Abstract
Background
Intraoperative cell salvage (ICS) is the recovery, anticoagulation, filtration and reinfusion of blood lost during surgery. The aim of this study is to determine the safety and efficacy of ICS in emergency and elective abdominal aortic surgery.
Methods
This study reviews volumes of blood loss, blood salvaged with ICS, allogenic blood requirements, and clinical outcomes in patients undergoing abdominal aortic surgery using ICS.
Results
Seventy-nine patients undergoing abdominal aortic surgery are included. Supplemental allogenic blood was not required in 45/79 (57%) of all patients. Transfusion with allogenic blood was not necessary in 41/63 (66%) of elective abdominal aortic aneurysm repairs. ICS was associated with no major complications.
Conclusion
ICS is a safe procedure and substantially reduces the need for blood transfusion in patients undergoing abdominal aortic surgery. It may substantially alleviate shortages of allogenic blood and should be part of the armamentarium of vascular units.
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References
Myhre BA (1980) Fatalities from blood transfusion. JAMA 244:1333–1335
Provan D (1999) Better blood transfusion. Br Med J 318:1435–1436
Heut C, Salmi LR, Fergusson D et al (1999) A meta-analysis of the effectiveness of cell salvage to minimise perioperative blood transfusion in cardiac and orthopaedic surgery. International study of perioperative transfusion (ISPOT) investigators. Anaesth Analg 89:861–869
Thompson JF, Webster JHH, Chant ADB (1990) Prospective randomised evaluation of a new cell saving device in elective aortic reconstruction. Eur J Vasc Surg 4:507–512
Spark JI, Chetter IC, Kester RC, Scott DJ (1997) Allogenic versus autologous blood during abdominal aortic aneurysm surgery. Eur J Vasc Endovasc Surg 14:4820–4826
Clagett GP, Valentine RJ, Jackson MR et al (1999) A randomised trial of intraoperative autotransfusion during aortic surgery. J Vasc Surg 29:22–30
Alvarez GG, Ferguson DA, Neilpovitz DT, Herbert PC (2004) Cell salvage does not minimize perioperative blood transfusion in abdominal vascular surgery: a systemic review. Can J Anaesth 51(5):425–431
Davis R (1979) Banked autologous blood for elective surgery. Anaesth Intensive Care 7:42–44
Mattox KL (1975) Autotransfusion in an emergency department. J Coll Emerg Phys 4:218–222
Dzik WH, Jenkins R (1985) Use of intraoperative blood salvage during orthotopic liver transplantation. Arch Surg 120:946–948
Wong JCL, Torella F, Haynes SL, Dalrymple K, Mortimer AJ, McCollum CN (2002) Autologous versus allogenic transfusion in aortic surgery (ATIS): a multicentre randomised clinical trial. Ann Surg 235:145–151
Bayly PJ, Matthews JN, Dobson PM, Price ML, Thomas DG (2001) In-hospital mortality from abdominal aortic surgery in Great Britain and Ireland: Vascular Anaesthesia Society Audit. Br J Surg 88:687–692
Kelley-Patterson C, Ammar AD, Kelley H (1993) Should the cell saver autotransfusion device be used routinely in all infrarenal abdominal aortic bypass operations? J Vasc Surg 18:261–265
Brener BJ, Raines JK, Darling RC (1973) Intraoperative transfusion in abdominal aortic resection. Arch Surg 107:78–83
Guidelines for autologous transfusion II (1997) Perioperative haemodilution and cell salvage. B J Anaest78:768–771
Haynes SL, Torella F, Wong JC, Dalrymple K, James M, McCollum CN (2002) Economic evaluation of a randomised clinical trial of haemodilution with cell salvage in aortic surgery. Br J Surg 89(6):731–736
Szpisjak DF, Potter PS, Capejart BP (2004) Economic analysis of intraoperative cell salvage service. Anest Analg 98(1):201–205
Laurence PF, Gazac C, Bhirangi L et al (1999) The epidemiology of surgically repaired aneurysms in the Unites States. J Vasc Surg 30:632–640
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Healy, C.F., Doyle, M., Egan, B. et al. Transfusion requirements and outcomes in patients undergoing abdominal aortic surgery using intra-operative cell salvage. Ir J Med Sci 176, 33–36 (2007). https://doi.org/10.1007/s11845-007-0008-z
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DOI: https://doi.org/10.1007/s11845-007-0008-z