Cell salvage

Process:

1. Collect

2. Anticoagulate

3. Wash

4. Filter

5. Return

Yes

· Cancer surgery

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

· Dirt

· Poo

· Pus

· Fat

· Vomit

· Phaeo

Pause

· Very hypotonic solution

· Very hypertonic solution

· Haemostatics (e.g. floseal)

· Poisons (e.g. alcohol, iodine)

· Cement

· Glue

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