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Blood Conservation in Cardiac Surgery pp 355–371Cite as

Intraoperative Blood Salvage

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Abstract

Intraoperative blood salvage is an essential component of blood conservation efforts in cardiac surgery. Traditionally, cardiac surgical procedures necessitated the administration of large volumes of homologous blood products.1 The development of effective salvage techniques along with the introduction of nonblood priming solutions for the bypass circuit have played a major role in reducing and frequently eliminating the need for perioperative transfusion. Autotransfusion has been employed in a variety of noncardiac settings, such as vascular, trauma, and orthopedic surgery. However, the most extensive experience and the greatest benefits have been achieved in the field of cardiopulmonary bypass surgery. Several options exist for the processing of both intraoperative losses and residual bypass circuit blood. Each is associated with distinct advantages and disadvantages. The optimization of intraoperative blood salvage strategies may require a degree of flexibility, with specific techniques selected on an individual basis. This chapter reviews the major types of available salvage systems and discusses their benefits and limitations. In addition, we describe an approach that has worked well in our institution’s comprehensive blood conservation program.

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Authors
  1. John D. Klemperer
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  2. O. Wayne Isom
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Editors and Affiliations

  1. Department of Cardiothoracic Surgery, The New York Hospital-Cornell Medical Center, 10021, New York, NY, USA

    Karl H. Krieger M.D. (Professor and Vice Chairman) & O. Wayne Isom M.D. (Professor and Chairman) (Professor and Vice Chairman) &  (Professor and Chairman)

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© 1998 Springer-Verlag New York, Inc.

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Klemperer, J.D., Isom, O.W. (1998). Intraoperative Blood Salvage. In: Krieger, K.H., Isom, O.W. (eds) Blood Conservation in Cardiac Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2180-7_13

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  • DOI: https://doi.org/10.1007/978-1-4612-2180-7_13

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-94908-6

  • Online ISBN: 978-1-4612-2180-7

  • eBook Packages: Springer Book Archive

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