Korean J Blood Transfus.  2009 Aug;20(2):113-119.

Evaluation of Quality of Intraoperative Salvaged Red Blood Cells Processed by CATS(Plus)

Affiliations
  • 1Department of Laboratory Medicine, School of Medicine, Pusan National University, Busan, Korea. hhkim@pusan.ac.kr
  • 2Department of Orthopedic Surgery, School of Medicine, Pusan National University, Busan, Korea.
  • 3Department of Anesthesiology, School of Medicine, Pusan National University, Busan, Korea.

Abstract

BACKGROUND
CATS(Plus) (continuous autotransfusion system, Fresenius Kabi, Friedberg, Germany) is a continuous, chamber type cell salvage system for performing an intraoperative autologous transfusion. We evaluated the quality of intraoperative salvaged red blood cells processed by CATS(Plus).
METHODS
A total 20 adult patients undergone lumbar spine surgery were enrolled in this study. Laboratory tests including albumin, potassium, free hemoglobin, and bacterial culture were performed and the % albumin removal was calculated.
RESULTS
The average albumin, potassium, and free hemoglobin concentration were 4 g/L, 4.86 mEq/L, 4.50 g/L, respectively. Mean albumin removal was 87%. Bacterial culture was positive in 11 of the 20 cases and staphylococcus species were isolated in all of the culture positive cases.
CONCLUSION
For safe use of salvaged red blood cells, laboratory tests for potassium and free hemoglobin concentration would be necessary before administration.

Keyword

Safety; Intraoperative autologous transfusion; CATS plus; Hemolysis

MeSH Terms

Adult
Blood Transfusion, Autologous
Erythrocytes
Hemoglobins
Hemolysis
Humans
Potassium
Spine
Staphylococcus
Hemoglobins
Potassium
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