cell saver guideline

Intraoperative autotransfusion is a technique well-suited to major vascular surgery. It is most effective when salvage and reinfusion of shed blood can be accomplished at flow rates compatible with the degree of hemorrhage encountered in both elective and emergency procedures. Appropriate equipment modifications can render commercially available autotransfusion devices safer and more effective in the management of intraoperative blood loss. The Cell Saver, a device which concentrates and washes salvaged red blood cells, is limited in its potential as an autotransfusion device because of its slow reinfusion rate...

Blood loss and blood replacement are necessities in spinal surgery. They also have increasing risks. Three blood replacement options and combinations were investigated in patients undergoing major spinal deformity surgery. In Section 1, intraoperative replacement from harvested cell saver blood was investigated in 35 patients. This group averaged 40% (20-60%) return of the red cell mass lost intraoperatively. In Section 2, intraoperative replacement via predeposited autologous blood was investigated in 41 patients...

The use of FFP has increased dramatically in the last few years. In the majority of cases FFP is transfused in order to provide coagulation factors. Many physicians expect to get "better" blood parameters from concomitant FFP and red blood cell (RBC) transfusions. To avoid the risk of diseases transmitted by homologous blood predeposited autologous blood is useful for elective surgical patients. Intraoperative autotransfusion by blood salvage using a Cell Saver only provides autologous RBC without plasma, so predeposited autologous plasma seems to be a necessary supplement...

Significant blood loss during total hip arthroplasty is usually unavoidable. Blood loss is even more of a problem during revision total hip arthroplasty. Using the Cell-Saver for retrieval of red blood cells to be used for autotransfusion during surgery is a safe and useful way of sparing donor blood transfusion. This is a retrospective analysis of primary and revision total hip arthroplasty cases and comparison between cases in which Cell-Saver was used versus those in which Cell-Saver was not used. Generally accepted standards to determine the need for blood transfusion, including measured serum hemoglobin and patient symptoms and vital signs, were used as guidelines in treating patients...