Document Detail

Does washing swabs increase the efficiency of red cell recovery by cell salvage in aortic surgery?
MedLine Citation:
PMID:  15877645     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: We investigated the contribution of swab washing to the efficiency of red cell recovery by intraoperative cell salvage (ICS) in 10 patients undergoing elective aortic aneurysm repair. MATERIALS AND METHODS: Volumes and haemoglobin (Hb) concentrations were recorded in the blood recovered by direct suction and from washed swabs, both before and after processing with a Haemonetics Cell Saver 5. RESULTS: The mean +/- standard deviation (SD) estimated blood loss was 991 +/- 403 ml, resulting in a mean +/- SD salvaged RBC volume of 380 +/- 124 ml. The median [interquartile (IQR) range] Hb collected from suction was 84.9 (61.8-131.4) g, of which 50.1 (45-71.5) g was returned to the patient after processing, a median yield of 68 (49-77)%. The swab wash produced a median (IQR) Hb of 39.4 (28.4-64.9) g, of which 26.2 (16.8-31) g was reinfused, a 67 (33-98)% yield. Swab wash thus contributed with a median (IQR) of 31 (24-39)% of the total RBC recovery. CONCLUSIONS: Washing swabs improves the efficiency of red cell recovery by ICS.
S L Haynes; J R Bennett; F Torella; C N McCollum
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Vox sanguinis     Volume:  88     ISSN:  0042-9007     ISO Abbreviation:  Vox Sang.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-09     Completed Date:  2005-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0413606     Medline TA:  Vox Sang     Country:  England    
Other Details:
Languages:  eng     Pagination:  244-8     Citation Subset:  IM    
Academic Surgery Unit, South Manchester University Hospital Trust, Manchester, UK.
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MeSH Terms
Aortic Aneurysm / surgery*
Blood Loss, Surgical / prevention & control*
Blood Transfusion, Autologous / methods*
Hemoglobins / analysis
Intraoperative Care / methods
Surgical Procedures, Elective
Reg. No./Substance:

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