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Evidence
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NICE Guideline Recommendations:
Alternatives to blood transfusion for patients having surgery: Cell salvage and tranexamic acid
8. Do not routinely use cell salvage without tranexamic acid.
9. Consider intra-operative cell salvage with tranexamic acid for patients who are expected to lose a very high volume of blood (for example in cardiac and complex vascular surgery, major obstetric procedures, and pelvic reconstruction and scoliosis surgery).
Other refs:
1. Liu JM, Fu BQ, Chen WZ, Chen JW, Huang SH, Liu ZL. Cell salvage used in scoliosis surgery: is it really effective? World Neurosurgery. 2017. May;101:568-576
2. Xie JW, Xu B, Kang PD, Zhou ZK, Shen B, Yang J, et al. [The efficacy and safety of postoperative retransfusion drain following total hip arthroplasty: a meta-analysis]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]. 2016;54(-2):108-13.
3. Xie H, Pan JK, Hong KH, Guo D, Fang J, Yang WY, et al. Postoperative autotransfusion drain after total hip arthroplasty: a meta-analysis of randomized controlled trials. Scientific Reports. 2016 Jul 1;6:27461. doi: 10.1038/srep27461
4. Stone N, Sardana V, Missiuna P. Indications and outcomes of cell saver in adolescent scoliosis correction surgery: a systematic review. Spine. 2017 Mar 15;42(6):E363-E370. doi: 10.1097/BRS.0000000000001780.
5. Pawaskar A, Salunke AA, Kekatpure A, Chen Y, Nambi GI, Tan J, et al. Do autologous blood transfusion systems reduce allogeneic blood transfusion in total knee arthroplasty? Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the Esska. 2016.
6. Pan JK, Hong KH, Xie H, Luo MH, Guo D, Liu J. The efficacy and safety of autologous blood transfusion drainage in patients undergoing total knee arthroplasty: a meta-analysis of 16 randomized controlled trials. Bmc Musculoskeletal Disorders. 2016;17(-1):452-.
7. Meybohm P, Choorapoikayil S, Wessels A, Herrmann E, Zacharowski K, Spahn DR. Washed cell salvage in surgical patients: a review and meta-analysis of prospective randomized trials under PRISMA. Medicine. 2016;95(-31):e4490-e.
8. Hong KH, Pan JK, Yang WY, Luo MH, Xu SC, Liu J. Comparison between autologous blood transfusion drainage and closed-suction drainage/no drainage in total knee arthroplasty: a meta-analysis. Bmc Musculoskeletal Disorders. 2016;17(-1):142-.
9. Barile L, Fominskiy E, Di Tomasso N, Alpizar Castro LE, Landoni G, De Luca M, et al. Acute normovolemic hemodilution reduces allogeneic red blood cell transfusion in cardiac surgery: a systematic review and meta-analysis of randomized trials. Anesthesia and Analgesia. 2017 Mar;124(3):743-752.
10. Zhou X, Zhang C, Wang Y, Yu L, Yan M. Preoperative acute normovolemic hemodilution for minimizing allogeneic blood transfusion: a meta-analysis. Anesthesia & Analgesia. 2015;121(-6):1443-55.
11. Xie J, Feng X, Ma J, Kang P, Shen B, Yang J, et al. Is postoperative cell salvage necessary in total hip or knee replacement? A meta-analysis of randomized controlled trials. International Journal Of Surgery. 2015;21:135-44.
12. White N, Bayliss S, Moore D. Systematic review of interventions for minimizing perioperative blood transfusion for surgery for craniosynostosis. Journal of Craniofacial Surgery. 2015;26(1):26-36.
13. Li J, Sun SL, Tian JH, Yang K, Liu R, Li J. Cell salvage in emergency trauma surgery. Cochrane Database of Systematic Reviews. 2015(1):CD007379-CD.
14. Al-Khabori M, Al-Riyami A, Siddiqi S, Al-Sabti H. Cell salvage during cardiac surgery may decrease red blood cell transfusion: a systematic review and meta-analysis. Haematologica. 2015;100((S1)):138-9.
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