autotransfusionist

An autotransfusionist is a specialized medical professional who is responsible for performing autotransfusion procedures. These procedures involve collecting and reinfusing a patient's own blood, typically during or after surgery, to reduce the need for allogeneic blood transfusion.

Role and Responsibilities

The primary role of an autotransfusionist is to manage the autotransfusion process, which includes the collection, processing, and reinfusion of blood. This process is often facilitated by the use of a cell saver machine, which separates red blood cells from other components of the blood.

Collection

During surgery, the autotransfusionist collects blood that is lost from the surgical field. This blood is then processed to remove impurities and concentrate the red blood cells.

Processing

The collected blood is processed using a cell saver machine. This machine washes the blood, removing plasma, platelets, and other debris, leaving behind concentrated red blood cells.

Reinfusion

Once processed, the red blood cells are reinfused into the patient. This helps maintain the patient's blood volume and oxygen-carrying capacity without the risks associated with donor blood transfusions.

Training and Certification

Autotransfusionists typically have a background in nursing, perfusion, or another allied health field. They receive specialized training in autotransfusion techniques and the operation of cell saver machines. Certification may be obtained through professional organizations, such as the American Society of Extracorporeal Technology (AmSECT).

Benefits of Autotransfusion

Autotransfusion offers several benefits, including:

• Reduced Risk of Transfusion Reactions: Since the patient receives their own blood, the risk of transfusion reactions is minimized.
• Conservation of Blood Supply: Autotransfusion reduces the demand on the blood supply, which is particularly beneficial in situations where blood is scarce.
• Decreased Risk of Bloodborne Infections: The use of the patient's own blood eliminates the risk of bloodborne infections that can occur with donor blood.

Challenges and Considerations

While autotransfusion is generally safe, there are some challenges and considerations:

• Not Suitable for All Patients: Autotransfusion is not appropriate for patients with certain conditions, such as sepsis or malignancy, where reinfusing blood could be harmful.
• Technical Expertise Required: Proper training and expertise are required to ensure the safety and effectiveness of the procedure.

Related Pages

• Blood transfusion
• Cell saver
• Perfusionist
• Blood donation