Intraoperative cell salvage is associated with reduced postoperative blood loss and transfusion requirements in cardiac surgery: A cohort study

Transfusion

Volumn 53, Issue 11, 2013, Pages 2782-2789

  Vonk, Alexander B A ^a   Meesters, Michael I ^a   Garnier, Robert P ^a   Romijn, Johannes W A ^a   Van Barneveld, Lerau J M ^a   Heymans, Martijn W ^a   Jansen, Evert K ^a   Boer, Christa ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

DOPAMINE; GLYCERYL TRINITRATE; HEPARIN; PROTAMINE; TRANEXAMIC ACID;

AGED; ARTICLE; BLOOD AUTOTRANSFUSION; BLOOD CLOTTING TEST; BLOOD SALVAGE; CARDIOPULMONARY BYPASS; CELL SALVAGE; COHORT ANALYSIS; CONTROLLED STUDY; ERYTHROCYTE TRANSFUSION; FEMALE; HEART INFARCTION; HEART SURGERY; HOSPITAL DISCHARGE; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; POSTOPERATIVE HEMORRHAGE; PROBABILITY; RETROSPECTIVE STUDY; THORAX SURGERY;

AGED; BLOOD TRANSFUSION, AUTOLOGOUS; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; COHORT STUDIES; ERYTHROCYTE TRANSFUSION; FEMALE; HUMANS; INTRAOPERATIVE PERIOD; LOGISTIC MODELS; MALE; MIDDLE AGED; POSTOPERATIVE HEMORRHAGE; RETROSPECTIVE STUDIES;

EID: 84887817720     PISSN: 00411132     EISSN: 15372995     Source Type: Journal    
DOI: 10.1111/trf.12126     Document Type: Article

References (31)

