| Are cell salvage and autologous blood transfusion safe in endonasal surgery? | |
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MedLine Citation:
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PMID: 20176278 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Endoscopic transnasal approaches to the skull base and intracranial disease are an emerging subspecialty. The limits of this approach are often dictated by exposure and blood loss. Cell salvage techniques are widely used in other surgical fields. However, in otolaryngology, questions remain regarding its safety because work is performed in a contaminated field. In this literature review, we present the evidence for perioperative cell saver blood transfusion in potentially contaminated fields and the need for further investigation of its use in endonasal surgery. DATA SOURCES: MEDLINE and Evidence Based Medicine Reviews databases were searched for relevant articles. REVIEW METHODS: All English articles discussing autologous blood transfusion in endonasal surgery were reviewed. RESULTS: Despite a wide search pattern, no articles that discuss this topic were found in the English literature. Therefore, we went on to present data on the general use of cell saver blood in contaminated fields. CONCLUSION: Cell saver blood is widely accepted in surgery. It offers many advantages in elective operations in which blood loss is expected to be significant. Cell saver blood has been transfused from contaminated fields in other forms of surgery without an associated increase in morbidity. There is good evidence that antibiotic prophylaxis is mandatory in this setting. There is no direct evidence that cell salvage blood is safe in endonasal surgery. Cell salvage is part of a multimodality approach, including the use of hypotensive anesthesia, topical procoagulants, a dedicated team with appropriate equipment, and a good surgical technique with a focus on hemostasis. |
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Authors:
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Shane Anderson; Ben Panizza |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 142 ISSN: 1097-6817 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-23 Completed Date: 2010-03-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: S3-6 Citation Subset: IM |
Copyright Information:
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Copyright 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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The University of Queensland, The Princess Alexandra Hospital, Department of Otolaryngology-Head and Neck Surgery, Queensland Institute of Medical Research, Brisbane, Queensland, Australia. andotown@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Loss, Surgical
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prevention & control* Blood Preservation Blood Transfusion, Autologous* Cytapheresis Endoscopy / adverse effects* Erythrocyte Transfusion* Humans Nose / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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