jueves, octubre 06, 2005

BLOODLESS MEDICINE
first-rate trend of contemporary medicine

The fear of infectious diseases is the main reason why more and more Americans and Europeans wish to avoid blood transfusion during operations.

They choose bloodless surgeries that conserve patients’ blood.

Surgeries without transfusion


Contemporary medicine is less and less likely to consider blood as a medicine and more and more people perceive transfusion as a transplantation of organs. Unwanted blood spreading effects of transfusion like infectious diseases opened a new approach to medical treatments – they developed bloodless surgical methods and techniques that are being increasingly used during various operations and surgeries. The surgeon’s major principle is to save blood, avoid transfusion and use his or her intellectual and manual skills as much as possible. Besides, it is indispensable for surgeons who apply bloodless techniques to dispose of modern equipment for performing surgeries of high degree of preciseness and minimal possible risks. The interdisciplinary approach to medicine is extremely important; the cooperation of a team of doctors must be of the highest level from the moment of the reception of a patient to the moment of the release from a hospital. If all of these are synchronized, the bloodless medical treatments become more economical and safer, making the postoperative process faster and shorter. Medicines, techniques and means for pharmacological control of bleeding developed together with the bloodless medicine.
Besides, in democratically developed countries the patients are given the possibility to decide on the methods, means and techniques of medical treatment. Doctor and his patient are more frequently deciding together on the methods and ways of medical treatment.
A famous surgeon Denton Cooley performed one of the first bloodless open-heart surgeries in the 1960s. The bloodless surgeries became popular worldwide, especially after the brake out of hepatitis among patients who had received transfusion. According to a research conducted in 1996 in Canada, as far as 89% of population declared themselves in favor of alternative methods of medical treatment.

NEW TIME IS COMING


The transfusion of other person’s blood during planned surgeries can be avoided by applying an appropriate preparation of the patient several weeks in advance, for instance, using iron in the treatment of anemia. Blood can be collected from operational area during or after operation. Most often various methods must be applied to avoid transfusion. Therefore, for medical treatment of a patient who has chosen a bloodless method, a multidisciplinary team should be planned, consisting of a surgeons, an anesthesiologist, a hematologists, a transfusionologist, and if necessary, an internist and a gynecologist…

There are an increasing number of biotechnological products that stimulate the formation of erythrocytes, control the bleeding or transmit oxygen. Some of them have already been used in medicine for years, erythropoietin for instance, whereas artificial transmitters of oxygen are still being tested. The main reason for the limited use of biotechnologically produced medicines is their high price.
We are surely in front of the time of bloodless medicine, if for nothing else then for the scarcity of blood banks that is expected to strike mankind in two or three decades. Its will be caused by a decreasing number of adequate donors and more precise blood tests, the population will generally get older and number of surgeries performed with blood compensation will increase.
Therefore, the development of medicine and the education of doctors should already be directed to medical treatments in conditions of permanently limited blood quantities.

Five good reasons


1. Blood is not treated as a medicine but as an organ.
2. Patient is priority, an active participant with the right to decide about the way of his or her medical treatment.
3. There is a principle in the start that we are curing a man, and not just an organ or a disease.
4. Since no transfusion is applied, there is no risk of spreading of infectious diseases or of unwanted effects of
transfusion.
5. Bloodless medical treatment is less invasive and risky, and in developed countries it is even more economical.

dID YOU KNOW


The first blood donation in Zagreb took place in 1923 in the Clinic for Female Diseases and Childbirths in Petrova Street, directly from a donor to a patient without checking the blood type.
Blood donation, transfusion, is a medicinal procedure of giving blood and blood preparations to a patient. There are three possible ways of donation: directly from a donor to a patient; indirectly-donor’s blood was previously taken and prepared for a patient; auto transfusion – a patient receives his or her own blood previously taken and prepared.
Blood testing in Croatia was introduced in 1945, for the presence of Treponemae pallidum, the infective agent of syphilis.
The tests for identifying the hepatitis B virus have been conducted in Croatia since 1972, and for the HIV virus 1 from 1987. The testing to anti-HCV, which is the identification of the hepatitis C virus, has been conducted since 1993.Transfusion medicine spends enormous funds to make blood and blood preparations safe and less risky.
Blood transfusion cannot be completely safe because blood preparations cannot be sterilized.