4.2 Post-operative Cell Salvage
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Post-operative Cell Salvage consists of the reinfusion of a patient's own blood which has been collected by wound drainage after an operation. It takes place in Recovery or the Ward. As much as 1200 ml of blood can be salvaged over a period of 12 hours, using this technique.

"Post-operative cell salvage (POCS) involves the collection of blood from surgical drains followed by reinfusion, with or without a wash cycle. Although there have been concerns about the safety of transfusing unwashed red cells, POCS is used routinely in orthopaedic surgery in a number of hospitals in the country and the NBS is not aware of any serious untoward incidents associated with its use."

--Blood Matters, September 2002, Published by the National Blood Service


Post-operative cell salvage devices can be attached to a patient immediately after an operation, ensuring that no blood is lost on the way to Recovery or the Ward
Some devices are vacuum-operated, reducing the need for constant monitoring and reducing the risk of haematoma or haemolysis
When a closed system is used, the risk of patient infection from airborne bacteria is reduced.


LEARNING GUIDE LEARNING GUIDE

To be sure to pass the test on 4.2, post-operative Cell Salvage, make sure you can explain what it is and can list some of the benefits of using this technique.


Net Links
Blood Matters, September 2002, published by the National Blood Service
Transfusion of post-operative shed blood: laboratory characteristics and clinical utility.
Test/Survey
 

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