A restrospective analysis of intraoperative cell salvage during cesarean delivery

VernacularTitle:剖宫产术中回收式自体输血的回顾性分析
Author: Haiya YAN ; Yun WU ; Song YE ; Xiaolei CAI ; Chunbo ZHOU ; Guo GAN
Keywords: Cesarean section; Blood transfusion,autologous
From: Chinese Journal of Anesthesiology 2016;36(11):1297-1301
CountryChina
Language:Chinese
Abstract: Intraoperative cell salvage ( IOCS) was conducted during cesarean delivery from May 2011 to April 2016 in our hospital: when the volume of autologous blood collected from the surgical field≥800 ml during surgery and the parturients′hemoglobin≤100 g∕L after hemorrhage, the autologous blood was centrifuged, concentrated, washed and then filtered using a leucocyte depletion filter before reinfusion. IOCS was carried out in 1 085 cases during cesarean delivery within 5 yr. For the parturients who underwent IOCS, the percentage of patients who did not require transfusion of allogeneic red blood cells was 82.95%(900 cases), the percentage of patients who required plasma transfusion was 41.66% (452 cases), the percentage of patients who required platelet transfusion was 3.32% (36 cases), and no autologous blood transfusion?related adverse reactions were found during surgery and hospital stay. In conclusion, IOCS could be safely and effectively used for blood?saving effect in cesarean delivery.