Are cell salvage and autologous blood transfusion safe in endonasal surgery?

Anderson, Shane and Panizza, Ben (2010) Are cell salvage and autologous blood transfusion safe in endonasal surgery?. Otolaryngology - Head and Neck Surgery, 142 3, Supp. 3: S3-S6. doi:10.1016/j.otohns.2009.10.004


Author Anderson, Shane
Panizza, Ben
Title Are cell salvage and autologous blood transfusion safe in endonasal surgery?
Journal name Otolaryngology - Head and Neck Surgery   Check publisher's open access policy
ISSN 0194-5998
1097-6817
1085-8679
Publication date 2010-03-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.otohns.2009.10.004
Volume 142
Issue 3, Supp. 3
Start page S3
End page S6
Total pages 4
Place of publication Philadelphia, PA, United States
Publisher Mosby
Collection year 2011
Language eng
Formatted abstract
Objective:
Endoscopic transnasal approaches to the skull base and intracranial disease are an emerging subspecialty. The limits of this approach are often dictated by exposure and blood loss. Cell salvage techniques are widely used in other surgical fields. However, in otolaryngology, questions remain regarding its safety because work is performed in a contaminated field. In this literature review, we present the evidence for perioperative cell saver blood transfusion in potentially contaminated fields and the need for further investigation of its use in endonasal surgery.

Data Sources:
MEDLINE and Evidence Based Medicine Reviews databases were searched for relevant articles.

Review Methods:
All English articles discussing autologous blood transfusion in endonasal surgery were reviewed.

Results:
Despite a wide search pattern, no articles that discuss this topic were found in the English literature. Therefore, we went on to present data on the general use of cell saver blood in contaminated fields.

Conclusion:
Cell saver blood is widely accepted in surgery. It offers many advantages in elective operations in which blood loss is expected to be significant. Cell saver blood has been transfused from contaminated fields in other forms of surgery without an associated increase in morbidity. There is good evidence that antibiotic prophylaxis is mandatory in this setting. There is no direct evidence that cell salvage blood is safe in endonasal surgery. Cell salvage is part of a multimodality approach, including the use of hypotensive anesthesia, topical procoagulants, a dedicated team with appropriate equipment, and a good surgical technique with a focus on hemostasis.
Copyright © 2011 by Official journal of the American Academy of Otolaryngology-Head and Neck Surgery Foundation
Keyword Blood loss, surgical
Endoscopy
Blood transfusion
Erythrocyte transfusion
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published under Literature Review.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Faculty of Health and Behavioural Sciences -- Publications
Official 2011 Collection
 
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 4 times in Scopus Article | Citations
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Created: Sun, 01 Aug 2010, 00:02:30 EST