Association of Anaesthetists guidelines: cell salvage for peri‐operative blood conservation 2018

The use of cell salvage is recommended when it can be expected to reduce the likelihood of allogeneic (donor) red cell transfusion and/or severe postoperative anaemia. We support and encourage a continued increase in the appropriate use of peri‐operative cell salvage and we recommend that it should be available for immediate use 24 h a day in any hospital undertaking surgery where blood loss is a recognised potential complication (other than minor/day case procedures).

[1]  C. Fong.  Guideline , 2020, Definitions.

[2]  Kenneth J. Smith,et al.  Cost-effectiveness Analysis of Intraoperative Cell Salvage for Obstetric Hemorrhage , 2017, Anesthesiology.

[3]  T. Roberts,et al.  Cell salvage and donor blood transfusion during cesarean section: A pragmatic, multicentre randomised controlled trial (SALVO) , 2017, PLoS medicine.

[4]  J. Pandit,et al.  Disease coding for anaesthetic and peri‐operative practice: an opportunity not to be missed , 2017, Anaesthesia.

[5]  I. Cho,et al.  Allogeneic Blood Transfusion Is a Significant Risk Factor for Surgical-Site Infection Following Total Hip and Knee Arthroplasty: A Meta-Analysis. , 2017, The Journal of arthroplasty.

[6]  Ruchika Goel,et al.  Pediatric Patient Blood Management Programs: Not Just Transfusing Little Adults. , 2016, Transfusion medicine reviews.

[7]  T. Richards,et al.  AAGBI guidelines: the use of blood components and their alternatives 2016 , 2016, Anaesthesia.

[8]  J. Parvizi,et al.  Blood management after total joint arthroplasty in the United States: 19‐year trend analysis , 2016, Transfusion.

[9]  J. Grant-Casey,et al.  Where do all the red blood cells (RBCs) go? Results of a survey of RBC use in England and North Wales in 2014 , 2016, Transfusion.

[10]  C. Thornton,et al.  Bradykinin and cysteinyl leukotriene concentrations in cell‐salvaged blood before and after passage through negatively charged filters during clinical use in cancer patients: a pilot study , 2015, Anaesthesia.

[11]  M. Loibl,et al.  Fat removal during cell salvage: a comparison of four different cell salvage devices , 2015, Transfusion.

[12]  A. Dahan,et al.  Cell Salvage in Hip and Knee Arthroplasty: A Meta-Analysis of Randomized Controlled Trials. , 2015, The Journal of bone and joint surgery. American volume.

[13]  T. Collier,et al.  Haemoconcentration of residual cardiopulmonary bypass blood using Hemosep®: a randomised controlled trial , 2015, Anaesthesia.

[14]  T. Haas,et al.  Evaluation of the minimum volume of salvage blood required for the successful use of two different autotransfusion devices , 2015, Paediatric anaesthesia.

[15]  Kehu Yang,et al.  Cell salvage in emergency trauma surgery. , 2015, The Cochrane database of systematic reviews.

[16]  J. Morton,et al.  Does mechanical filtration of intraoperative cell salvage effectively remove titanium debris generated during instrumented spinal surgery? An in vitro analysis. , 2014, The spine journal : official journal of the North American Spine Society.

[17]  J. Lightdale,et al.  Economic evaluation of cell salvage in pediatric surgery , 2013, Paediatric anaesthesia.

[18]  M. Acker,et al.  Blood transfusion and infection after cardiac surgery. , 2013, The Annals of thoracic surgery.

[19]  D. Sessler,et al.  Inflammatory response, immunosuppression, and cancer recurrence after perioperative blood transfusions. , 2013, British journal of anaesthesia.

[20]  H. Doughty,et al.  Intraoperative cell salvage in a combat support hospital: a prospective proof of concept study , 2013, Transfusion.

[21]  Michael F Swartz,et al.  Transfusion of Cell Saver Salvaged Blood in Neonates and Infants Undergoing Open Heart Surgery Significantly Reduces RBC and Coagulant Product Transfusions and Donor Exposures: Results of a Prospective, Randomized, Clinical Trial* , 2013, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[22]  N. Shah,et al.  Clinical efficacy and cost effectiveness of intraoperative cell salvage in pelvic trauma surgery. , 2011, Annals of the Royal College of Surgeons of England.

