Salvage and reinfusion of postoperative sanguineous wound drainage. A preliminary report.

Clements, David H.; Sculco, T P; Burke, Stephen W.; Mayer, Katharina; Levine, David B.

doi:10.2106/00004623-199274050-00003

Cited by 130 publications

(58 citation statements)

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“…The absence of adverse reactions accords with the findings of others (Bengtson et al 1990, Kristensen et al 1992, Blevins et al 1993, Healy et al 1994, although some authors have reported clinical complications between 2 and 25 percent of their patients within 6 hours after reinfusion (Faris et al 1991, Clements et al 1992, Martin et al 1992. Because of reported complications, some authors have recommended that the drain blood be washed prior to retransfusion.…”

Section: Discussionsupporting

confidence: 82%

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Cell quality of salvaged blood after total knee arthroplasty:Drain blood compared to venous blood in 32 patients

Dalén

Broström

1995

Acta Orthopaedica Scandinavica

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Section: Discussionsupporting

confidence: 82%

“…Shed blood from orthopedic wounds, in contrast to wounds in vascular and cardiac surgery, may be contaminated with bone fragments, fat particles and methyl methacrylate monomers (Healy et al 1993). A washing procedure is advisible before retransfusion (Clements et al 1992).…”

mentioning

confidence: 99%

Cell quality of salvaged blood after total knee arthroplasty:Drain blood compared to venous blood in 32 patients

Dalén

Broström

1995

Acta Orthopaedica Scandinavica

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“…Moreover, as in other studies in knee, hip or spine surgery [2,3,5,6,11,13,14,15,30,32] and cardiac surgery [1,7,28], postoperative reinfusion of unwashed filtered shed blood after major spine procedures has proved to reduce homologous transfusion requirements, with only minor complications. A prospective study, using the Constavac CBC II plus short-time preoperative autologous blood predeposit, is currently in progress to evaluate the impact of this strategy, not only on the prevalence of homologous blood transfusion but also on the haemostatic and immunological status of the patients.…”

Section: Discussionmentioning

confidence: 67%

Postoperative blood salvage and reinfusion in spinal surgery: blood quality, effectiveness and impact on patient blood parameters

Sebastian¹,

Romero²,

Olalla³

et al. 2000

European Spine Journal

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IntroductionThe development of complex surgical procedures for the treatment of orthopaedic diseases and the increasing number of traffic accidents have raised the demand for allogenic blood to a level that often exceeds supply. In addition, the increased awareness of the potential hazards of allogenic blood transfusion, such as incompatibility reactions, metabolic and immunological disorders or transmission of viral diseases, has led to an emphasis on blood saving techniques [10,18,25].Abstract Although reinfusion of salvaged shed blood has become popular in major orthopaedic procedures, this blood saving technique is still controversial. In an effort to assess the functional and metabolic status of shed blood erythrocytes and the impact of postoperative shed blood reinfusion on allogenic blood requirements and patient's blood parameters, analyses of perioperative blood samples were performed in 28 consecutive orthopaedic patients undergoing spinal fusion, in which postoperative shed blood was collected and reinfused with the ConstaVac CBC II device. In comparison with a previous series of 31 patients, this procedure reduced allogenic blood requirements by almost 30% (P < 0.05), without any increase in postoperative complications. Postoperative shed blood presented lower haematological values and higher plasma-free haemoglobin (PFHB) levels than preoperative blood, without any disturbance in morphology, median corpuscular fragility (MCF) or erythrocyte adenosine triphosphate (ATP) and diphosphoglycerate (DPG) content. Serum concentrations of enzymes -glutamate-oxalacetate aminotransferase (GOT), glutamate-piruvate aminotransferase (GPT), creatine kinase (CK), lactate dehydrogenase (LDH) -and inflammatory cytokines (IL-1β, IL-6) were elevated in shed blood. After reinfusion, there was no alteration in coagulation parameters or cytokine levels. Serum levels of some enzymes increased at the end of surgery and remained elevated at postoperative day 2 (CK) or 7 (GOT, LDH), with a higher increase if postoperative autotransfusion was used as a blood saving method. Therefore, caution should be taken when these serum enzyme levels are used for diagnosis. In conclusion, salvaged shed blood in orthopaedic procedures of the spine seems to be an excellent source of red cells which are not significantly damaged, keeping a normal functional and metabolic status, and reduces allogenic blood requirements without significant side effects.

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“…transfusions include autologous blood transfusion [10,34,37], postoperative blood salvage [1,9,16,20,21,34,52], use of a femoral intramedullary plug [43], hypotensive anesthesia [30], cryotherapy and Jones bandage [18], use of fibrin tissue adhesive [33,58], drain clamping [41,42,45,46,48,51,54,59], and administration of tranexamic acid [6-8, 19, 23, 24, 27, 28, 35, 39, 53, 55].…”

mentioning

confidence: 99%

Tranexamic Acid Reduces Blood Loss and Blood Transfusion after TKA: A Prospective Randomized Controlled Trial

Charoencholvanich

Siriwattanasakul

2011

Clinical Orthopaedics &Amp; Related Research

138

105

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Background TKA may be associated with considerable blood loss, and transfusion carries substantial risk of immunologic reaction and disease transmission. Blood transfusion also involves additional cost, therefore a reduction in its use is important. Several methods reportedly reduce postoperative blood loss and avoid homologous blood transfusion with traditional TKA approaches, but it is unclear these reductions apply to a minimally invasive technique. Questions/purposes We asked whether tranexamic acid administration could reduce blood loss and blood transfusion requirements after TKA.

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Salvage and reinfusion of postoperative sanguineous wound drainage. A preliminary report.

Cited by 130 publications

References 0 publications

Cell quality of salvaged blood after total knee arthroplasty:Drain blood compared to venous blood in 32 patients

Cell quality of salvaged blood after total knee arthroplasty:Drain blood compared to venous blood in 32 patients

Postoperative blood salvage and reinfusion in spinal surgery: blood quality, effectiveness and impact on patient blood parameters

Tranexamic Acid Reduces Blood Loss and Blood Transfusion after TKA: A Prospective Randomized Controlled Trial

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