1. Society of Thoracic Surgeons Blood Conservation Guideline Task Force, Ferraris VA, Brown JR, Despotis GJ, Hammon JW, Reece TB, Saha SP, Song HK, Clough ER,; Society of Cardiovascular Anesthesiologists Special Task Force on Blood Transfusion, Shore-Lesserson LJ, Goodnough LT, Mazer CD, Shander A, Stafford-Smith M, Waters J,; International Consortium for Evidence Based Perfusion, Baker RA, Dickinson TA, FitzGerald DJ, Likosky DS, Shann KG,. 2011 update to the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists blood conservation clinical practice guidelines. Ann Thorac Surg 2011; 91: 944-982.
2. Dunning J, Versteegh M, Fabbri A, Pavie A, Kolh P, Lockowandt U, Nashef SA,; EACTS Audit and Guidelines Committee. EACTS Audit and Guidelines Committee. Guideline on antiplatelet and anticoagulation management in cardiac surgery. Eur J Cardiothorac Surg 2008; 34: 73-92.
3. Svitek V, Lonsky V, Anjum F,. Pathophysiological aspects of cardiotomy suction usage. Perfusion 2010; 25: 147-152.
4. Boodhwani M, Nathan HJ, Mesana TG, Rubens FD,; Cardiotomy Investigators. Effects of shed mediastinal blood on cardiovascular and pulmonary function: a randomized, double-blind study. Ann Thorac Surg 2008; 86: 1167-1173.
5. Westerberg M, Bengtsson A, Jeppsson A,. Coronary surgery without cardiotomy suction and autotransfusion reduces the postoperative systemic inflammatory response. Ann Thorac Surg 2004; 78: 54-59.
6. Vonk AB, Muntajit W, Bhagirath P, van, Barneveld LJ, Romijn JW, de, Vroege R, Boer C,. Residual blood processing by centrifugation, cell salvage or ultrafiltration in cardiac surgery: effects on clinical hemostatic and ex-vivo rheological parameters. Blood Coagul Fibrinolysis 2012; 23: 622-628.
7. Spain DA, Miller FB, Bergamini TM, Montgomery RC, Richardson JD,. Quality assessment of intraoperative blood salvage and autotransfusion. Am Surg 1997; 63: 1059-1063.
8. Gravelee GP, Hopkins MB, Yetter CR, Buss DH,. Heparin content of washed red blood cells from the cardiopulmonary bypass circuit. J Cardiothorac Vasc Anesth 1992; 6: 140-142.
9. Rubens FD, Boodhwani M, Mesana T, Wozny D, Wells G, Nathan HJ,; Cardiotomy Investigators. The cardiotomy trial: a randomized, double-blind study to assess the effect of processing of shed blood during cardiopulmonary bypass on transfusion and neurocognitive function. Circulation 2007; 116: 89-97.
10. Djaiani G, Fedorko L, Borger MA, Green R, Carroll J, Marcon M, Karski J,. Continuous-flow cell saver reduces cognitive decline in elderly patients after coronary bypass surgery. Circulation 2007; 116: 1888-1895.
11. Berg M, Justison G,. How would I establish a perioperative blood salvage program? Transfusion 2013; 53: 1888-1893.
12. Carless PA, Henry DA, Moxey AJ, O'Connell D, Brown T, Fergusson DA,. Cell salvage for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev 2010;(4): CD001888.
13. Wang G, Bainbridge D, Martin J, Cheng D,. The efficacy of an intraoperative cell saver during cardiac surgery: a meta-analysis of randomized trials. Anesth Analg 2009; 109: 320-330.
14. Attaran S, McIlroy D, Fabri BM, Pullan MD,. The use of cell salvage in routine cardiac surgery is ineffective and not cost-effective and should be reserved for selected cases. Interact Cardiovasc Thorac Surg 2011; 12: 824-826.
15. Klein AA, Nashef SA, Sharples L, Bottrill F, Dyer M, Armstrong J, Vuylsteke A,. A randomized controlled trial of cell salvage in routine cardiac surgery. Anesth Analg 2008; 107: 1487-1495.
16. Vonk AB, Meesters MI, Schats J, Romijn JW, Jansen EK, Boer C,. Removal of aprotinin from low-dose aprotinin/tranexamic acid antifibrinolytic therapy increases transfusion requirements in cardiothoracic surgery. Interact Cardiovasc Thorac Surg 2011; 12: 135-139.
17. McNutt LA, Wu C, Xue X, Hafner JP,. Estimating the relative risk in cohort studies and clinical trials of common outcomes. Am J Epidemiol 2003; 157: 940-943.
18. Weltert L, Nardella S, Rondinelli MB, Pierelli L, De Paulis R,. Reduction of allogeneic red blood cell usage during cardiac surgery by an integrated intra- and postoperative blood salvage strategy: results of a randomized comparison. Transfusion 2013; 53: 790-797
19. Nakamura Y, Masuda M, Toshima Y, Asou T, Oe M, Kinoshita K, Kawachi Y, Tanaka J, Tokunaga K,. Comparative study of cell saver and ultrafiltration nontransfusion in cardiac surgery. Ann Thorac Surg 1990; 49: 973-978.
20. Campbell J, Holland C, Richens D, Skinner H,. Impact of cell salvage during cardiac surgery on the thrombelastomeric coagulation profile: a pilot study. Perfusion 2012; 27: 221-224.
21. Murphy GJ, Rogers CS, Lansdowne WB, Channon I, Alwair H, Cohen A, Caputo M, Angelini GD,. Safety, efficacy, and cost of intraoperative cell salvage and autotransfusion after off-pump coronary artery bypass surgery: a randomized trial. J Thorac Cardiovasc Surg 2005; 130: 20-28.
22. de Haan J, Boonstra PW, Monnink SH, Ebels T, van, Oeveren W,. Retransfusion of suctioned blood during cardiopulmonary bypass impairs hemostasis. Ann Thorac Surg 1995; 59: 901-907.
23. Tabuchi N, de Haan J, Boonstra PW, van, Oeveren W,. Activation of fibrinolysis in the pericardial cavity during cardiopulmonary bypass. J Thorac Cardiovasc Surg 1993; 106: 828-833.
24. Vertrees RA, Conti VR, Lick SD, Zwischenberger JB, Mc-Daniel LB, Shulman G,. Adverse effects of postoperative infusion of shed mediastinal blood. Ann Thorac Surg 1996; 62: 717-723.
25. Edmunds LH Jr, Colman RW,. Thrombin during cardiopulmonary bypass. Ann Thorac Surg 2006; 82: 2315-2322.
26. Strand K, Walther SM, Reinikainen M, Ala-Kokko T, Nolin T, Martner J, Mussalo P, Søreide E, Flaatten HK,. Variations in the length of stay of intensive care unit nonsurvivors in three Scandinavian countries. Crit Care 2010; 14: R175.
27. Daane CR, Golab HD, Meeder JH, Wijers MJ, Bogers AJ,. Processing and transfusion of residual cardiopulmonary bypass volume: effects on haemostasis, complement activation, postoperative blood loss and transfusion volume. Perfusion 2003; 18: 115-121.
28. Liumbruno GM, Liumbruno C, Rafanelli D,. Intraoperative cell salvage in obstetrics: is it a real therapeutic option? Transfusion 2011; 51: 2244-2256.
29. Waters JH, Dyga RM, Waters JF, Yazer MH,. The volume of returned red blood cells in a large blood salvage program: where does it all go? Transfusion 2011; 51: 26-32.
30. Davies L, Brown TJ, Haynes S, Payne K, Elliott RA, McCollum C,. Cost-effectiveness of cell salvage and alternative methods of minimising perioperative allogeneic blood transfusion: a systematic review and economic model. Health Technol Assess 2006; 10: 1-210.
31. Shafer SL, Dexter F,. Publication bias, retrospective bias, and reproducibility of significant results in observational studies. Anesth Analg 2012; 114: 931-932.