The benefit of the Hemonetics cell saver apparatus during cardiac surgery

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
R I HallD C Finlayson

Abstract

This retrospective chart review of 155 patients having coronary artery bypass graft surgery (CABG) over a two-month period determined whether the use of a cell saver apparatus (CSA) (1) reduced or increased the requirements for homologous blood; (2) increased the incidence of post-surgical bleeding; (3) was cost-effective. Two groups of patients were identified. Group 1 (n = 99) received both CSA processed red blood cells and homologous blood components. Requirement for homologous blood products was reduced in the first 24 hr after surgery (0.5 +/- 1.0 vs 1.3 +/- 1.8 units; P less than 0.05) when compared with Group 2 (n = 56) in whom only homologous blood products were utilized. More patients in Group 1 had no transfusion requirements (45 vs 8; P less than 0.05) and there was no increased risk of major haemorrhage. When the capital costs are included, utilization of the CSA was not cost-effective. We conclude that utilisation of a CSA was safe, with no increased risk of bleeding, reduced requirements for homologous blood transfusions, but added to the cost of the procedure.

References

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Citations

Jan 25, 2008·Journal of Thrombosis and Thrombolysis·Maryam Yavari, Richard C Becker
Feb 25, 2011·The Heart Surgery Forum·George VretzakisMenelaos Karanikolas
Apr 14, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Henrik Jönsson
Jan 1, 1996·Perfusion·T SakertI Christlieb
Sep 22, 2001·Perfusion·M H Cross
May 4, 2001·Perfusion·M H Cross
Jan 1, 1993·Upsala Journal of Medical Sciences·L Lind, S Johansson

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