Autotransfusion Flashcards
Cell saver disposables
Aspiration set Heparinized saline Collection reservoir Bowl Wash solution Collection bag Blood, lipid, or leukocyte filter Transfer packs
Anticoagulants used for cell saving
Heparinized saline (30,000units Hep/1000mL saline)
CPD
ACD-A
Size of collection reservoir, filter, and bowl
Collection reservoir: 3000-4000mL
Filter: 30-100um
Bowl: 50-250mL
Speed of centrifugal pump
5600 RPMs
6 things on specimen label
Patient registration sticker Type of sample Time collected Time of expiration Volume Initials
Things on cell saver record
Volume collected HCT of reinfused volume Type and volume of wash solution used Heparinized saline/CPD concentration and amount used Date/time/patient info
Indications for cell salvage
Control blood loss Recovery of blood loss Rare blood group without blood available Risk of infectious disease transmission Recovery of ECC blood or aspirated drainage
Advantages of cell salvage
High level of 2,3 DPG Normothermic Normal pH Low risk of disease Functionally superior cells Lower potassium Quickly available
Substances washed out in cell salvage
Plasma Platelets WBCs Anticoagulants Plasma free hemoglobin Cellular stroma Activated clotting factors Intracellular enzymes Potassium Plasma bound antibiotics
Contraindications to cell salvage
Bacterial contamination of surgical site
Malignancy of surgical area
C section
Topical hemostatic agents
Topical hemostatic agents
Avitene Helistat Hemopad Instat Collagen type products If Gelfoam, Surgicel, Thrombogen, or Thrombostat present can still do cell salvage
Perfusion contraindications to cell salvage
Wound infections Pleural effusion Betadine Warm solutions Sterile water Malignancy Topical hemostatic agents
Disadvantages of cell salvage
Depletion of plasma and platelets
Require FFP when estimated blood loss>half total blood volume
2 main kinds of autotransfusion
- Blood autologoulsy predonated
2. Intra operative blood salvage device
