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Related Experiment Videos

Autotransfusion utilization in abdominal trauma

L A Smith1, D E Barker, R P Burns

  • 1Department of Surgery, University of Tennessee School of Medicine, Chattanooga 37403, USA.

The American Surgeon
|January 1, 1997
PubMed
Summary
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Autotransfusion using the Haemonetics Cell Saver is a cost-effective method for trauma patients. This technique significantly reduces blood transfusion costs compared to traditional blood bank supplies.

Area of Science:

  • Medical Science
  • Surgical Innovation
  • Health Economics

Background:

  • Autotransfusion, the reinfusion of a patient's own blood, is an established practice in surgery.
  • The economic and practical utility of intraoperative autotransfusion in trauma care requires ongoing evaluation.

Purpose of the Study:

  • To evaluate the cost-effectiveness and utility of the Haemonetics Cell Saver autotransfusion device in trauma patients.
  • To compare the costs of autotransfusion with traditional blood bank transfusions for abdominal trauma cases.

Main Methods:

  • Retrospective chart review of trauma patients who underwent autotransfusion between January 1, 1993, and December 31, 1995.
  • Analysis of estimated blood loss, volume of salvaged autologous blood transfused, and associated costs.

Related Experiment Videos

  • Comparison of autotransfusion costs against estimated blood bank costs for equivalent transfusions.
  • Main Results:

    • Autotransfusion was utilized in 592 cases; 25% were nonorthopedic trauma.
    • For 126 isolated abdominal trauma patients, mean blood loss was 4864 cc, with 1547 cc of autologous blood transfused per patient.
    • Autotransfusion resulted in a cost saving of $51,271.00 compared to blood bank costs, with 75% of cases being cost-effective.

    Conclusions:

    • Intraoperative autotransfusion is a cost-effective and efficient method for providing blood products to operative trauma patients.
    • The Haemonetics Cell Saver demonstrates significant cost savings in the management of trauma-related blood loss.
    • Salvaged autologous blood can comprise a substantial portion of total blood transfused in trauma settings.