Autologous blood or component, collection processing and storage; predeposited
CPT4 code
Name of the Procedure:
Autologous Blood or Component Collection, Processing, and Storage; Predeposited
Summary
This procedure involves collecting a patient's own blood or blood components in advance of a scheduled medical procedure where blood transfusion might be needed. The collected blood is processed and stored so that it can be used for the patient if required during or after a surgery or medical treatment.
Purpose
This procedure is performed to ensure that there is a safe and adequate supply of blood for a patient who may need a transfusion during or after surgery. By using the patient's own blood, the risk of transfusion reactions and transmission of infections is minimized.
Indications
- Patients scheduled for elective surgeries with a high risk of blood loss, such as orthopedic or cardiac surgeries.
- Individuals who want to avoid the risks associated with donor blood transfusions.
- Patients who have rare blood types or antibodies that make finding compatible donor blood difficult.
Preparation
- The patient might be required to undergo a series of blood tests to ensure they are healthy enough to donate their blood.
- Fasting may not be required, but the patient might be advised to stay hydrated.
- Any medications being taken should be discussed with the healthcare provider to determine if any adjustments are needed.
Procedure Description
- Blood Collection: Blood is drawn from the patient, usually from a vein in the arm using a sterile needle.
- Processing: The collected blood may be separated into components (red cells, plasma, platelets) if needed.
- Storage: The blood or its components are then safely stored in a blood bank until they are needed.
- Tools and equipment used include sterile needles, blood collection bags, centrifuges for blood component separation, and storage refrigerators.
- The procedure typically does not require anesthesia, but a local anesthetic might be used to minimize discomfort at the needle insertion site.
Duration
The blood collection process usually takes about 10-20 minutes per donation session. Depending on the surgery and the amount of blood needed, multiple sessions may be required.
Setting
The procedure is usually performed in a hospital, blood bank, or a specialized outpatient clinic.
Personnel
- Phlebotomists or nurses specialized in blood collection.
- Blood bank technicians for processing and storage.
- Hematologists or other specialist physicians for oversight.
Risks and Complications
- Mild discomfort or bruising at the needle insertion site.
- Lightheadedness or dizziness due to blood loss.
- Rarely, infection at the collection site.
- Very rarely, adverse reactions during collection such as fainting.
Benefits
- Reduced risk of transfusion reactions and infections since the blood is the patient’s own.
- Assurance of having an available supply of compatible blood.
- Provides peace of mind for patients with rare blood types or specific antibodies.
Recovery
- Patients are usually advised to rest briefly after the blood collection and drink fluids.
- Avoid heavy lifting or strenuous activities for the remainder of the day.
- Recovery is generally quick, with normal activities resumed within a few hours.
Alternatives
- Using donor blood from a blood bank.
- Blood conservation techniques during surgery such as blood salvage.
- Hemodilution, where blood is diluted during surgery to minimize loss of red blood cells.
Patient Experience
- During the procedure, the patient may feel a needle prick and slight discomfort at the site.
- After the procedure, the patient may feel a bit tired or lightheaded, which is usually alleviated by rest and hydration.
- Pain management is usually not required, but over-the-counter pain relievers can be taken if needed.