Evaluation of Quality of Intraoperative Salvaged Red Blood Cells Processed by CATS(Plus).
- Author:
Young Jin KIM
1
;
Jung Sub LEE
;
Jae Young KWON
;
Du Yeal SONG
;
Eun Yup LEE
;
Han Chul SON
;
Hyung Hoi KIM
Author Information
1. Department of Laboratory Medicine, School of Medicine, Pusan National University, Busan, Korea. hhkim@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Safety;
Intraoperative autologous transfusion;
CATS plus;
Hemolysis
- MeSH:
Adult;
Blood Transfusion, Autologous;
Erythrocytes;
Hemoglobins;
Hemolysis;
Humans;
Potassium;
Spine;
Staphylococcus
- From:Korean Journal of Blood Transfusion
2009;20(2):113-119
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: CATS(Plus) (continuous autotransfusion system, Fresenius Kabi, Friedberg, Germany) is a continuous, chamber type cell salvage system for performing an intraoperative autologous transfusion. We evaluated the quality of intraoperative salvaged red blood cells processed by CATS(Plus). METHODS: A total 20 adult patients undergone lumbar spine surgery were enrolled in this study. Laboratory tests including albumin, potassium, free hemoglobin, and bacterial culture were performed and the % albumin removal was calculated. RESULTS: The average albumin, potassium, and free hemoglobin concentration were 4 g/L, 4.86 mEq/L, 4.50 g/L, respectively. Mean albumin removal was 87%. Bacterial culture was positive in 11 of the 20 cases and staphylococcus species were isolated in all of the culture positive cases. CONCLUSION: For safe use of salvaged red blood cells, laboratory tests for potassium and free hemoglobin concentration would be necessary before administration.
