Clotting Factors and Derivatives

Clotting factors and derivatives are some of those things that might be optional or individual choice or local choice. We have unfortunately had the experience of a patient accepting first factor 7a which is of course a recombinant product and then tranexamic acid who later died from multi-organ failure. I mean things like albumin is that a local decision as well I mean I know it's not technically a blood product but again that would fall into the derivative category. Okay how about donating their own blood either prior to surgery or having blood their blood collected during the surgery? Preoperative autologous donation is not generally accepted but intraoperative blood salvage often is.