Prospective randomised evaluation of a new cell saving device in elective aortic reconstruction

Thompson, J. F.; Webster, John H.; Chant, A.D.B.

doi:10.1016/s0950-821x(05)80793-5

Cited by 29 publications

(17 citation statements)

References 14 publications

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“…A significant proportion of published studies on ICS in aortic surgery are observational or depend on historical controls. In three randomised trials, ICS alone has been evaluated for use in aortic surgery [4][5][6]. In two of these, ICS reduced transfusion requirements [4,5].…”

Section: Introductionmentioning

confidence: 99%

Transfusion requirements and outcomes in patients undergoing abdominal aortic surgery using intra-operative cell salvage

et al. 2007

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Section: Introductionmentioning

confidence: 99%

Transfusion requirements and outcomes in patients undergoing abdominal aortic surgery using intra-operative cell salvage

et al. 2007

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“…[1][2][3][4]6 The trial by Thompson et al, 1 however, was excluded because the number of patients exposed to ABT was not clearly stated. Although the trials by Mercer et al 2 and Spark et al 3 were undertaken by the same unit in the same hospital, they were assessed independently of each other because different autotransfusion systems were used.…”

Section: Search Resultsmentioning

confidence: 99%

Intraoperative Autotransfusion in Abdominal Aortic Aneurysm Surgery

Takagi¹

2007

Arch Surg

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“…8,[11][12][13][14] Two additional trials were excluded because allocation did not make use of randomization but rather alternately assigned patients to either cell salvage or no cell salvage. 11,14 The three remaining trials, made use of sealed opaque envelopes as a means of concealment of randomization. 8,12,13 None of these studies made use of blinding.…”

Section: Data Extraction and Synthesismentioning

confidence: 99%

“…Only two of the four randomized controlled trials involving elective infra renal aortic abdominal aneurysm repair met the inclusion criteria. The study from Thompson and colleagues 14 could not be evaluated since it did not report the proportion of patients who were transfused red cells. In addition, details regarding the surgical procedures and the use of cell salvage were not reported.…”

Section: Data Extraction and Synthesismentioning

confidence: 99%

Cell salvage does not minimize perioperative allogeneic blood transfusion in abdominal vascular surgery: a systematic review

Alvarez

Fergusson

Neilipovitz

et al. 2004

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : To determine whether the use of cell salvage reduces the proportion of patients receiving at least one unit of allogeneic packed red blood cells during the perioperative period of an elective vascular surgery.S So ou ur rc ce e: : We identified all relevant articles through the combined use of electronic searches of the MEDLINE and EMBASE databases, the Cochrane library as well as hand searching of all randomized clinical trials and review articles. The electronic search included articles published between 1966 and April 2001. The search included textword searches using "autotransfusion," "cell salvage," "device," or Medical Subject Headings "autologous blood transfusion" or a "randomized controlled trials" filter. P Pr ri in nc ci ip pa al l f fi in nd di in ng gs s: : Five randomized controlled trials (RCT) were identified involving cell salvage and vascular surgeries. In infra renal abdominal aortic aneurysm surgery the risk ratio (the risk of receiving at least one unit of allogeneic red cells) was 0.37 [95% confidence intervals (CI) of 0.06 to 2.36]. In elective aorto-femoral bypass surgery the risk ratio was 0.97 (95% CI of 0.66 to 1.42). The pooled risk ratio for cell salvage in vascular surgery was 0.67 (95% CI of 0.35 to 1.28).C Co on nc cl lu us si io on n: : Cell salvage, a commonly used technique to recover red cells from the operative field, has been the subject of several studies in vascular surgery. There is insufficient evidence to recommend the routine use of cell salvage in elective abdominal aortic aneurysm and aorto-femoral bypass surgeries. A large RCT would elucidate whether cell salvage is effective as a blood conservation technique. de 0,97 (IC de 95 % de 0,66 à 1,42). Le risque commun en chirurgie vasculaire était de 0,67 (IC de 95 % de 0,35 à 1,28 Objectif Source : Les articles pertinents ont été repérés par des recherches électroniques combinées dans MEDLINE et EMBASE, la bibliothèque Cochrane et une recherche manuelle des essais cliniques randomisés et des exposés de synthèse. La recherche électronique comprend des articles publiés entre 1966 et avril 2001 à partir des termes «autotransfusion», «cell salvage», «device» ou de mots clés du domaine médical comme «autologous blood transfusion» ou d'un filtre sur les «randomized controlled trials». Constatations principales : Nous avons trouvé cinq études randomisées et contrôlées (ERC

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Prospective randomised evaluation of a new cell saving device in elective aortic reconstruction

Cited by 29 publications

References 14 publications

Transfusion requirements and outcomes in patients undergoing abdominal aortic surgery using intra-operative cell salvage

Transfusion requirements and outcomes in patients undergoing abdominal aortic surgery using intra-operative cell salvage

Intraoperative Autotransfusion in Abdominal Aortic Aneurysm Surgery

Cell salvage does not minimize perioperative allogeneic blood transfusion in abdominal vascular surgery: a systematic review

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