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Intraoperative Cell Salvage

UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK. Intraoperative Cell Salvage. Basic Blood Facts Blood Conservation Haemovigilance Principles of Intraoperative Cell Salvage Indications and Contraindications Practicalities – Blood Collection Practicalities – Blood Processing

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Intraoperative Cell Salvage

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  1. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Intraoperative Cell Salvage • Basic Blood Facts • Blood Conservation • Haemovigilance • Principles of Intraoperative Cell Salvage • Indications and Contraindications • Practicalities – Blood Collection • Practicalities – Blood Processing • Practicalities – Blood Reinfusion • Information and Best Practice • Unloading and Discarding

  2. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Learning Outcomes • To identify the equipment used for reinfusion and describe the function of each component • To describe the composition of the final product for reinfusion • To identify the conditions for reinfusion

  3. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Blood Reinfusion • ICS end product • RBCs in IV normal saline (0.9% NaCl) • Haematocrit ~ 50-70%

  4. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Blood Reinfusion • ICS end product • The decision to use blood that is potentially contaminated with bacteria, amniotic fluid or malignant cells should be made by the clinicians caring for the patients, taking into account the latest evidence and considering the risks and benefits for the individual patient.

  5. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Blood Reinfusion • ICS end product • In cases of massive haemorrhage, it is likely that the patient will require allogeneic (donor) blood components e.g. Platelets, Fresh Frozen Plasma, Cryoprecipitate and RBCs

  6. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Blood Reinfusion • Prescribing ICS Blood • The reinfusion of ICS blood should be prescribed by the responsible clinician on the documentation approved within your hospital.

  7. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Blood Reinfusion • Filters Obstetrics & malignancy

  8. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Blood Reinfusion • Reinfusion • “Storage” • Time limits • Reinfusion can occur: • While reinfusion bag is still attached to ICS disposable • The reinfusion line from the processing set must remain open for this set up. • Once it has been disconnected • The reinfusion bag should not be disconnected while the machine is processing.

  9. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Blood Reinfusion • Administration of ICS blood • Pre-transfusion checks • Standard blood transfusion practice • Baseline observations • Patient ID • Expiry time / damage or abnormality of blood • Administration of blood • Appropriate filter • Observations • Documentation

  10. UK CELL SALVAGE ACTION GROUP EDUCATION WORKBOOK Blood Reinfusion • Transfusion reactions • If a transfusion reaction is suspected, STOP the reinfusion and see immediate advice from the lead surgeon and/or anaesthetist. • Incident reporting (according to local policy)

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