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Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
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Cell Salvage at the ICU.

Stephan L Schmidbauer1, Timo F Seyfried2

  • 1Department of Anesthesiology, University Hospital Regensburg, 93053 Regensburg, Germany.

Journal of Clinical Medicine
|July 9, 2022
PubMed
Summary
This summary is machine-generated.

Patient Blood Management (PBM) utilizes cell salvage to preserve a patient's own blood, improving safety and reducing the need for transfusions. This technique is effective in various surgeries and intensive care settings.

Keywords:
ICUPatient Blood Managementanemiacell salvage

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Area of Science:

  • Anesthesiology
  • Transfusion Medicine
  • Surgical Patient Care

Background:

  • Patient Blood Management (PBM) is a systematic, evidence-based approach focused on preserving a patient's own blood to enhance safety.
  • Allogeneic banked blood transfusions carry risks and limitations, necessitating strategies to minimize their use.
  • Cell salvage is recognized as an effective method for reducing reliance on allogeneic blood.

Purpose of the Study:

  • To highlight cell salvage as a key component of Patient Blood Management.
  • To discuss the application and benefits of cell salvage in various surgical fields and intensive care units.
  • To explore the practical implementation, legal considerations, and cost-effectiveness of cell salvage devices.

Main Methods:

  • Systematic literature review and meta-analyses identifying cell salvage as an efficient blood management tool.
  • Analysis of cell salvage application in orthopedic, trauma, cardiac, vascular, and transplant surgery.
  • Evaluation of postoperative cell salvage use in intensive care units for cardiac and orthopedic surgery patients.

Main Results:

  • Cell salvage significantly reduces the demand for allogeneic banked blood across multiple surgical disciplines.
  • Postoperative cell salvage is feasible and beneficial for selected intensive care unit patients, particularly in cardiac and orthopedic surgery.
  • High-quality autologous blood retransfusion via cell salvage effectively combats postoperative anemia, avoiding side effects of unwashed shed blood.

Conclusions:

  • Cell salvage is a vital tool within Patient Blood Management, enhancing patient safety by preserving and utilizing autologous blood.
  • Implementing cell salvage with quality management, hygiene compliance, and staff training offers a cost-effective strategy to reduce allogeneic blood transfusions.
  • The use of cell salvage devices in intensive care units presents a viable and valuable option for managing blood resources and improving patient outcomes.