Obstetric intra-operative cell salvage: a review of an established cell salvage service with 1170 re-infused cases

Anaesthesia

Volumn 74, Issue 8, 2019, Pages 976-983

  Sullivan, I J ^a   Ralph, C J ^a  

^a ROYAL CORNWALL HOSPITALS NHS TRUST   (United Kingdom)

Author keywords

autologous transfusion; blood transfusion; caesarean section; cell salvage; obstetrics; patient blood management

Indexed keywords

FRESH FROZEN PLASMA; RHO(D) ANTIGEN;

ALLOIMMUNIZATION; AMNION FLUID EMBOLISM; ARTICLE; BLOOD SALVAGE; BLOOD SAMPLING; BLOOD TRANSFUSION; CESAREAN SECTION; COHORT ANALYSIS; COST; CRYOPRECIPITATE; ERYTHROCYTE; ERYTHROCYTE TRANSFUSION; FEMALE; HUMAN; HUMAN CELL; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; QUALITY CONTROL; RETROSPECTIVE STUDY; SENSITIZATION; SUCTION; THROMBOCYTE TRANSFUSION; ANALYSIS; BLOOD GROUP RHESUS SYSTEM; ECONOMICS; PREGNANCY;

CESAREAN SECTION; ERYTHROCYTE TRANSFUSION; FEMALE; HUMANS; OPERATIVE BLOOD SALVAGE; PREGNANCY; RETROSPECTIVE STUDIES; RH-HR BLOOD-GROUP SYSTEM;

EID: 85063433128     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/anae.14630     Document Type: Article

References (26)

1. Knight M, Nair M, Tuffnell D, Shakespeare J, Kenyon S, Kurinczuk JJ. Saving lives, improving mothers’ care. Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2013–15. Maternal, Newborn and Infant Clinical Outcome Review Programme (MBRRACE-UK) 2017. https://www.npeu.ox.ac.uk/downloads/files/mbrrace-uk/reports/MBRRACE-UK%20Maternal%20Report%202017%20-%20Web.pdf (accessed 09/02/2019).
2. Royal College of Obstetricians and Gynaecologists. Blood transfusion in obstetrics. Green-top guideline No. 47, 2015. https://www.rcog.org.uk/globalassets/documents/guidelines/gtg-47.pdf (accessed 09/02/2019).
3. NHS digital. NHS Maternity Statistics, England 2016-17, 2019. https://digital.nhs.uk/data-and-information/publications/statistical/nhs-maternity-statistics/2016-17 (accessed 09/02/2019).
4. Klein AA, Bailey CR, Evans E, et al. Association of Anaesthetists guidelines: cell salvage for peri-operative blood conservation 2018. Anaesthesia 2018; 73: 1141–50.
5. Khan KS, Moore PAS, Wilson MJ, et al. Cell salvage and donor blood transfusion during cesarean section: a pragmatic, multicentre randomised controlled trial (SALVO). PLOS Medicine 2017; 14: e1002471.
6. NATA. P37. Nelissen E, Vaughan-Williams S, Birchall J, et al. Exploring the availability and acceptability of cell salvage after vaginal birth in the UK: The SalVage Study, 2018. http://www.nataonline.com/sites/default/files/imagesC/19th_Annual_NATA_Symposium_Abstract_Book.pdf (accessed 09/02/2019).
7. Domen RE. Adverse reactions associated with autologous blood transfusion: evaluation and incidence at a large academic hospital. Transfusion 1998; 38: 296–300.
8. Davis M, Sofer M, Gomez-Marin O, Bruck D, Soloway MS. The use of cell salvage during radical retropubic prostatectomy: does it influence cancer recurrence. British Journal of Urology International 2003; 91: 474–6.
9. Innerhofer P, Klingler A, Klimmer C, Fries D, Nussbaumer W. Risk for postoperative infection after transfusion of white blood cell-filtered allogenic or autologous blood components in orthopedic patients undergoing primary arthoplasty. Transfusion 2005; 45: 103–10.
10. Duffy G, Neal KR. Differences in post-operative infection rates between patients receiving autologous and allogenic blood transfusion: a meta-analysis of published randomized and nonrandomized studies. Transfusion Medicine 1996; 6: 325–8.
11. Vamvakas EC. Meta-analysis of randomized controlled trials investigating the risk of postoperative infection in association with white blood cell-containing allogenic blood transfusion: the effects of the type of transfused red blood cell product and surgical setting. Transfusion Medicine Reviews 2002; 16: 304–14.
12. Karkouti K, Wijeysundera DN, Yau TM, et al. The independent association of massive blood loss with mortality in cardiac surgery. Transfusion 2004; 44: 1453–62.
13. Koch CG, Li L, Duncan AI, et al. Morbidity and mortality risk is associated with red blood cell and blood-component transfusion in isolated coronary artery bypass grafting. Critical Care Medicine 2006; 34: 1608–16.
14. Blumberg N, Heal JM. Blood transfusion immunomodulation: the silent epidemic. Archives of Pathology and Laboratory Medicine 1998; 122: 117–19.
15. Sullivan I, Faulds J, Ralph C. Contamination of salvaged maternal blood by amniotic fluid and fetal red cells during elective Caesarean section. British Journal of Anaesthesia 2008; 101: 225–9.
16. Haynes SL, Bennett JR, Torella F, et al. Does washing swabs increase the efficiency of red cell recovery by cell salvage in aortic surgery? Vox Sanguinis 2005; 88: 244–8.
17. Sullivan IJ, Faulds JN. Assessment of intra-operative cell salvage haemolysis in the obstetric and orthopaedic clinical setting, in comparison with allogeneic blood. Transfusion Medicine 2014; 24: 280–5.
18. Geoghegan J, Daniels JP, Moore PA, Thompson PJ, Khan KS, Gulmezoglu AM. Cell salvage at caesarean section: the need for an evidence-based approach. British Journal of Obstetrics and Gynaecology 2009; 116: 743–7.
19. WOMAN trial collaborators. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. Lancet 2017; 389: 2105–16.
20. Ralph CJ, Sullivan I, Faulds J. Intraoperative cell salvaged blood as part of a blood conservation strategy in Caesarean section: is fetal red cell contamination important? British Journal of Anaesthesia 2011; 107: 404–8.
21. King M, Wrench I, Galimberti A, Spray R. Introduction of cell salvage to a large obstetric unit: the first six months. International Journal of Obstetric Anesthesia 2009; 18: 111–17.
22. Haemonetics®. Cell saver 5+. Standard of care in intraoperative autotransfusion, 2012. http://www.haemonetics.com/~/media/sharepoint/devices/cell_saver_5+/marketing/brochures/colpp000009usbrochurecs5pdf.ashx (accessed 09/02/2019).
23. P-688. Haynes SL, Ralph C, Thomas D. Cell salvage incident reporting – the UK experience. Vox Sanguinis 2017; : 278.
24. SHOTUK. Annual SHOT Report 2017, 2017. https://www.shotuk.org/shot-reports (accessed 09/02/2019).
25. Sullivan IJ, Ralph CJ. Obstetric intra-operative cell salvage and maternal fetal red cell contamination. Transfusion Medicine 2018; 28: 298–303.
26. Teare KM, Sullivan IJ, Ralph CJ. Is cell salvaged blood vaginal blood loss suitable for re-infusion? International Journal of Obstetric Anesthesia 2015; 24: 103–10.