The tragedy of AIDS has compelled many physicians to take additional measures to make operating .
Meaning, more stringent blood screenings. But not all drastic measures can.
prevent zero-risk transfusions. Even as society expends great resources on making the blood .
much safer. I believe regardless of all the preventable measures the blood supply could never be .
completely safe. Blood transfusions are basically no good, let alone the general public is becoming.
aware of the dangers of transfusions. There are alternatives to avoiding donated blood. As a Jehovah,s.
witnesses we refuse homologous tranfusions. Here are a few alternatives i,ve looked up on Line that.
are not offered to patients today. 1. Fluids: Ringer,s lactate solution, dextran, hydroxyethyl starch,.
and others are used to maintain blood volume, preventing hypovolemic shock. 2. Drugs: Genetically engineered.
proteins can stimulate the blood cells (erythropoietin), blood platelets (interleukin-11) and various white.
blood cells (GM-CSF, G-CSF) Other medications greatly reduce blood loss during surgery (aprotinin, .
antifibrinolytics) or help to reduce acute bleeding (desmopressin). 3. Biological hemostats: Collagen and .
cellulose woven pads are used to stop bleeding by direct application. Fibrin glues and sealants can plug.
puncture wounds or cover large areas of bleeding. 4. Blood salvage: Salvaging machines recover blood.
that is lost during surgery or trauma. the blood is cleansed and can be returned to the patient in .
a closed circuit. In most cases, liters of blood can be recovered using such a system. 5. Surgical .
techniques: Through operative planning and with experienced clinicians, can help the surgical team .
to avoid complications. Prompt action to stop bleeding is essential. Delays over 24 hours can greatly increase.
patient mortality. Dividing large surgeries into several smaller ones decreases total blood loss. 6. Surgical .
tools: Some devices cut and seal blood vessels simultaneously.