Preoperative autologous blood donation may be beneficial for patients undergoing open aneurysm repair (Grade 2, Level B).

Cell salvage or an ultrafiltration device is recommended if large blood loss is anticipated or the risk of disease transmission from banked blood considered high (Grade 1, Level C).

Intraoperative blood transfusion is recommended for a hematocrit <30% in the presence of ongoing blood loss (Grade 1, Level C).

If the intraoperative hematocrit is <30% and blood loss is ongoing, resuscitation fluids should consider use of FFP and platelets in a ratio with packed blood cells of 1:1:1 (Grade 1, Level C).