Introduction of a Cell Salvage Service

Abstract

SUMMARYIn the early 1990s it became apparent to a number of clinicians working at our institution that there was a need to develop a blood conservation program. At the time, the fear of viral transmission via blood transfusion had once more become a reality with the problems related to hepatitis C. This issue came close on the heels of the HIV epidemic, which had required enormous resource to minimize the risk of transfusion‐transmitted infection. The positive aspects of minimizing allogeneic transfusion and only resorting to this treatment when alternatives were not available seemed to be in keeping with the best ideals of preventative medicine. The formation of a hospital transfusion committee and the central use of cell salvage in the hospital's blood conservation policy has led to an atmosphere of awareness and improved knowledge about transfusion issues. The introduction of a cell salvage service has not only allowed better use of allogeneic supplies but in many cases prevented the need for allogeneic transfusion altogether. Other measures have led to improved transfusion practice but the presence in the main theater suite of a cell salvage service has acted as a catalyst to promote better blood transfusion within our institution.