Orthopedic autotransfusion is an effective technique that should be available to patients having total knee arthroplasty. Patient safety, however, must not be compromised simply because the blood is autologous. Blood products, in any form, require close observation and careful administration. The best results are achieved when the physician and all nursing departments involved have comprehensive knowledge of the system and the guidelines for its safe use.
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Cell Salvage Using the Autotransfusion Device CATSmart: A Randomized Controlled Bicentric Trial Evaluating the Quality of Two New Flex Wash Programs.
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December 2024
Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Background: The use of cell salvage and autologous blood transfusion is an important and widespread method of blood conservation during surgeries with expected high blood loss. The continuous autotransfusion device CATSmart (Fresenius Kabi, Germany) contains two new washing programs on the device called Flex wash 3 and Flex wash 5. To the best of our knowledge, there are no published clinical data regarding the performance of the two new washing programs.
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J Musculoskelet Neuronal Interact
December 2024
Department of Orthopedics, Beijing Tongren Hospital of Capital Medical University, Beijing, China.
Article Synopsis
- The study examines the occurrence and factors influencing hidden blood loss during surgery in elderly patients with hip fractures.
- Out of 145 patients analyzed, 42 experienced occult blood loss, resulting in an incidence rate of about 29%.
- Key factors linked to this blood loss include the type of surgical procedure, anesthesia used, drainage post-surgery, and autologous blood transfusion practices, indicating the need for preventive strategies in clinical settings.
RECENT TRENDS IN THE USE OF CELL SALVAGER FOR ORTHOPAEDIC TRAUMA AND ELECTIVE SURGERIES-A NARRATIVE REVIEW.
Georgian Med News
September 2024
University Hospitals Sussex NHS Foundation Trust, United Kingdom.
Intraoperative blood loss management is a critical concern in orthopaedic surgeries, particularly in trauma and complex elective procedures. Traditionally, allogeneic blood transfusions have been used to manage significant blood loss, but they carry risks such as transfusion reactions, infections, and increased healthcare costs. Cell salvage, or autotransfusion, offers a safer alternative by collecting, processing, and reinfusing the patient's own blood during surgery.
View Article and Find Full Text PDFEfficacy of Preoperative Autologous Blood Donation for Surgical Treatment of Thoracic Spinal Stenosis: A Propensity-Matched Cohort Study.
Orthop Surg
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Department of Orthopedics, Peking University Third Hospital, Beijing, China.
Objective: Thoracic spinal stenosis (TSS) surgeries necessitate a substantial amount of allogeneic blood resources. However, the efficacy of preoperative autologous blood donation (PABD) in TSS surgery has not been clearly evaluated. Therefore, we aimed to evaluate the efficacy of PABD for TSS surgery.
View Article and Find Full Text PDFIntraoperative cell salvage reduces postoperative allogeneic blood transfusion and shortens off-bed time in simultaneous bilateral total hip arthroplasty: a single-center retrospective study.
BMC Musculoskelet Disord
August 2024
Department of Orthopaedics, Qilu Hospital of Shandong University, No. 107 West Wenhua Road, Jinan, 250012, Shandong, People's Republic of China.
Background: Simultaneous bilateral total hip arthroplasty (SI-THA) results in more blood loss and a greater need for postoperative allogeneic blood transfusion (ABT). Previous studies have reported that multimodal patient blood management (PBM) strategies were associated with a smaller effect of intraoperative cell salvage (ICS) in unilateral total hip arthroplasty. However, there are few studies on the role of ICS in SI-THA.
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