auto transfusion is a bit cumbersome in that setting as your patient has anemia (I suppose due to GI bleeding or inflammation?). in my country autotransfusion in scheduled orthopedic surgery is almost abandoned for alternative treatment to transfusion: IV iron with erythropoietin to rise their hemoglobin level to 13-15 g/dl, making blood losses bearable for the patient. Of course blood losses are less predictable in case of cancer surgery...

You should  try these transfusion sparing treatment for your patient, if his anemia is clearly linked to bleeding, he should respond to iron treatment and EPO in order to collect 2 to 4 RBC packs. Otherwise if this fails, he will have to receive blood from donors.

best regards

 No need for transfusion if Hb = 10 g/l

Autotransfusion need time and with gastrix cancer your patient will loose any benefit of auto transfusion for GI bleeding and/or inflammatory anemia.

Better yo verificate before surgery does he get denutrition.

Usually minimum hemoglobin required for a autologous collection is 11.0gm/dl, but in this case hb is 10gm/dl. so not a candidate for autotransfuion. 

 it depends to the patient heart codition and her functional class

 if she has METS> 4 so she can tolerate Hb:7. And we can do  autologos blood donation before operation and she will not need to recieve other blood than herself.

thank for replies

but i mean you predict heavy blood loss during surgery because of locally advanced gastric cancer which involved pancreas tail ,spleen and colon.

Treatment with Eprex?

 deliberate hypotension for reducing blood loss?

 Would you please to mention your point of view about auto transfusion about this item?

Normal during this surgery we have blood loss and sometimes perperiooperative we have to infuse packed cell .

as transfusion has many side effects and negative effect for cancerous patient especially ,we prefer to refuse it.

First of all, you must study wisely the anemia.

Probably it is secondary to chronic blood loss, so ferropenic plus inflammation and/or B12 deficit. Helicobacter infection must be considered. In this case, high dose of intravenous iron is the best option (plus C vitamin and B12 vitamins)

If anaemia is well treated, and restrictive transfusion criteria will be safely apply (younn-mature man), predeposit autodonation is not required neither necessary. 

 thanks Dr jose

dear Dr jose

thanks for your replay but i mean with consideration of huge and locally advanced tumor and expectation of remarkable bleeding during surgery ,I want to find a way to keep and save the patient blood before surgery outside in order to infuse during or after surgery.

 What do you mean for simple method?

do you mean criteria? or any thing else?

Dear Dr Omid

i mean a feasible and simple method to save patient blood and avoiding of blood transfusion.