Red Blood Cell Salvage During Obstetric Hemorrhage
OBJECTIVE:To describe which obstetric patients lose enough blood during postpartum hemorrhage to receive a reinfusion of intraoperative blood salvage. METHODS:Eight years of intraoperative blood salvage data from a regional tertiary care maternity hospital were analyzed. The volume of blood returned...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2015-04, Vol.125 (4), p.919-923 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | Milne, Megan E. Yazer, Mark H. Waters, Jonathan H. |
| description | OBJECTIVE:To describe which obstetric patients lose enough blood during postpartum hemorrhage to receive a reinfusion of intraoperative blood salvage.
METHODS:Eight years of intraoperative blood salvage data from a regional tertiary care maternity hospital were analyzed. The volume of blood returned through intraoperative blood salvage was standardized to the volume of red blood cells in an allogeneic red blood cell unit from the blood bank.
RESULTS:There were 884 obstetric hemorrhage cases in which intraoperative blood salvage was utilized. Sufficient blood was collected by intraoperative blood salvage to permit reinfusion in 189 of 884 (21%) patients. For patients in whom intraoperative blood salvage blood was reinfused, the mean±standard deviation number of reinfused shed blood units was 1.2±1.1 units. Although intraoperative blood salvage was most commonly performed on patients who underwent routine cesarean delivery (748/884 patients), only 13% of these patients received an intraoperative blood salvage reinfusion; 73% of the patients undergoing cesarean hysterectomy, 69% of those who had bleeding after cesarean delivery, and 53% of the patients who bled after vaginal delivery received an intraoperative blood salvage reinfusion (P |
| doi_str_mv | 10.1097/AOG.0000000000000729 |
| format | Article |
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METHODS:Eight years of intraoperative blood salvage data from a regional tertiary care maternity hospital were analyzed. The volume of blood returned through intraoperative blood salvage was standardized to the volume of red blood cells in an allogeneic red blood cell unit from the blood bank.
RESULTS:There were 884 obstetric hemorrhage cases in which intraoperative blood salvage was utilized. Sufficient blood was collected by intraoperative blood salvage to permit reinfusion in 189 of 884 (21%) patients. For patients in whom intraoperative blood salvage blood was reinfused, the mean±standard deviation number of reinfused shed blood units was 1.2±1.1 units. Although intraoperative blood salvage was most commonly performed on patients who underwent routine cesarean delivery (748/884 patients), only 13% of these patients received an intraoperative blood salvage reinfusion; 73% of the patients undergoing cesarean hysterectomy, 69% of those who had bleeding after cesarean delivery, and 53% of the patients who bled after vaginal delivery received an intraoperative blood salvage reinfusion (P<.001).
CONCLUSION:Although intraoperative blood salvage was attempted on many patients, on only 21% of the women was a sufficient amount of intraoperative shed blood collected to proceed with reinfusion. Patients who experienced bleeding or who underwent a cesarean hysterectomy were the most likely to receive a reinfusion of intraoperative blood salvage–processed blood.
LEVEL OF EVIDENCE:II</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/AOG.0000000000000729</identifier><identifier>PMID: 25751212</identifier><language>eng</language><publisher>United States: by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Blood Transfusion, Autologous ; Blood Volume ; Cesarean Section ; Erythrocytes ; Female ; Humans ; Hysterectomy ; Operative Blood Salvage - economics ; Postoperative Hemorrhage - therapy ; Postpartum Hemorrhage - therapy ; Pregnancy</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2015-04, Vol.125 (4), p.919-923</ispartof><rights>by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4479-d14e2a3a417fa611f5e3262c1fd73a8566e70ec23cb1a65b8dcd61cd102a20b03</citedby><cites>FETCH-LOGICAL-c4479-d14e2a3a417fa611f5e3262c1fd73a8566e70ec23cb1a65b8dcd61cd102a20b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25751212$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Milne, Megan E.</creatorcontrib><creatorcontrib>Yazer, Mark H.</creatorcontrib><creatorcontrib>Waters, Jonathan H.</creatorcontrib><title>Red Blood Cell Salvage During Obstetric Hemorrhage</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>OBJECTIVE:To describe which obstetric patients lose enough blood during postpartum hemorrhage to receive a reinfusion of intraoperative blood salvage.
METHODS:Eight years of intraoperative blood salvage data from a regional tertiary care maternity hospital were analyzed. The volume of blood returned through intraoperative blood salvage was standardized to the volume of red blood cells in an allogeneic red blood cell unit from the blood bank.
RESULTS:There were 884 obstetric hemorrhage cases in which intraoperative blood salvage was utilized. Sufficient blood was collected by intraoperative blood salvage to permit reinfusion in 189 of 884 (21%) patients. For patients in whom intraoperative blood salvage blood was reinfused, the mean±standard deviation number of reinfused shed blood units was 1.2±1.1 units. Although intraoperative blood salvage was most commonly performed on patients who underwent routine cesarean delivery (748/884 patients), only 13% of these patients received an intraoperative blood salvage reinfusion; 73% of the patients undergoing cesarean hysterectomy, 69% of those who had bleeding after cesarean delivery, and 53% of the patients who bled after vaginal delivery received an intraoperative blood salvage reinfusion (P<.001).
