Autologous donation
This option is an alternative to allogeneic blood for those patients whose general condition falls within donor guidelines, and whose intraoperative blood requirements can be reasonably accurately assessed.

Suitable candidates must be able to tolerate the rapid withdrawal of 450-500 ml of blood, and the longer-term reduction in haemoglobin levels. They should be over 50 kg in weight, have a haemoglobin level of 11 g/dl (Hct of 0.33) or more, and be between the age of 16 and 70.
Older or younger patients may be accepted after consultation with SANBS medical staff. Absolute contradictions to admission to this programme include severe heart disease, severe respiratory disease and bacteraemia. Other conditions such as insulin dependent diabetes mellitus and patients on anti-convulsive therapy should be assessed carefully in conjunction with the attending physician.

The patient’s doctor should initiate all requests for this procedure and refer the patient to the Regional Blood Transfusion Service. The procedure should be initiated about six weeks prior to the operation depending on the amount of blood needed.

Designation donation
Another alternative to allogeneic or autologous transfusion is the donation of the patient’s blood requirements by family or friends who have compatible blood groups. However, in terms of voluntary self-deferral safety, this carries a risk of the exertion of undue pressure by the prospective recipient.

It must be reiterated that this is not an option in an emergency situation, as all blood must be fully tested before issue. Blood from relatives carries the risk of “graf"

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