Red blood cell salvage during obstetric hemorrhage

Obstetrics and Gynecology
Megan E MilneJonathan H Waters

Abstract

To describe which obstetric patients lose enough blood during postpartum hemorrhage to receive a reinfusion of intraoperative blood salvage. Eight years of intraoperative blood salvage data from a regional tertiary care maternity hospital were analyzed. The volume of blood returned through intraoperative blood salvage was standardized to the volume of red blood cells in an allogeneic red blood cell unit from the blood bank. There were 884 obstetric hemorrhage cases in which intraoperative blood salvage was utilized. Sufficient blood was collected by intraoperative blood salvage to permit reinfusion in 189 of 884 (21%) patients. For patients in whom intraoperative blood salvage blood was reinfused, the mean ± standard deviation number of reinfused shed blood units was 1.2 ± 1.1 units. Although intraoperative blood salvage was most commonly performed on patients who underwent routine cesarean delivery (748/884 patients), only 13% of these patients received an intraoperative blood salvage reinfusion; 73% of the patients undergoing cesarean hysterectomy, 69% of those who had bleeding after cesarean delivery, and 53% of the patients who bled after vaginal delivery received an intraoperative blood salvage reinfusion (P<.001). Althoug...Continue Reading

References

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Citations

May 18, 2016·Medicina intensiva·E Guasch, F Gilsanz
Mar 16, 2017·Current Opinion in Anaesthesiology·Holger NebPatrick Meybohm
Oct 25, 2016·The Journal of Perinatal & Neonatal Nursing·Suzanne McMurtry BairdMargaret Betsy Babb Kennedy
Oct 8, 2015·Obstetrics and Gynecology·Richard HubbardMark H Yazer
Aug 18, 2017·MCN. the American Journal of Maternal Child Nursing·Julia A Greenawalt, Denise Zernell
May 31, 2019·Transfusion·Jonathan H WatersMark H Yazer

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