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Successful limitation of homologous blood transfusion may necessitate multiple strategies
and advance planning. Preoperative and intraoperative autologous blood collection
may have to be supplemented with hemostatic pharmacologic agents. The use of cytokines
is increasing. More efficient use of directed donors can have an important role in
blood use. As these expensive and time-consuming techniques become available, a major
challenge will be to determine which patients may benefit from or really need them.
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© 1992 Elsevier Inc. Published by Elsevier Inc. All rights reserved.