Does intraoperative cell salvage system effectively decrease the need for allogeneic transfusions in scoliotic patients undergoing posterior spinal fusion? A prospective randomized study

2014 ◽  
Vol 24 (2) ◽  
pp. 270-275 ◽  
Author(s):  
Jinqian Liang ◽  
Jianxiong Shen ◽  
Sooyong Chua ◽  
Yu Fan ◽  
Jiliang Zhai ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Randomized Study ◽  
Posterior Spinal Fusion ◽  
Prospective Randomized Study ◽  
Cell Salvage ◽  
Intraoperative Cell Salvage ◽  
Cell Salvage System

A Comparison of Cell Salvage Strategies in Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis

2015 ◽  
Vol 28 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Paul A. Carey ◽  
Andrew J. Schoenfeld ◽  
Ronda D. Cordill ◽  
Bryan J. Tompkins ◽  
Paul M. Caskey
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Posterior Spinal Fusion ◽  
Cell Salvage

The role of intraoperative cell salvage system on blood management in major orthopedic surgeries: a cost–benefit analysis

2017 ◽  
Vol 28 (5) ◽  
pp. 991-997 ◽  
Author(s):  
Altuğ Duramaz ◽  
Mustafa Gökhan Bilgili ◽  
Berhan Bayram ◽  
Nezih Ziroğlu ◽  
Erdem Edipoğlu ◽  
...  
Keyword(s):  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Cell Salvage ◽  
Benefit Analysis ◽  
Blood Management ◽  
Intraoperative Cell Salvage ◽  
Cell Salvage System

scholarly journals Blood Management in Revision Total Hip Arthroplasty for Metal-on-Metal Devices: The Efficiency of an Intraoperative Cell Salvage System

2020 ◽  
Vol 54 (2) ◽  
pp. 164-167 ◽  
Author(s):  
Werner Maurer-Ertl ◽  
Andreas Fellner ◽  
Patrick Reinbacher ◽  
Michael Maier ◽  
Andreas Leithner ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Metal Ions ◽  
Hip Arthroplasty ◽  
Metal Ion ◽  
Cell Salvage ◽  
Ion Concentrations ◽  
Intraoperative Cell Salvage ◽  
Metal On Metal ◽  
The Mean ◽  
Cell Salvage System

Abstract Background The aim of this series was to investigate the efficiency of an intraoperative cell salvage system (ICS) removing metal ions during revision of metal-on-metal (MoM) devices to proof the possibility of re-transfusion of the collected blood. Materials and methods Between 2014 and 2018, five consecutive patients underwent revision surgery of their MoM total hip arthroplasty due to wear of the polyethylene-metal sandwich inlay or local massive metallosis with aseptic loosing of the cup. Aspiration of joint fluid of all hip prostheses was done and blood was taken to measure the metal ion concentrations, preoperatively. Perioperatively, blood was collected using an ICS before and after filtration and analyzed for Co and Cr concentrations. At that time, there was no re-transfusion of the collected and filtrated blood due to unknown metal ion concentrations. Results The mean preoperative serum Co and Cr concentrations in the blood were 31.28 μg/L (range 0.22–77.47) and 17.33 μg/L (range 0.59–51.31), whereas the mean local concentrations in the aspiration fluid were 728-fold and 822-fold higher. The Co and Cr concentrations measured in the collected blood before filtration were 70.61 μg/L (range 9.40–173.00) and 337.21 μg/L (range 8.76–1383.0) and decreased markedly to average concentrations of 15.49 μg/L and 41.88 μg/L, respectively. These differences were statistically not significant (Co: p = 0.117, Cr: p = 0.175), although the mean reduction rates were 78% and 88% for Co and Cr, respectively. Conclusion The current series showed that in case of revision of MoM hip devices, metal ions are still contained in the collected blood following filtration using a modern high-level ICS. Therefore, we would only recommend blood re-transfusion in case of low preoperative Co and Cr concentrations and sufficient renal function to warrant patients’ safety.

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