Perioperative Blood Management: Pros and Cons of ANH and Cell Salvage

Ahn, Sang Min; Lee, Jong Hyun

doi:10.7599/hmr.2018.38.1.27

Cited by 2 publications

(2 citation statements)

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“…Up to the present day, conventional therapies with antimicrobial agents are used to treat and prevent the associated infections; however, the professionals disagree on the origin of the cardiac patient’s infections during the post-operative period, based on the existing data. Furthermore, recent research studies assert that, under certain conditions, the effectiveness and benefits for the patients from using the cell saver under extra-body circulation are ambiguous, with discrepancies among the studies or the patients ( 31 ) . Not to mention the current safety problems in cases of severe bacterial contamination where future studies will be needed to better determine how and when the cell saver is to be used, alongside with new blood conservation measures ( 32 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, recent research studies assert that, under certain conditions, the effectiveness and benefits for the patients from using the cell saver under extra-body circulation are ambiguous, with discrepancies among the studies or the patients (31) . Not to mention the current safety problems in cases of severe bacterial contamination where future studies will be needed to better determine how and when the cell saver is to be used, alongside with new blood conservation measures (32) .…”

Section: Methodsmentioning

confidence: 99%

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Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery

Oliveros

2020

Rev. Latino-Am. Enfermagem

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Objective: to determine the microbiological characteristics of the red blood cells obtained with the cell saver in heart surgery patients on an extra-body circuit. Method: a cross-sectional and descriptive study conducted with 358 patients scheduled for heart surgery where the saver was used. Sociodemographic variables were collected, as well as from the saver and of the microbial identification in the re-infusion bag proceeding from the cell saver. Informed consent performed. Results: of the 170 GRAM+ bacteria isolations, the most frequent species were Staphylococcus epidermidis in 69% (n=138) of the cases and Streptococcus sanguinis with a report of 10% (n=20). Significant differences were found in the Staphylococcus epidermidis strain in patients with a Body Mass Index ≥25 (p=0.002) submitted to valve surgery (p=0.001). Vancomycin was the antimicrobial which resisted the Staphylococcus epidermidis strain with a minimum inhibitory concentration of >16 µg/ml. Conclusion: the microbiological characteristics of the red blood cells obtained after processing autologic blood recovered with the cell saver during heart surgery are of GRAM+ bacterial origin, the most isolated species being Staphylococcus epidermidis. Consequently, in order to reduce the presence of these GRAM+ cocci, an antibiotic should be added to the cell saver reservoir, according to a previously established protocol.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%