Two-year experience with cell salvage in total hip arthroplasty

Abstract

Cell salvage is an effective strategy for reducing the need for allogeneic blood transfusion in the perioperative setting; it provides support to patient blood management interventions. Thus, we recommend the cell salvage system for use in total hip arthroplasty surgeries to reduce the need for allogeneic blood transfusion, if possible.

A recuperação intraoperatória de células sanguíneas é eficaz em cirurgias de quadril?

“…In general, the results of the present study did not reveal a significant reduction in the total volume transfused in the SC group. The mean recovered volume was 335 mL, consistent with authors such as Leigheb et al, 4 Hawi et al 15 and Buget et al, 16 who also showed similar perioperative transfused blood volumes in both groups (average volume at SC Group, 170.14 mL, average volume at control group, 92.53 mL), but this difference between groups was significant, perhaps due to the larger sample (143 patients).…”

“…Em geral, os resultados do presente estudo não revelaram uma redução significativa no volume total transfundido no grupo que utilizou o aparelho. A média de volume recuperado foi de 335 mL, compatível com autores como Leigheb et al, 4 Hawi et al 15 e Buget et al, 16 que também mostraram volumes sanguíneos transfundidos no perioperatório nos dois grupos semelhantes ao nosso ensaio (grupo RIOS: média 170,14 mL; grupo controle: média 92,53 mL), porém tal diferença entre os grupo foi significante, talvez pela maior amostra (143 pacientes).…”

Postoperative hemoglobin and recovery of hip muscle strength after total hip arthroplasty

“…Preoperative and/or postoperative anemia is associated with significant adverse clinical outcomes, such as an increased frequency of allogeneic transfusion, 4 decreased physical function, [5][6][7] higher infection rate 3 , longer hospital stay, 4, 7-9 and increased mortality. [7][8][9][10] Accordingly, strategies to minimize anemia such as improvement of the serum iron level, preoperative autologous blood donation, [11][12][13][14] intraoperative and/or postoperative blood salvage, [15][16][17] and allogeneic blood transfusion should be considered for patients undergoing elective surgery. However, some studies [18][19][20] have shown that allogeneic blood transfusion is a significant risk factor for surgicalsite infections after orthopedic surgery.…”

Effect of Tranexamic Acid and Cell Salvage System Use in Total Hip Arthroplasty on Allogeneic Blood Transfusion and Hospital Costs in Geriatric Patients: A Retrospective Cohort Study

“…Cell salvage (CS) is the intraoperative collection and reinfusion of autologous blood. The main goal of using this system is to reduce the need for ABT and related complications (10). The use of a CS system in orthopedic surgery can restore up to 70% of the intraoperative blood loss and significantly reduce the need for ABT (11).…”