Cell salvage

 

Process:

1.      Collect

2.      Anticoagulate

3.      Wash

4.      Filter

5.      Return

 

Safety:

Yes

·      Cancer surgery

·      Obstetric surgery (but use separate sucker for amniotic fluid)

No

·      Dirt

·      Poo

·      Pus

·      Fat

·      Vomit

·      Phaeo

Pause

·      Very hypotonic solution

·      Very hypertonic solution

·      Haemostatics (e.g. floseal)

·      Poisons (e.g. alcohol, iodine)

·      Cement

·      Glue

 

Benefits:

General

·      Salvaged RBCs work better than stored allogeneic RBCs

·      Avoid most risks of allogeneic RBCs

Cancer

·      Avoid immune-suppressing allogeneic RBCs

·      Salvaged blood does not contain cancerous material

·      Overall risk of recurrence is probably lower when using cell-saver

 

 

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