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- Title
Intraoperative cell salvage: A technology built upon the failures, fads and fashions of blood transfusion.
- Authors
Roets, Michelle; Sturgess, David J.; Wyssusek, Kerstin; van Zundert, André A.
- Abstract
Transfusion, as we know it today, developed into a very sophisticated treatment modality as a result of centuries of experimentation. Intraoperative cell salvage is a transfusion technique where autologous blood lost during surgery is reinfused. The success of this process relies on specialised equipment and techniques to collect, process, anticoagulate filter and reinfuse blood. Through a literature review, we collected information about the early origins of specific techniques relevant to intraoperative cell salvage: the ability to collect lost blood, to prevent collected blood from clotting, to remove debris through processing and other harmful aspects through filtering, the benefits of autologous blood transfusion, reinfusion and traditional concerns and contraindications. A culmination of knowledge specific to each of these techniques over centuries provides the background to the safe intraoperative cell salvage technique used today. In addition, we aimed to identify the reasons why specific equipment and techniques developed, why practice changed and what is still unknown. This article reviews relevant allogeneic transfusion and autotransfusion history, starting in Roman times, and includes landmark events through the centuries.
- Subjects
AUTOTRANSFUSION of blood; BLOOD transfusion; BUILDING failures; WASTE salvage; OPERATIVE blood salvage; INTRAOPERATIVE care; SURGICAL blood loss
- Publication
Anaesthesia & Intensive Care, 2019, Vol 47, p17
- ISSN
0310-057X
- Publication type
journal article
- DOI
10.1177/0310057X19860161