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| A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
Autologous Transfusion
Test CodeAUTORBC
Alias/See Also
Auto RBC
CPT Codes
86890
Includes
Removal of blood or components from a donor (patient) for subsequent intraoperative or postoperative reinfusion.
Preferred Specimen
Pink Tube (EDTA)
Patient Preparation
Donation must be scheduled with the Red Cross at 1 (800) 733-2767. Use physician order for autologous blood. To cover the expenses of staff and special handling, a surcharge will be levied and passed along to the recipient's hospital bill. The surcharge will apply whether or not the unit is used by the patient.
Patient should have a light meal prior to donation and no alcoholic beverages for 12 hours prior. Supplemental iron therapy may be considered by the attending physician. Following procedure, for certain hazardous occupations, activities are restricted for 24 hours.
Minimum Volume
1mL (6mL optimal)
Other Acceptable Specimens
Lavender Tube (EDTA)
Instructions
The specimen must be labeled at the patient bedside and have two labels: Barcode label with date, accession number, patient name (last, first), medical record number, test mnemonic and a red label from wristband with patient name, medical record number, time, date, and phlebotomist mnemonic. A red wristband containing patient name, medical record number, time, date, and phlebotomist mnemonic must be put on patient's wrist by person drawing specimen before leaving the bedside. An ABO confirmation sample must be drawn upon request by the Blood Bank.
Transport Container
One Pink Tube
Transport Temperature
Room Temperature
Specimen Stability
Blood <72 hours old
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Contraindications to autologous donations:
1. Aortic stenosis
2. Heart attack (mycardial infarction) within the last 6 months.
3. Anemia with henmoglobin level less than 11 g/dl or hematocrit less than 33%.
4. High blood pressure greater than 180/110 mm Hg.
5. Active infection or treatment with antibiotics.
6. Seizure within the past year.
7. Patient's wieght less than 78 pounds.
8. Patient/donor has been or is being treated for bacteremia; inadequate veins; poor toleration of phlebotomy
1. Aortic stenosis
2. Heart attack (mycardial infarction) within the last 6 months.
3. Anemia with henmoglobin level less than 11 g/dl or hematocrit less than 33%.
4. High blood pressure greater than 180/110 mm Hg.
5. Active infection or treatment with antibiotics.
6. Seizure within the past year.
7. Patient's wieght less than 78 pounds.
8. Patient/donor has been or is being treated for bacteremia; inadequate veins; poor toleration of phlebotomy
Setup Schedule
Monday - Friday
Report Available
3 working days
Clinical Significance
Autologous blood used for elective surgery to eliminate risks of alloimmunization, or transmission of hepatitis B, hepatitis C, AIDS, and a number of other hazards. Autologous blood may be the only suitable source of blood/components for patients who react adversely to homologous blood, patients of extremely rare blood types, patients who have antibodies to high incidence antigens, or who have multiple antibodies. Except under special circumstances, donations should be no more frequent than every3 to 4 days and should not be performed within 4 days prior to major surgery without consultation with the Medical Director of the Blood Bank. Preoperative autologous blood donation is a procedure by which elective surgery patients may donate their blood preceding the operation; this blood is then reinfused, if necessary, when the patient bleeds during surgery. Basic patient-selection criteria: In preoperative autologous blood donation, there are prerequisites for both the surgical procedure and the patient. The patient must be scheduled for a surgical procedure for which red-cell transfusion is anticipated. Many orthopedic, gynecologic, and general surgical procedures may be considered. These include total hip replacement, hysterectomy for chronic pelvic inflammatory disease or endometriosis, and other operations. Patient-selection criteria are as follows: Hemoglobin ≥ 11 g/dL, Hematocrit ≥ 33%, No bacteremia, Capacity to regenerate red cells (adequate erythropoiesis), Capacity to tolerate a possible vasovagal reaction
Performing Laboratory
Mount Sinai Hospital
Holy Cross Hospital
