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Our Blood Management Program Provides Specialized Care to Maximize the Patient’s Own Blood Supply Without the Use of Blood Transfusions.

At Health Quest, we are committed to meeting the specialized needs of our patients, including those who prefer or require options for medical or surgical care without a blood transfusion.

Our Blood Management Program is designed for patients who wish to avoid the use of donor blood or donor primary blood components (red cells, white cells, platelets or plasma) during surgical procedures. The program uses a variety of techniques to maximize the patient’s own blood cell production and to minimize blood loss by utilizing special blood conservation methods.

There are many reasons you may prefer a bloodless or "transfusion-free" treatment method. If you are susceptible to anemia, blood management helps to identify and treat anemia before surgery as well as avoiding some of the known risks of transfusion therapy. Or you may hold a religious conviction that prevents you from receiving blood transfusions.

At Putnam Hospital Center and Vassar Brothers Medical Center, many physicians and surgeons on the medical staff, representing nearly all the medical subspecialties, participate in the Blood Management Program. All are fully trained and experienced in blood management procedures and techniques.

Blood Management Technology for Routine and Complex Surgeries

Thanks to advances in equipment and technology, physicians and surgeons can perform a multitude of transfusion-free procedures, ranging from routine appendectomies to angioplasty to complex orthopedic and open-heart surgeries.

Our state-of-the-art technology and procedures include:

  • Arterial Embolization: This procedure uses mechanical techniques or chemical agents to stop bleeding.
  • Blood Conservation Technique for Blood Testing: To reduce the amount of blood specimens needed for lab testing, micro-sampling techniques and minimal blood draws are used.
  • Surgical Blood Conservation Technique: During surgery, the patient’s blood pressure and temperature are lowered to decrease heart rate and oxygen consumption and reduce blood loss.
  • Harmonic Scalpel, Lasers, Argon Beam Coagulator and Electrocautery: These medical devices are used during surgery to reduce blood loss.
  • Heart-Lung Machine and Intra-Operative Blood Salvage (Cell Saver): This machine salvages, filters and recirculates the patient’s own blood. We also have an on-staff perfusion service to help with blood salvage.
  • Hemodilution: During surgery, this technique dilutes the patient’s blood with non-blood volume expanders linked to the patient’s circulatory system.
  • Minimally Invasive Surgery: Some procedures may be done using minimally invasive surgical techniques, which create smaller incisions to reduce blood loss.
  • Pharmaceuticals: Certain drugs can be used to stimulate the bone marrow to produce red blood cells (for example, synthetic erythropoietin). And hemostatic agents can be used during procedures to promote blood clotting and minimize blood loss.
  • Post-Operative Blood Salvage (Wound Drain): After some surgeries, a wound drain is connected to the patient’s body to collect and reuse blood.
  • Transcutaneous Oxygen Monitoring and Pulse Oximetry: This technology noninvasively tracks oxygen levels during surgery and during hyperbaric oxygen treatment.
  • Volume Expanders: These intravenous (I.V.) fluids enhance the circulation of a patient’s own blood without the use of blood or blood products.

Making Arrangements for Blood Management

We want you to have peace of mind. We wish to assure you that as you participate in this program, you will be treated with respect and dignity.

If you need a referral to a physician who is part of our program or you want to learn more about the Blood Management Program, please call John Mountain at (845) 230-4777 or (845) 517-7864.

Even if you do not currently need medical care, you may want to contact our program manager to discuss your wishes for future care, including advance directives and care in case of emergency situations.

Treating Children

We respect the concerns of parents wishing to avoid transfusions of donor blood for their children. We will explore bloodless treatment options and work with you to meet that goal. However, please realize that state and federal law may impose limitations on withholding blood for minors in a life-or-death situation.


Putnam Hospital Center
Bloodless Management Program
670 Stoneleigh Avenue
Carmel, NY 10512

Vassar Brothers Medical Center
Bloodless Care Center
45 Reade Place
Poughkeepsie, NY 12601