[gas_dr]

I’m not on my horse at all. Recently there has been a lot on these threads about autologous transfusion for “pure blood” reasons. While I don’t think it’s reasonable from a medicine perspective i also 100% support patient choice so long as there is no conflicting data.

I know that autologous transfusion went out the window a while back as a result of reduction of overall transfusion practices once we learned that old blood is bad blood and transfusions are quite risky. Used to be transfusion was quite liberal.

So I thought I would find the answer to the question. Where there it had gone completely by the wayside and why or what the actual story is. Turns out that large academic universities still perform autologous blood transfusion. Long process to get it before surgery and lots of timing issues. But I wanted people to know there was a very legitimate choice and where to seek it out.

Lots of good reasons for it as you pointed out. Zero chance of mismatch reaction. Additionally if transfused back as whole blood instead of fractionated there are excellent properties that would not be seen if banked autologous blood were used

I always try to present all reasonable options. In my judgment although I would not do autologous blood for me personally it is a valid strategy. I want people to know where to get it because community hospitals I am guessing would just say no options.

[reformedliberal]

...whole blood ...
__________
I have read that there is less risk wrt spike protein from whole blood (RBCs). Does that jibe with what you are saying here?

[bagster]

I know that autologous transfusion went out the window a while back as a result of reduction of overall transfusion practices once we learned that old blood is bad blood and transfusions are quite risky. Used to be transfusion was quite liberal.

Okay, another bit from the historical documents, submitted for your ongoing education:

There was a farm boy who ran off with a woman of the night. Turns out she was a vampire and the farm boy joined up with her coven. He eventually was turned.

*skip to the end*

The farm boy makes it home to his father, who was somewhat of a veterinarian. The father transfused the son's entire blood supply, replacing the vamp blood with un-vamp blood. Essentially, turning the mudblood into pureblood.

They did the girl too, if I recall my history correctly. Happy ending.

You may research more by following this title in the histocial archives.

You Don't Wanna Be A Girl Like That

#PhysicianEducateThySelf