Autologous blood retrieval in thoracic, cardiovascular, and orthopedic surgery

Young, J. Nilas; Ecker, Roger R.; Moretti, Richard L.; Iverson, Leigh I.G.; Ennix, Coyness L.; Etherede, Stephen N.; Webb, Ronald L.; Jackson, William S.T.; May, Robert D.; May, Ivan A.

doi:10.1016/0002-9610(82)90600-6

Cited by 20 publications

(3 citation statements)

References 4 publications

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“…Specific types of surgery for which blood salvage has been advocated in the past include open heart surgery, 5‐8 vascular surgery, 9‐12 total joint replacements, 13‐16 spine surgery, 17‐19 liver transplantation, 20,21 ruptured ectopic pregnancy, 22,23 and trauma 24,25 . The results of this database analysis would support the use of blood salvage in some, but not all, of these areas.…”

Section: Discussionmentioning

confidence: 93%

The volume of returned red blood cells in a large blood salvage program: where does it all go? (CME)

et al. 2011

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Section: Discussionmentioning

confidence: 93%

The volume of returned red blood cells in a large blood salvage program: where does it all go? (CME)

et al. 2011

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“…Few have reported measurements of clotting factors in washed red cells after cell salvage. Lim in the discussion following the paper by Young et al . (1982) declared that factors V, VII, VIII and fibrinogen were low after autotransfusion of volumes greater than 1000–1500 mL.…”

Section: Discussionmentioning

confidence: 94%

Study of five cell salvage machines in coronary artery surgery

Burman¹,

Westlake²,

Davidson³

et al. 2002

Transfusion Medicine

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We evaluated the effectiveness, ease of use and safety of five machines for blood salvage during coronary artery surgery. All were equally effective in concentrating red cells. We measured haemoglobin, packed cell volume, free haemoglobin, white cells, neutrophil elastase, platelets, thrombin-antithrombin complex (TAT), prothrombin activation peptide F1.2, fibrin degradation product (d-dimers), tissue plasminogen activator (tPA) and heparin in wound blood, in washed cell suspensions and in a unit of bank blood prepared for each patient. All machines were equally safe and easy to use and were equally effective in removing heparin and the physiological components measured. There were no adverse effects on patients. Clotting factors are severely depleted both in salvaged blood, even before washing, and in bank blood. Cell savers are a valuable adjunct to coronary artery surgery, but careful monitoring of coagulation is required when the volumes of either bank blood or salvaged blood are large.

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“…It is clear that autotransfusion can be used in nearly any situation involving acute blood loss. Several groups have found it useful in reconstructive spinal surgery, for example [36,37]. Although surveys show an increase in the number of centers making autotransfusion available, the frequency of use is usually determined by a balance between the availability of blood and the level of interest of 1 or 2 surgeons, anesthesiologists, or clinical pathologists.…”

Section: Indications For Autotransfusionmentioning

confidence: 99%

Intraoperative autotransfusion

Glover

Broadie

1987

World j. surg.

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Intraoperative autotransfusion was done only sporadically until equipment, modified from cardiac surgery, became available in the 1970's. Use has increased because of the availability of cell‐washing techniques and the increased demand for blood associated with complex operations, such as liver transplantation and resection of thoracoabdominal aneurysms. There is a lack of agreement about the use of anticoagulation with autotransfusion, and there are several factors that limit widespread applicability. More studies are needed regarding infusion of activated clotting factors, and blood contaminated with bacteria or tumor cells. Although a significant administrative commitment is required, implementation of a program of autotransfusion is useful in trauma, vascular surgery, and any procedure that involves large amounts of blood loss.

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Autologous blood retrieval in thoracic, cardiovascular, and orthopedic surgery

Cited by 20 publications

References 4 publications

The volume of returned red blood cells in a large blood salvage program: where does it all go? (CME)

The volume of returned red blood cells in a large blood salvage program: where does it all go? (CME)

Study of five cell salvage machines in coronary artery surgery

Intraoperative autotransfusion

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