Errors during intraoperative cell salvage because of inappropriate wash solutions

Mayo Clinic - Rochester, Рочестер, Minnesota, United States
Anesthesia & Analgesia (Impact Factor: 3.42). 01/2002; 93(6):1483-5, table of contents. DOI: 10.1097/00000539-200112000-00027
Source: PubMed

ABSTRACT IMPLICATIONS: Two case reports illustrate errors that can occur during intraoperative red blood cell salvage and emphasize the need for standardized procedures and quality improvement processes for this intervention.

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    ABSTRACT: OBJECTIVE: To describe the use of autologous transfusion using a red blood cell salvage device for the management of large volume hemorrhage in 3 dogs with hemoperitoneum. CASE SERIES SUMMARY: Three dogs were managed for large volume hemorrhage by autologous transfusion of red blood cells after cell salvage. In all cases, blood was salvaged from the abdominal cavity during surgery. The causes of hemorrhage included testicular arterial hemorrhage after castration, hepatic parenchymal hemorrhage following hepatic dissection for intrahepatic portosystemic shunt ligation, and intra-abdominal serosal hemorrhage associated with Angiostrongylus vasorum infection. In all cases, autologous transfusion was not associated with any identified complications and contributed to improved cardiovascular stability and packed cell volume. NEW OR UNIQUE INFORMATION PROVIDED: This case series is the first to describe the use of a semiautomated red blood cell salvage system for the clinical management of acute hemorrhage in dogs. This case series provides evidence that this procedure can be used safely and effectively for the management of clinical hemorrhage. On this basis, further veterinary evaluation can be justified.
    06/2012; 22(3):355-60. DOI:10.1111/j.1476-4431.2012.00747.x
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    ABSTRACT: The benefits of cell salvage in cardiothoracic surgery are generally accepted from a quality perspective and in terms of reducing the need for transfusion of allogeneic blood. The authors attempt to place this clinical quality driver in the context of financial issues such as the relative costs of using or, indeed, not using cell salvage. Recent developments in the United Kingdom make the case for widespread use of cell salvage very compelling but differences in the prevalence of transfusion-related complications and different cost models in various health economies have to be considered.
    Transfusion Alternatives in Transfusion Medicine 12/2003; 5(5):461-465. DOI:10.1111/j.1778-428X.2003.tb00189.x
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    ABSTRACT: Replacement of blood loss in emergency abdominal surgery plays a key role in survival, especially in patients with massive blood loss due to rupture of the liver, spleen or mesenteric vessels, as well as in massive hemoperitoneum due to ectopic pregnancies. To successfully manage these patients, a clear algorithm, previously consensuated and approved by the surgical staff, both for rapid diagnosis and use of the surgical procedures needed to control the source of bleeding should be followed. Precise criteria are especially required to control alterations in coagulation factors and the consequent need for the distinct blood components that should be used in replacement. In this context, the use of intraoperative autotransfusion has been demonstrated to be safe and cost-effect. This procedure can even be used in laparoscopic surgery. However, data published in the literature indicate that this technique is not widely or systematically used and that it is poorly organized.
    Cirugía Española 01/2003; 74(2). DOI:10.1016/S0009-739X(03)72190-3 · 0.89 Impact Factor