Perioperative red cell salvage: a case for implementing the 1995 consensus statement

Desmond,; Gillon,; Thomas, D. S.

doi:10.1046/j.1365-3148.1999.00206.x

Cited by 7 publications

(3 citation statements)

References 7 publications

(7 reference statements)

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“…Although few data exist that could prove the lower morbidity of transnasal approaches to the skull base in comparison to the external access, Shane and Panizza summarized important facts in their review. 17 Based on two investigations, 18,19 they concluded that endoscopic transnasal approaches reduce the amount of blood loss significantly. In addition, facing the growing skull and the midface, in particular, every effort has to be considered not to influence the natural growth negatively.…”

Section: Discussionmentioning

confidence: 99%

Is There a Place for the Endoscope in Skull Base Surgery in Children Less Than 5 Years?

Holzmann

Bozinov

Krayenbühl

2012

J Neurol Surg A Cent Eur Neurosurg

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Background The impact of transnasal endoscopic approaches to the central skull is still increasing. Its use in small children (i.e., under the age of 5 years) is of questionable value.Patients and Methods The present study is a description of a series of five children under the age of 5 years with lesions of the central skull base.Results Three out of five required a combined external and transnasal endoscopic approach. The transnasal access to the central skull base allowed reducing tissue damage and potentially may reduce growth deceleration.Discussion Based on our experience on this small series we suggest that a transnasal endoscopic approach to the anterior and central skull base can be applied even in small children. To successfully operate on such delicate pathologies, a well-working interdisciplinary cooperation is mandatory. Abstract:Background:

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Section: Discussionmentioning

confidence: 99%

Is There a Place for the Endoscope in Skull Base Surgery in Children Less Than 5 Years?

Holzmann

Bozinov

Krayenbühl

2012

J Neurol Surg A Cent Eur Neurosurg

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“…Cell salvage has many advantages: It can be used when unexpected blood loss is encountered; it does not cause hemodilution; the supply of blood available is proportional to the blood lost; it reduces the burden on blood donation systems; and the technique is often an acceptable compromise to members of the Jehovah's Witnesses. 4 PCS was developed to avoid the risks of allogenic blood transfusion. These risks include allergic/febrile reactions, graft-versus-host disease, volume overload, immunosuppression, end-organ injury, and postoperative infection.…”

mentioning

confidence: 99%

Are cell salvage and autologous blood transfusion safe in endonasal surgery?

Anderson

Panizza

2010

Otolaryngol.--head neck surg.

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Cell saver blood is widely accepted in surgery. It offers many advantages in elective operations in which blood loss is expected to be significant. Cell saver blood has been transfused from contaminated fields in other forms of surgery without an associated increase in morbidity. There is good evidence that antibiotic prophylaxis is mandatory in this setting. There is no direct evidence that cell salvage blood is safe in endonasal surgery. Cell salvage is part of a multimodality approach, including the use of hypotensive anesthesia, topical procoagulants, a dedicated team with appropriate equipment, and a good surgical technique with a focus on hemostasis.

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“…The collected blood is citrated, filtered, washed with saline, concentrated and returned to the patient (Desmond et al , 1996). Cell savers can provide a large amount of blood immediately in the event of rapid blood loss (Williamson & Taswell, 1991), and if used regularly can be cost‐effective (Desmond et al , 1999). Cell saver systems are increasingly used in operations where transfusion typically exceeds one unit of blood, or the anticipated collection of shed blood is more than one litre.…”

mentioning

confidence: 99%