CASE 3-2008 The Use of Acute Normovolemic Hemodilution During Cardiac Surgery in a Patient With Human Immunodeficiency Virus Infection

摘要

Acute normovolemic hemodilution (ANH) is a blood conservation modality in which autologous whole blood (AWB) is collected intraoperatively in blood bags containing anticoagulant before the commencement of surgery.7 This AWB product may be transfused contemporaneously when need for red blood cells or coagulation factors occurs later during the surgical procedure.8 ANH is effective in reducing the need for allogeneic blood products during surgery and also is associated with decreased postoperative surgical hemorrhage.7-8 In this report, an HIV-positive patient undergoing cardiac surgery is described in which ANH was used to assist in the perioperative blood management.