Cell salvage auto transfusion in total knee replacement surgery

Shenolikar, A.; Wareham, K.; Newington, D. P.; Thomas, Dafydd; Hughes, J. A.; Downes, M.

doi:10.1046/j.1365-3148.1997.d01-43.x

Cited by 62 publications

(49 citation statements)

References 3 publications

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“…The use of cell salvage in combination with a leukocyte depletion filter appears to be safe in for obstetric use and in cases of malignancy. It has been demonstrated that cell salvage reduces the need for allogeneic blood transfusion in revision hip [3] and knee replacement surgery [10,11]. The only absolute contraindication to the use of cell salvage and autologous blood transfusion is patient refusal [2].…”

Section: Discussionmentioning

confidence: 99%

Role of Intraoperative Red Cell Salvage and Autologus Transfusion in Metastatic Spine Surgery: A Pilot Study and Review of Literature

et al. 2013

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Study DesignProspective cohort study.PurposeThere has been no research examining the use of intraoperative cell salvage during metastatic spinal surgery. The present work is a pilot study investigating the role of cell salvage during metastatic spine surgery.Overview of LiteratureThere is no spinal literature about role of cell salvage and autologus transfusion in metastatic spinal cancer.MethodsSixteen spinal metastases patients who received red cell salvage using a leucocyte depletion filter were enrolled. Of these, ten patients who received salvaged blood transfusion were included in the final analysis. Data collection involved looking at the case notes, operating room records and the prospectively updated metastatic spinal cancer database maintained in the spinal department. Cell salvage data was recovered from the central cell salvage database maintained in the anesthetic department.ResultsAmount of salvaged blood ranged from 120 to 600 mL (average, 318 mL). The average drop in hemoglobin was 1.65 units (range, 0.4-2.7 units). Three patients (30%) required postoperative allogenic blood transfusion. The average follow up was 9.5 months (range, 6-6 months). One patient developed new lung metastasis, at seven months. No patient developed new liver metastases. Preoperatively, six patients had diffuse skeletal metastases. Of this subgroup, three developed new skeletal metastases. No cases showed any wound related problems in the postoperative period.ConclusionsIn our study transfusion of intraoperatively salvaged blood did not result in disseminated metastatic cancer. We would suggest that red cell salvage might have a role during metastatic spine surgery.

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Section: Discussionmentioning

confidence: 99%

Role of Intraoperative Red Cell Salvage and Autologus Transfusion in Metastatic Spine Surgery: A Pilot Study and Review of Literature

et al. 2013

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“…We have been using intraoperative red cell salvage for primary and revision TKA, with success in reducing allogenic transfusion requirement (Dan M, Unpublished Data). The efficacy of cell salvage in TKA in our cohort compared to previously published studies353637) is outlined in Table 3. We concluded perioperative red cell salvage reduces but does not eliminate the need for allogenic blood.…”

Section: Intraoperative Strategiesmentioning

confidence: 99%

Blood Management Strategies in Total Knee Arthroplasty

Liu¹,

Dan

Martos³

et al. 2016

Knee Surg Relat Res

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A perioperative blood management program is one of a number of important elements for successful patient care in total knee arthroplasty (TKA) and surgeons should be proactive in its application. The aims of blood conservation are to reduce the risk of blood transfusion whilst at the same time maximizing hemoglobin (Hb) in the postoperative period, leading to a positive effect on outcome and cost. An individualized strategy based on patient specific risk factors, anticipated blood loss and comorbidities are useful in achieving this aim. Multiple blood conservation strategies are available in the preoperative, intraoperative and postoperative periods and can be employed in various combinations. Recent literature has highlighted the importance of preoperative Hb optimization, minimizing blood loss and evidence-based transfusion guidelines. Given TKA is an elective procedure, a zero allogenic blood transfusion rate should be the aim and an achievable goal.

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“…An audit of our transfusion rates in comparison to other studies in the literature is listed in table 3 for THA [32,33,34] and table 4 for TKA. [35,36,37] Peri-operative red cell salvage definitely reduces but does not eliminate the need for allogenic blood, especially in patients who have a low baseline haemaglobin pre-operatively.…”

Section: Intra-operative Strategiesmentioning

confidence: 99%

Blood Conservation Strategies in Total Hip and Knee Arthroplasty

Liu¹,

Dan²,

Adivi³

2015

JISRF

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Peri-operative blood management is one of a number of components important for successful patient care in total joint arthroplasty and surgeons should be proactive in its application. The aims of blood conservation are to reduce the risks of blood transfusion whilst at the same time maximizing haemaglobin in the post-operative period, thereby leading to a positive effect on early and long term outcomes and costs. An individualized strategy based on patient specific risk factors, anticipated blood loss and co-morbidities is useful in achieving this aim. Multiple blood conservation strategies are available in the pre-operative, intra-operative and post-operative periods and can be utilised either individually or in combination. Recent literature has highlighted the importance of identifying and correcting pre-operative anaemia, salvaging peri-operative red cells and the use of tranexamic acid in reducing blood loss. Given total hip and knee arthroplasty is an elective procedure, a zero allogenic blood transfusion rate should be the aim and an achievable goal.

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Cell salvage auto transfusion in total knee replacement surgery

Cited by 62 publications

References 3 publications

Role of Intraoperative Red Cell Salvage and Autologus Transfusion in Metastatic Spine Surgery: A Pilot Study and Review of Literature

Role of Intraoperative Red Cell Salvage and Autologus Transfusion in Metastatic Spine Surgery: A Pilot Study and Review of Literature

Blood Management Strategies in Total Knee Arthroplasty

Blood Conservation Strategies in Total Hip and Knee Arthroplasty

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