Blood transfusion in a modern sense means the transfusion of red cells, whe
n necessary supplemented by other components. The demand for plasma and pla
sma fractions and for platelets for therapeutic use has had an influence on
the technique for preparing red cells. Automated devices have made it poss
ible to perform collection as well as separation under more standardized co
nditions. Improved techniques for storage of red cells have prolonged the s
helf life somewhat but most of the available methods disregard the rapid lo
ss of 2,3-diphosphoglycerate and the accompanying increase in oxygen affini
ty. Methods are available which reduce the number of contaminating leukocyt
es to low levels, but information is still incomplete as to the degree of d
epletion actually needed.