Intra-Operative Cell Salvage in Revision Hip Surgery

Herd, J.M., Joseph, J., McGarvey, M., Tsimbouri, P. , Bennett, A., Meek, R.M.D. and Morrison, A. (2013) Intra-Operative Cell Salvage in Revision Hip Surgery. In: Glasgow Meeting of Orthopaedic Research (GLAMOR), Glasgow, 2013,

Abstract

Allogenic blood is a finite resource, with associated risks. Previous studies have shown intra-operative cell salvage (ICS) can reduce allogenic transfusion rates in orthopaedic surgery. However, recent concerns regarding the efficacy and cost-effectiveness of ICS mean we must continually re-assess its usefulness in current practice. This study was carried out to review the use of ICS, to establish if its use has led to a reduction in patient exposure to post-op allogenic transfusion. All orthopaedic patients who underwent ICS and re-infusion between 2008–2010 in the Southern General Hospital (SGH) were audited. The Haemoglobin (Hb) drop, volume of blood re-infused and post-op allogenic transfusion rates were recorded. The revision hip group was compared to a similar SGH cohort, who underwent surgery by the same surgeons between 2006–2008, and a pre-2005 control group. The Cell Saver (Haemonetics) machine was used. The proportion of patients who received a post-op allogenic transfusion fell by 55% in the 2008–2010 ICS cohort compared with the control, and by 40% compared with the previous ICS study group. In both instances, this was accompanied by a statistically significant (p<0.001) reduction in mean number of units transfused per patient. ICS has been shown to be effective in reducing rates and volume of post-op allogenic transfusion in patients undergoing revision hip surgery at the SGH. ICS has been used with increasing efficiency over time.

• Item Type: Conference Proceedings
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Tsimbouri, Dr Monica
• Authors: Herd, J.M., Joseph, J., McGarvey, M., Tsimbouri, P., Bennett, A., Meek, R.M.D., and Morrison, A.
• College/School: College of Medical Veterinary and Life Sciences > School of Molecular Biosciences