Anaes SAQs · Perioperative medicine
Intraoperative cell salvage
Final-examination SAQ for cell-salvage.
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ANZCAFRCAEDAICABAFCAI
Prompt
A 78-year-old revision THR is expected to lose 1–1.5 L. Discuss intraoperative cell salvage in this case.
Model answer
Indication (3). EBL >>500 mL; ICS likely reduces allogeneic RBC need.[1]
Process (3). Collect, wash, reinfuse autologous RBCs; trained operator.[2]
Limits (3). No factors/platelets; still need TXA/haemostasis/bank backup.[2]
Consent (3). Autologous nature, residual risks, alternatives.[1][2]
PBM (3). Preop anaemia, temperature, thresholds.[1][3]
References3ShowHide
- [1]Klein AA, Bailey CR, Charlton AJ, et al. Association of Anaesthetists guidelines: cell salvage for peri-operative blood conservation 2018. Anaesthesia, 2018.PMID 29989144
- [2]Ashworth A, Klein AA Cell salvage as part of a blood conservation strategy in anaesthesia. British Journal of Anaesthesia, 2010.PMID 20802228
- [3]Mazer CD, Whitlock RP, Fergusson DA, et al. Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery. New England Journal of Medicine, 2017.PMID 29130845