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The cell saver during cardiac surgery: does it save?

T L Winton, E J Charrette, T A Salerno

    The Annals of Thoracic Surgery
    |April 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    Autotransfusion using the Haemonetics Cell Saver System salvaged packed red cells during cardiac surgery. However, this method proved not cost-effective for reducing homologous blood needs in routine operations.

    Area of Science:

    • Cardiovascular Surgery
    • Transfusion Medicine

    Background:

    • Autologous blood conservation and autotransfusion are strategies to reduce homologous blood use in cardiac surgery.
    • The Haemonetics Cell Saver System is one method for salvaging shed blood during surgical procedures.

    Purpose of the Study:

    • To evaluate the effectiveness and cost-effectiveness of the Haemonetics Cell Saver System in reducing homologous blood requirements during cardiac surgery.

    Main Methods:

    • The Haemonetics Cell Saver System was used to salvage blood from the sterile surgical field in 20 patients undergoing cardiopulmonary bypass.
    • Net savings of packed red cells were calculated.

    Main Results:

    • A net saving of 105 +/- 88.7 ml of packed red cells was achieved per patient.

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  • The system did not demonstrate cost-effectiveness in saving blood or decreasing homologous blood requirements.

    • Conclusions:

    • While autotransfusion can salvage blood, the Haemonetics Cell Saver System is not currently a cost-effective solution for routine cardiac operations.
    • Further research may be needed to optimize autotransfusion strategies for economic viability in cardiac surgery.