Der autologe Blutersatz, durch konsequentes Recycling der Erythrozyten-Verluste und Einsatz von präoperativ durch Plasmapherese gewonnenem autologem FFP, erwies sich auch in einem allgemeinen Krankenhaus als praktikable, risikoarme Möglichkeit, den homologen Konservenverbrauch zu reduzieren. Der Konservensparende Effekt war um so gröβer, je gröβer der Blutverlust war. Die Durchführung präoperativer Plasmapherese und die postoperative Substitution des autologen Plasmas erwies sich als effektiv im Sinne der Aufrechterhaltung der Hämostase, da ein zusätzlicher Effekt im Sinne der Einsparung von Fremdblut nachweisbar war. Der gröβte Blutspareffekt wurde jedoch durch die Toleranz niedrigerer Hb-Werte im Rahmen der Autotransfusion bei Aufrechterhaltung von Isovolämie unter sorgfältiger Kontrolle aller Kreislauf-Parameter und der peripheren Sauerstoff-Sättigung erreicht.

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