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Cell Salvage in Obstetrics
Anesthesia and analgesia, 2015-08, Vol.121 (2), p.465-468
[Peer Reviewed Journal]
2015 International Anesthesia Research Society ;ISSN: 0003-2999 ;EISSN: 1526-7598 ;DOI: 10.1213/ANE.0000000000000786 ;PMID: 26197375
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Title:
Cell Salvage in Obstetrics
Author:
Goucher, Haley
;
Wong, Cynthia A
;
Patel, Samir K
;
Toledo, Paloma
Subjects:
Blood Transfusion, Autologous - adverse effects
;
Cesarean Section - adverse effects
;
Embolism, Amniotic Fluid - etiology
;
Female
;
Humans
;
Obstetrics - methods
;
Operative Blood Salvage - adverse effects
;
Placenta Diseases - etiology
;
Placenta Diseases - therapy
;
Postpartum Hemorrhage - etiology
;
Postpartum Hemorrhage - therapy
;
Pregnancy
;
Pregnancy Complications - diagnosis
;
Pregnancy Complications - etiology
;
Pregnancy Complications - therapy
;
Risk Factors
;
Treatment Outcome
Is Part Of:
Anesthesia and analgesia, 2015-08, Vol.121 (2), p.465-468
Description:
Intraoperative cell salvage is a strategy to decrease the need for allogeneic blood transfusion. Traditionally, cell salvage has been avoided in the obstetric population because of the perceived risk of amniotic fluid embolism or induction of maternal alloimmunization. With advances in cell salvage technology, the risks of cell salvage in the obstetric population parallel those in the general population. Levels of fetal squamous cells in salvaged blood are comparable to those in maternal venous blood at the time of placental separation. No definite cases of amniotic fluid embolism have been reported and appear unlikely with modern equipment. Cell salvage is cost-effective in patients with predictably high rates of transfusion, such as parturients with abnormal placentation.
Publisher:
United States: International Anesthesia Research Society
Language:
English
Identifier:
ISSN: 0003-2999
EISSN: 1526-7598
DOI: 10.1213/ANE.0000000000000786
PMID: 26197375
Source:
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
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