Abstract
The availability of centrifugal cell savers supports intraoperative cell salvage and thereby reduces the need for allogeneic red blood cell transfusion. Use of these devices, however, is limited to the operating room, forcing a switch to allogeneic products in the post-operative setting. Here we present a case of massive post-operative bleeding due to severe coagulopathy following CABG. Due to the lack of availability of donor blood products a novel blood filter (HemoClear BV, Zwolle, the Netherlands) was used for post-operative salvage. Because of its accessible use, we believe this salvage device has great clinical value in the poor-resource setting.
Highlights
Bleeding during cardiac surgery is a major complication that often leads to anaemia and blood transfusion requirement [1]
As in the current COVID19 pandemic allogeneic blood shortages keep growing at an alarming rate, autologous blood transfusions are a very necessary relief of pressure on the donor blood supply system
The availability of centrifugal cell savers widely supports intraoperative cell salvage and thereby reduces the need for allogeneic red blood cell transfusion [4]. Use of these cell salvage devices is limited to the operating room, forcing a switch to allogeneic product in the post-operative setting
Summary
Bleeding during cardiac surgery is a major complication that often leads to anaemia and blood transfusion requirement [1]. Use of Accessible Blood Filter for Post-operative Cell Salvage in Cardiac Surgery The availability of centrifugal cell savers supports intraoperative cell salvage and thereby reduces the need for allogeneic red blood cell transfusion. Use of these devices is limited to the operating room, forcing a switch to allogeneic products in the post-operative setting.
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