Postoperative cell salvage PCS And Intraoperative cell salvage ICS Blood transfusion скачать в хорошем качестве

Postoperative cell salvage PCS And Intraoperative cell salvage ICS Blood transfusion

Postoperative Cell Salvage (PCS) and Intraoperative Cell Salvage (ICS) are techniques used to collect and reinfuse a patient’s own blood during or after surgery, reducing the need for donor (allogeneic) blood transfusions. These methods are part of Patient Blood Management (PBM) strategies aimed at improving outcomes and conserving blood resources. 🏥 Intraoperative Cell Salvage (ICS) 🔧 What It Is ICS involves collecting blood lost during surgery, processing it through a cell salvage machine, and reinfusing the washed red blood cells back into the patient. 🩺 Key Steps Blood is suctioned from the surgical field using a sterile system. It is mixed with an anticoagulant (e.g., heparinized saline). The blood is filtered, washed with saline, and concentrated. The final product—washed red cells—is reinfused intraoperatively or shortly after. ✅ Indications Procedures with expected blood loss greater than 500 mL (e.g., cardiac, orthopedic, vascular surgery) Patients refusing donor blood (e.g., Jehovah’s Witnesses) High-risk patients for transfusion reactions ⚠️ Contraindications Contaminated surgical fields (e.g., infection, malignancy—unless leukocyte filters or irradiation are used) Amniotic fluid contamination in obstetrics (special protocols apply) 📋 Benefits Reduces exposure to donor blood Preserves immune function Decreases risk of transfusion-related infections and reactions You can explore the full ICS protocol in the UK Cell Salvage Education Workbook. 🛌 Postoperative Cell Salvage (PCS) 🔧 What It Is PCS collects blood from surgical wound drains after the procedure, typically in the recovery room or ward. This blood is then filtered or washed and reinfused within a safe time window. 🩺 Key Steps Blood is collected via wound drains into a sterile receptacle. The system is activated post-surgery (usually within 15 minutes of wound closure). Blood is either filtered or washed depending on the system used. Reinfusion must occur within 6 hours of collection start time. ✅ Common Uses Orthopedic surgeries (e.g., joint replacements) Cardiac and spinal surgeries Any procedure with significant postoperative bleeding ⚠️ Considerations Blood must be reinfused only if sterility is maintained. Excessive drainage or contamination may require discarding the collected blood. You can find detailed PCS procedures in the PCS Collection Guide. 🔄 Comparison Table Feature Intraoperative Cell Salvage (ICS) Postoperative Cell Salvage (PCS) Timing During surgery After surgery Collection method Suction from surgical field Drainage from wound site Processing Washed and filtered Filtered or washed Reinfusion window Immediate or within hours Within 6 hours of collection Common use cases High-blood-loss surgeries Orthopedic, cardiac recovery Contraindications Infection, malignancy Contamination, delayed collection #salvage