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Modern autotransfusion. Experience with a washed red cell processing technique

W V Sharp, M Stark, D L Donovan

American Journal of Surgery

|October 1, 1981

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The Haemonetics Cell Saver offers safe intraoperative autotransfusion by washing red blood cells. This method is efficient and economical for surgical patients losing significant blood.

Area of Science:

Cardiovascular Surgery
Hematology
Medical Devices

Background:

Intraoperative autotransfusion (IAT) is a critical technique for managing blood loss during surgery.
The Haemonetics Cell Saver is a device designed to process shed blood for reinfusion.

Purpose of the Study:

To describe the technique of intraoperative autotransfusion using the Haemonetics Cell Saver.
To evaluate the safety and efficacy of this IAT method in a clinical setting.

Main Methods:

The Haemonetics Cell Saver was utilized to separate and wash red blood cells from the surgical field.
Experience with 136 consecutive cases (101 elective, 35 emergency) was reviewed.

Main Results:

The Cell Saver offers advantages including no need for systemic anticoagulation and removal of debris and plasma hemoglobin.

Related Experiment Videos

A coagulopathy complication rate of 5.1% was observed, primarily in patients receiving >3,500 cm³ of autotransfused blood.

The device is effective for patients with anticipated blood loss >1,000 cm³ and in emergency situations.

Conclusions:

The Haemonetics Cell Saver provides an efficient, economical, and safe method for intraoperative autotransfusion.
It is a valuable adjunct for surgical patients experiencing significant blood loss or in emergency scenarios.
Coagulopathy is a manageable complication associated with large-volume autotransfusion.