[23]  S. Yentis,et al.  An evaluation of the ability of leucocyte depletion filters to remove components of amniotic fluid * , 2012, Anaesthesia.

[24]  P. Barclay,et al.  The economic benefits of cell salvage in obstetric haemorrhage. , 2012, International journal of obstetric anesthesia.

[25]  K. Chipperfield,et al.  Should intraoperative cell-salvaged blood be used in patients with suspected or known malignancy? , 2012, Canadian Journal of Anesthesia/Journal canadien d'anesthésie.

[26]  M. Muñoz,et al.  Laboratory characteristics and clinical utility of post-operative cell salvage: washed or unwashed blood transfusion? , 2011, Blood transfusion = Trasfusione del sangue.

[27]  Howard K. Song,et al.  2011 update to the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists blood conservation clinical practice guidelines. , 2011, The Annals of thoracic surgery.

[28]  J. Waters,et al.  Intra-operative cell salvage: a fresh look at the indications and contraindications. , 2011, Blood transfusion = Trasfusione del sangue.

[29]  J. Lavoie.  Blood transfusion risks and alternative strategies in pediatric patients , 2011, Paediatric anaesthesia.

[30]  Howard K. Song,et al.  Update to The Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists Blood Conservation Clinical Practice Guidelines , 2011 .

[31]  A. Moxey,et al.  Cell salvage for minimising perioperative allogeneic blood transfusion. , 2010, The Cochrane database of systematic reviews.

[32]  J. Beckstead,et al.  Efficacy of Intraoperative Cell Salvage Systems in Pediatric Idiopathic Scoliosis Patients Undergoing Posterior Spinal Fusion With Segmental Spinal Instrumentation , 2010, Spine.

[33]  D. Chestnut.  Use of a leucocyte filter to remove tumour cells from intra-operative cell salvage blood , 2010 .

[34]  J. Isaac,et al.  Blood transfusion and the anaesthetist: intra-operative cell salvage , 2009 .

[35]  D. Bainbridge,et al.  The Efficacy of an Intraoperative Cell Saver During Cardiac Surgery: A Meta-Analysis of Randomized Trials , 2009, Anesthesia and analgesia.

[36]  S. Catling,et al.  Use of a leucocyte filter to remove tumour cells from intra‐operative cell salvage blood , 2008, Anaesthesia.

[37]  L. Sharples,et al.  A Randomized Controlled Trial of Cell Salvage in Routine Cardiac Surgery , 2008, Anesthesia and analgesia.

[38]  A. Bogers,et al.  Intraoperative cell salvage in infants undergoing elective cardiac surgery: a prospective trial. , 2008, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[39]  J. Waters,et al.  A comparison of hemolysis and red cell mechanical fragility in blood collected with different cell salvage suction devices , 2008, Transfusion.

[40]  H. Takagi,et al.  Intraoperative autotransfusion in abdominal aortic aneurysm surgery: meta-analysis of randomized controlled trials. , 2007, Archives of surgery.

[41]  V. Clark,et al.  Survey of cell-salvage use in obstetrics in the UK. , 2007 .

[42]  G. Lauder.  Pre‐operative predeposit autologous donation in children presenting for elective surgery: a review , 2007, Transfusion medicine.

[43]  F. Serracino-Inglott,et al.  The use of a cell saver during repair of ruptured abdominal aortic aneurysms increases early survival. , 2005, Annals of the Royal College of Surgeons of England.

[44]  A. Singh,et al.  Simplified method of skin closure with a knot-free absorbable subcuticular suture. , 2005, Annals of the Royal College of Surgeons of England.

[45]  C. McCollum,et al.  Does washing swabs increase the efficiency of red cell recovery by cell salvage in aortic surgery? , 2005, Vox sanguinis.

[46]  J. Fearon.  Reducing Allogenic Blood Transfusions during Pediatric Cranial Vault Surgical Procedures:: A Prospective Analysis of Blood Recycling , 2004, Plastic and reconstructive surgery.

[47]  J. Waters,et al.  Bacterial Reduction by Cell Salvage Washing and Leukocyte Depletion Filtration , 2003, Anesthesiology.

[48]  S. Catling,et al.  Cell salvage in obstetrics: an evaluation of the ability of cell salvage combined with leucocyte depletion filtration to remove amniotic fluid from operative blood loss at caesarean section. , 1999, International journal of obstetric anesthesia.

[49]  Scotland , 1928 .