CONCLUSION:Although intraoperative blood salvage was attempted on many patients, on only 21% of the women was a sufficient amount of intraoperative shed blood collected to proceed with reinfusion. Patients who experienced bleeding or who underwent a cesarean hysterectomy were the most likely to receive a reinfusion of intraoperative blood salvage–processed blood.
LEVEL OF EVIDENCE:II</description><subject>Adult</subject><subject>Blood Transfusion, Autologous</subject><subject>Blood Volume</subject><subject>Cesarean Section</subject><subject>Erythrocytes</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Operative Blood Salvage - economics</subject><subject>Postoperative Hemorrhage - therapy</subject><subject>Postpartum Hemorrhage - therapy</subject><subject>Pregnancy</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkdtKxDAQhoMo7np4A5FeetM1M0mT9lLXIywseADvSppO3WprNWldfHsjqyJeaGAIw3z_zPAPY3vAJ8AzfXg0P5_wn09jtsbGkGoRoxB362zMOWaxTqUcsS3vHwIDKhObbISJTgABxwyvqIyOm64royk1TXRtmldzT9HJ4Oqn-2he-J56V9vogtrOuUWo7bCNyjSedj__bXZ7dnozvYhn8_PL6dEstlLqLC5BEhphJOjKKIAqIYEKLVSlFiZNlCLNyaKwBRiVFGlpSwW2BI4GecHFNjtY9X123ctAvs_b2tuwpHmibvA5KKU0JqhEQOUKta7z3lGVP7u6Ne4tB55_uJUHt_LfbgXZ_ueEoWip_BZ92ROAdAUsu6Yn5x-bYUkuX5Bp-sV_veUf0g9KYcJj5JBwGbI4RDjbO4KNg6c</recordid><startdate>201504</startdate><enddate>201504</enddate><creator>Milne, Megan E.</creator><creator>Yazer, Mark H.</creator><creator>Waters, Jonathan H.</creator><general>by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201504</creationdate><title>Red Blood Cell Salvage During Obstetric Hemorrhage</title><author>Milne, Megan E. ; Yazer, Mark H. ; Waters, Jonathan H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4479-d14e2a3a417fa611f5e3262c1fd73a8566e70ec23cb1a65b8dcd61cd102a20b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Blood Transfusion, Autologous</topic><topic>Blood Volume</topic><topic>Cesarean Section</topic><topic>Erythrocytes</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Operative Blood Salvage - economics</topic><topic>Postoperative Hemorrhage - therapy</topic><topic>Postpartum Hemorrhage - therapy</topic><topic>Pregnancy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Milne, Megan E.</creatorcontrib><creatorcontrib>Yazer, Mark H.</creatorcontrib><creatorcontrib>Waters, Jonathan H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Milne, Megan E.</au><au>Yazer, Mark H.</au><au>Waters, Jonathan H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Red Blood Cell Salvage During Obstetric Hemorrhage</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2015-04</date><risdate>2015</risdate><volume>125</volume><issue>4</issue><spage>919</spage><epage>923</epage><pages>919-923</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>OBJECTIVE:To describe which obstetric patients lose enough blood during postpartum hemorrhage to receive a reinfusion of intraoperative blood salvage.
METHODS:Eight years of intraoperative blood salvage data from a regional tertiary care maternity hospital were analyzed. The volume of blood returned through intraoperative blood salvage was standardized to the volume of red blood cells in an allogeneic red blood cell unit from the blood bank.
RESULTS:There were 884 obstetric hemorrhage cases in which intraoperative blood salvage was utilized. Sufficient blood was collected by intraoperative blood salvage to permit reinfusion in 189 of 884 (21%) patients. For patients in whom intraoperative blood salvage blood was reinfused, the mean±standard deviation number of reinfused shed blood units was 1.2±1.1 units. Although intraoperative blood salvage was most commonly performed on patients who underwent routine cesarean delivery (748/884 patients), only 13% of these patients received an intraoperative blood salvage reinfusion; 73% of the patients undergoing cesarean hysterectomy, 69% of those who had bleeding after cesarean delivery, and 53% of the patients who bled after vaginal delivery received an intraoperative blood salvage reinfusion (P<.001).
CONCLUSION:Although intraoperative blood salvage was attempted on many patients, on only 21% of the women was a sufficient amount of intraoperative shed blood collected to proceed with reinfusion. Patients who experienced bleeding or who underwent a cesarean hysterectomy were the most likely to receive a reinfusion of intraoperative blood salvage–processed blood.
LEVEL OF EVIDENCE:II</abstract><cop>United States</cop><pub>by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>25751212</pmid><doi>10.1097/AOG.0000000000000729</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 2015-04, Vol.125 (4), p.919-923 |
| issn | 0029-7844 1873-233X |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Blood Transfusion, Autologous Blood Volume Cesarean Section Erythrocytes Female Humans Hysterectomy Operative Blood Salvage - economics Postoperative Hemorrhage - therapy Postpartum Hemorrhage - therapy Pregnancy |
| title | Red Blood Cell Salvage During Obstetric Hemorrhage |
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