The use of cell salvage in routine cardiac surgery is ineffective and not cost-effective and should be reserved for selected cases

被引：25

作者：

Attaran, Saina ^{[1
]}

McIlroy, Daniel ^{[1
]}

Fabri, Brian M. ^{[1
]}

Pullan, Mark D. ^{[1
]}

机构：

[1] Liverpool Heart & Chest Hosp, Dept Cardiothorac, Liverpool L18 8FE, Merseyside, England

来源：

INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY | 2011年 / 12卷 / 05期

关键词：

Cell saver; Cardiac surgery; Transfusion; ALLOGENEIC TRANSFUSION; CONTROLLED-TRIAL; BLOOD;

D O I：

10.1510/icvts.2010.249136

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The reported benefits of intraoperative cell salvage are decreased requirement for blood transfusion and cost-effectiveness. This study was designed to challenge this hypothesis. We assessed intraoperative blood loss and the use of cell saver in our institution. In <7% of cases the volume of blood loss was sufficient enough to be washed and returned. We conclude that the routine use of cell savers in all cardiac operations affords no benefit and consumes additional revenue. We recommend that the system only be considered in selected high-risk cases or complex procedures. (C) 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

引用

页码：824 / 826

页数：3

共 7 条

[1]

Davies L, 2006, HEALTH TECHNOL ASSES, V10, P1

[2] Reducing allogeneic transfusion in cardiac surgery: a randomized double-blind placebo-controlled trial of antifibrinolytic therapies used in addition to intra-operative cell salvage [J].

Diprose, P ;

Herbertson, MJ ;

O'Shaughnessy, D ;

Deakin, CD ;

Gill, RS .

BRITISH JOURNAL OF ANAESTHESIA, 2005, 94 (03) :271-278

[3] Adverse effects of methods for minimizing perioperative allogeneic transfusion: A critical review of the literature [J].

Faught, C ;

Wells, P ;

Fergusson, D ;

Laupacis, A .

TRANSFUSION MEDICINE REVIEWS, 1998, 12 (03) :206-225

[4] Processing scavenged blood with a cell saver reduces cerebral lipid microembolization [J].

Kincaid, EH ;

Jones, TJ ;

Stump, DA ;

Brown, WR ;

Moody, DM ;

Deal, DD ;

Hammon, JW .

ANNALS OF THORACIC SURGERY, 2000, 70 (04) :1296-1300

[5] A Randomized Controlled Trial of Cell Salvage in Routine Cardiac Surgery [J].

Klein, Andrew A. ;

Nashef, Samer A. M. ;

Sharples, Linda ;

Bottrill, Fiona ;

Dyer, Matthew ;

Armstrong, Johanna ;

Vuylsteke, Alain .

ANESTHESIA AND ANALGESIA, 2008, 107 (05) :1487-1495

[6] Mechanical methods of reducing blood transfusion in cardiac surgery: randomised controlled trial [J].

McGill, N ;

O'Shaughnessy, D ;

Pickering, R ;

Herbertson, M ;

Gill, R .

BMJ-BRITISH MEDICAL JOURNAL, 2002, 324 (7349) :1299-1302

[7] Safety and efficacy of perioperative cell salvage and autotransfusion after coronary artery bypass grafting: A randomized trial [J].

Murphy, GJ ;

Allen, SM ;

Unsworth-White, J ;

Lewis, CT ;

Dalrymple-Hay, MJR .

ANNALS OF THORACIC SURGERY, 2004, 77 (05) :1553-1559

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