Abstract
Hemorrhage is one of the leading preventable causes of maternal death. The safe use of blood recovery (also referred to as cell salvage) in obstetrics is well established. Blood recovery is the process by which blood is suctioned from the surgical field into a blood recovery device, where the blood is filtered, washed by centrifugation with a saline solution, and then transfused back to the patient. Blood recovery is recommended for elective cesarean sections where there is increased risk of hemorrhage (e.g., placenta previa/accreta, fibroid uterus, history of post-partum hemorrhage, etc.), or significant anemia at time of cesarean section regardless of risk factors for hemorrhage. Blood recovery is also recommended for emergency use in major obstetric hemorrhage from all causes. The safe and effective use of blood recovery requires a dedicated team of trained staff members.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American College of Obstetricians and Gynecologists. ACOG practice bulletin: clinical management guidelines for obstetrician-gynecologists number 76, October 2006: postpartum hemorrhage. Obstet Gynecol. 2006;108(4):1039–47.
Royal College of Obstetricians and Gynaecologists, editor. Blood transfusion in obstetrics. Green-top guideline no. 47. 2nd ed. London: Royal College of Obstetricians and Gynaecologists; 2015.
The Association of Anaesthetists of Great Britain and Ireland. Safety guideline blood transfusion and the anaesthetist intra-operative cell salvage. London: The Association of Anaesthetists of Great Britain and Ireland; 2009.
Rainaldi MP, Tazzari PL, Scagliarini G, et al. Blood salvage during caesarean section. Br J Anaesth. 1998;80:195–8.
Grimes DA. A simplified device for intraoperative autotransfusion. Obstet Gynecol. 1988;72:947–50.
Jackson SH, Lonser RE, et al. Transfusion. 1993;33:181.
Geoghegan J, Middleton L, Moore P, Subseson G, Khan K, Daniels J. Routine cell salvage during elective caesarean section: a pilot randomised trial. Int J Obstet Anesth. 2015;24(1):86–7.
DeAndrade D, Waters JH, Triulzi DJ, Alarcon L, Wisniewski MK, Dyga R, Yazer MH. Very low rate of patient-related adverse events associated with the use of intraoperative cell salvage. Transfusion. 2016;56(11):2768–72.
Bernstein HH, Rosenblatt MA, Gettes M, Lockwood C. The ability of the Haemonetics 4 cell saver system to remove tissue factor from blood contaminated with amniotic fluid. Anesth Analg. 1997;85:831–3.
Waters JH, Biscotti C, Potter P, Phillipson E. Amniotic fluid removal during cell-salvage in the cesarean section patient. Anesthesiology. 2000;92:1531–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Konig, G. (2018). Recommendations on Blood Recovery in Obstetrics. In: Nester, T. (eds) Transfusion Management of the Obstetrical Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-77140-3_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-77140-3_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-77139-7
Online ISBN: 978-3-319-77140-3
eBook Packages: MedicineMedicine (R0)