The Qualities of Blood Reinfused During Cell Salvage

Ridler, B. M. F.; Thompson, John F.

doi:10.1111/j.1778-428x.2003.tb00190.x

Cited by 7 publications

(2 citation statements)

References 16 publications

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“…When aspirated from the surgical site, the red cells are at risk of mechanical trauma. 2 To reduce this, many ICS machines have bespoke suction systems that automatically alter the suction Craig Carroll FRCA is a consultant anaesthetist at Salford Royal Hospital. He is chairman of the North West Region Transfusion Committee; a member of the UK Cell Salvage Group and honorary Treasurer of the Neuroanaesthesia and Critical Care Society (NACCS).…”

mentioning

confidence: 99%

Intraoperative cell salvage

Carroll

Young

2021

BJA Education

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confidence: 99%

Intraoperative cell salvage

Carroll

Young

2021

BJA Education

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“…Returned volumes ranged from 0 to 470 ml, median 283 ml. Returned salvage blood typically has a haematocrit of 50%–70% 3 (comparable to packed cells). The cell saver employed was a Medtronic Autolog (Medtronic Australasia Pty Ltd, Macquarie Park, NSW, Australia) operated by one of two appropriately trained nurse technicians.…”

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confidence: 99%

Intraoperative cell salvage—applicable in small hospitals

Grace

Lawler

2020

Anaesth Intensive Care

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The British Association of Anaesthetists 2018 perioperative blood conservation guidelines state, 'The use of cell salvage is recommended when it can be expected to reduce the likelihood of allogeneic (donor) red cell transfusion and/or severe postoperative anaemia.' 1 The guidelines further support and encourage an increase in the use of cell salvage, recommending it be available in any hospital undertaking surgery where blood loss is a recognised complication (italics added). The Australian National Blood Authority's Patient Blood Management (PBM) Guideline makes similar recommendations. 2 Cell salvage technology has advanced significantly since it was first introduced. Cell salvage units are now smaller, more automated, with simple fill, wash and empty cycles and affordable consumables. This, combined with the guidelines above, suggests cell salvage technology should be available in any sized hospital performing major surgery. By way of confirming the applicability and success of cell salvage in small hospitals we conducted an audit of intraoperative cell salvage in 100 consecutive mixed orthopaedic patients (63 spinal procedures, 29 hip arthroplasties, eight knee arthroplasties), in a small regional private hospital, achieving a 6% allogeneic transfusion rate. Eighty-six patients had blood returned with a mean (standard deviation) return volume of 148 (88) ml. Returned volumes ranged from 0 to 470 ml, median 283 ml. Returned salvage blood typically has a haematocrit of 50%-70% 3 (comparable to packed cells). The cell saver employed was a Medtronic Autolog (Medtronic Australasia Pty Ltd, Macquarie Park, NSW, Australia) operated by one of two appropriately trained nurse technicians. At the time of publication, a training course run by the Australian and New Zealand College of Perfusionists costs AUD$300 for non-members (free for members). 4 Allogeneic blood transfusion is well known to be associated with increased operative risk and adverse patient outcome. Best practice PBM can be achieved by ensuring: that preoperative anaemia is treated, that there is good surgical technique, appropriate use of tranexamic acid, and the use of intraoperative cell

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