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What is Cell Salvage?

Discover how intraoperative cell salvage technology revolutionises patient care by collecting, processing, and returning a patient's own blood during surgical procedures.

Understanding Cell Salvage

Intraoperative cell salvage represents a revolutionary approach to blood conservation, offering patients a safer alternative to traditional blood transfusions.

What is Cell Salvage?

Intraoperative cell salvage, also known as autotransfusion, is the collection of a patient's own blood lost during surgical procedures. The blood is collected, processed through advanced washing systems, and the concentrated red cells are reinfused back to the patient.

The Technology Advantage

This innovative technology represents a safe and effective alternative to donor blood transfusion, significantly reducing the risks associated with allogeneic blood while ensuring patients receive their own healthy red blood cells during surgery.

Clinical Advantages

Eliminates Transfusion Reactions

Zero risk of ABO incompatibility or allergic reactions

Infection Prevention

No risk of donor-transmitted diseases or contamination

Blood Bank Conservation

Reduces strain on limited donor blood supplies

Cost Effectiveness

Particularly economical for major surgical procedures

Religious Acceptance

Acceptable to patients with religious objections to donor blood

How Cell Salvage Works

Cell salvage systems use advanced centrifugal technology to separate and wash red blood cells, delivering purified, concentrated blood back to the patient with exceptional efficiency.

Blood Collection

Sterile suction lines collect blood from surgical field

Double-lumen catheter mixes anticoagulant solution

Collection reservoir stores initial blood volume

Saline-heparin mixture prevents clotting

Processing & Washing

Centrifuge bowl separates components by density

Multiple wash cycles with sterile saline

Leucocyte depletion filtration system

Quality sensors monitor haematocrit levels

Reinfusion

Sterile reinfusion bag stores processed cells

Concentrated red cells (50-80% haematocrit)

Visual quality inspection performed

Standard blood administration set used

System Performance

3-6 min
Processing Time
Per cycle
85-95%
Red Cell Recovery
Efficiency rate
50-80%
Final Haematocrit
Concentration
6 hours
Shelf Life
Room temperature

When is Cell Salvage Used?

Cell salvage is recommended for procedures with anticipated significant blood loss or when the probability of transfusion is high, providing optimal patient outcomes.

Clinical Guidelines

1000ml
Adults
Or >20% blood volume
10ml/kg
Children
Body weight threshold
Lower
High-Risk Patients
Thresholds may apply

Surgical Applications

Cardiac Surgery

CABG procedures

Valve replacement surgery

Aortic surgical procedures

Redo cardiac operations

Complex congenital repairs

Orthopaedics

Major joint replacements

Spinal fusion surgery

Revision arthroplasty

Complex trauma procedures

Tumour resection surgery

Other Specialties

Vascular surgery

Liver transplantation

Major trauma surgery

Obstetric emergencies

Jehovah's Witness patients

Absolute Contraindications

Bacterial Contamination

Active infection at surgical site

Bowel Perforation

Risk of enteric contamination

Malignancy

Risk of tumour cell reinfusion

Amniotic Fluid

Risk of embolism

Relative Contraindications

Bone Cement

May damage equipment

Topical Haemostats

Some agents interfere with processing

Sickle Cell Disease

Risk of sickling during processing

Coagulopathy

May not be cost-effective

Blood Quality Requirements

The collected blood must be clean and uncontaminated. Visual inspection is performed before processing, and any blood showing signs of contamination should be discarded. Modern cell salvage systems include comprehensive quality control features to monitor the final product and ensure patient safety.

Clinical Evidence & Outcomes

Extensive clinical research demonstrates that cell salvage delivers measurable safety, effectiveness, and economic advantages across multiple surgical specialties.

0%
Disease Transmission Risk
Complete elimination of viral and bacterial transmission
50%
Transfusion Reduction
Average decrease in allogeneic blood requirements
90%
Recovery Efficiency
Red blood cell collection and processing rate
25%
Cost Reduction
Overall transfusion-related expense savings

Safety Excellence

Zero Transmission Risk

Complete elimination of HIV, Hepatitis B/C, and other blood-borne pathogen transmission through autologous blood processing.

Immunological Safety

No risk of ABO incompatibility, allergic reactions, or transfusion-related acute lung injury (TRALI).

Quality Assurance

Rigorous processing protocols with multiple wash cycles and quality control checkpoints ensure optimal blood product safety.

Clinical Outcomes

Surgical Effectiveness

Consistently demonstrates 40-60% reduction in allogeneic transfusion requirements across cardiac, orthopaedic, and vascular procedures.

Recovery Rates

Advanced centrifugal technology achieves 85-95% red cell recovery efficiency with final haematocrit levels of 50-80%.

Patient Outcomes

Reduced hospital stays, fewer complications, and improved recovery times through optimised blood management strategies.

Ready to Transform Your Practice?

Book an experienced cell salvage operator for your procedures today