Autologous blood transfusion in medical practice
Cell salvage is a medical procedure that collects, cleans, and re-infuses a patient’s own blood conventionally during surgery, significantly reducing the need for allogeneic blood transfusions. This technique is essential in surgeries characterized by significant expected blood loss, such as in cardiac and vascular settings. The use of autologous blood through cell salvage offers several benefits, including a reduced risk of bloodborne infections and immunologic reactions, and enhanced overall patient safety.
How does cell salvage work?
During surgery, blood lost by the patient is presently collected via a suction device and then processed in a cell salvage machine. This machine washes the red blood cells, removing plasma, platelets, and contaminants. The purified red blood cells are concentrated and reinfused into the patient. This procedure not only conserves the patient’s own blood, ensuring a supply of autologous blood, but also guarantees that the reinfused blood is of high quality and devoid of unwanted rudiments typically found in stored, banked blood.
The critical role of red blood cell washing
Washing the collected blood is a critical step in the cell salvage process. It effectively helps to remove inflammatory mediators, contaminants, and free hemoglobin that could potentially lead to complications like kidney damage or coagulation disorders. This vital blood washing procedure ensures that the red blood cells reintroduced into the patient are capable of optimal oxygen delivery and minimize the risk of adverse reactions.
The evolution of cell salvage techniques
The current standard in cell salvage technology is the use of centrifugal washing machines, commonly known as cell savers. These machines standardly include a washing procedure that ensures the processing of high-quality, transfusable red blood cells. In contrast, earlier alternative cell salvage methods often relied on coarse filters that did not include a washing step, which could leave contaminants that potentially cause adverse effects. However, advancements in technology have led to the development of more sophisticated microfiltration methods. These improved filtration methods incorporate thorough washing processes, significantly enhancing the safety and effectiveness of autologous transfusions. A unique advantage of the filter procedure is that collected platelets are not destroyed by centrifugal forces but captured with the red blood cells in a non-activated state.
HemoClear advancing cell salvage technology
The Hemoclear micro-filtration method marks an advancement in cell salvage technology by incorporating a meticulous washing process. This cell salavage method processes blood to a quality level comparable to traditional cell savers. A key advantage of this technology is that it boost autologous blood transfusion options with the independency on specialized equipment or certified operators, it can be used by any healthcare professional in various settings. Additionally, due to the absence of harsh centrifugal forces, platelets are not damaged and are captured in a non-activated state, further improving patient recovery.
Boosting patient blood management with advanced cell salvage techniques
By adopting advanced cell salvage techniques and technologies, medical professionals can strengthen patient blood management pmb strategies, leading to safer surgical procedures and improved postoperative blood transfusion outcomes. As research progresses and technologies evolve, the role of cell salvage in medicine is poised to become increasingly crucial, highlighting its importance in modern healthcare practices.