Research progress on the application of blood recovery machine in spinal surgery
RAN Wei-peng1 WANG Meng2 QIN Zhong-tang3 LI Hong-jian1,2▲
1.The First Clinical Medical College,Yunnan University of Chinese Medicine,Yunnan Province,Kunming 650051,China;
2.Department of Orthopedics,the First People′s Hospital of Yunnan Province,Kunming University of Science and Technology,Yunnan Province,Kunming 650032,China;
3.The First Department of Orthopedics,People′s Hospital of Yanshan County in Wenshan Prefecture,Yunnan Province,Yanshan 663100,China
Abstract：Massive blood loss has always been found in spinal surgery,especially in anterior decompression,multisegmental correction and posterior internal fixation.The amount of bleeding has become an important factor restricting the development of surgical techniques with complicated procedures of massive intraoperative hemorrhage.Perioperative safety of patients will be periled by the excessive intraoperative blood loss.Meanwhile,allogeneic blood transfusion also has the risk of infection,blood-transfusion complications,difficulty in blood collection,high price and so on.And allogeneic blood affects coagulation,immunity,hemodynamics,prognosis and functional recovery of patients.Recently,blood recovery technology is mainly represented by blood recovery machine,which is widely used in orthopedic spine surgery.Averting the disadvantages of allogeneic blood transfusion,the development of autologous blood recovery and transfusion technology and the use of blood recovery machine in operation can alleviate the pressure of current blood shortage,make efficient use of intraoperative clean blood,decrease blood transfusion costs,ensure the safety of blood transfusion of patients,and promote the recovery with definitely economic benefits and clinical value.
冉伟鹏；王蒙；秦忠堂；李宏键. 血液回收机在脊柱手术中应用的研究进展[J]. 中国当代医药, 2021, 28(15): 38-42.
RAN Wei-peng；WANG Meng；QIN Zhong-tang；LI Hong-jian. Research progress on the application of blood recovery machine in spinal surgery. 中国当代医药, 2021, 28(15): 38-42.
Zheng L，Tian M，Zhang Y，et al.Neutrophil extracellular traps were released during intraoperative blood salvage in posterior lumbar surgery[J].Transfus Apher Sci，2018，57（2）：259-264.
Barshtein G，Manny N，Yedgar S.Circulatory Risk in the Transfusion of Red Blood Cells With Impaired Flow Properties Induced by Storage[J].Transf Med Rev，2011，25（1）：24-35.
[13]
Salaria ON，Barodka VM，Hogue CW，et al.Impaired red blood cell deformability after transfusion of stored allogeneic blood but not autologous salvaged blood in cardiac surgery patients[J].Anesth Analg，2014，118（6）：1179-1187.
[17]
Liao XY，Zuo SS，Meng WT，et al.Intraoperative blood salvage may shorten the lifespan of red blood cells within 3 days postoperatively：A pilot study[J].Medicine，2017，96（39）：e8143.
Liang J，Shen J，Chua S，et al.Does intraoperative cell salvage system effectively decrease the need for allogeneic transfusions in scoliotic patients undergoing posterior spinal fusion？A prospective randomized study[J].Eur Spine J，2015，24（2）：270-275.
[23]
Ersen O，Ek1nc1 S，B1lg1c S，et al.Posterior spinal fusion in adolescent idiopathic scoliosis with or without intraoperative cell salvage system：a retrospective comparison[J].Musculoskeletal Surgery，2012，96（2）：107-110.
[24]
Miao YL，Ma HS，Guo WZ，et al.The Efficacy and Cost-Effectiveness of Cell Saver Use in Instrumented Posterior Correction and Fusion Surgery for Scoliosis in School-Aged Children and Adolescents[J].PLoS One，2014，9（4）：e92997.
[25]
魏岚.血液回收机在临床中的应用[J].实用临床护理学电子杂志，2017，2（33）：2，18.
[26]
Canan CE，Myers JA，Owens RK，et al.Blood salvage produces higher total blood product costs in single-level lumbar spine surgery[J].Spine（Phila Pa 1976），2013，38（8）：703-708.
[27]
Kelly PD，Parker SL，Mendenhall SK，et al.Cost-Effectiveness of Cell Saver in Short-Segment Lumbar Laminectomy and Fusion（≤3 Levels）[J].Spine（Phila Pa 1976），2015，40（17）：E978-E985.
[28]
Gum JL，Carreon LY，Kelly MP，et al.Cell Saver for Adult Spinal Deformity Surgery Reduces Cost[J].Spine Deform，2017，5（4）：272-276.
Pisciotto PT，Benson K，Hume H，et al.Prophylactic versus therapeutic platelet transfusion practices in hematology and/or oncology patients[J].Transfusion，1995，35（6）：498-502.
[33]
American Society of Anesthesiologists Task Force on Perioperative Blood Management.Practice guidelines for perioperative blood management：an updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Management[J].Anesthesiology，2015，122（2）：241-275.
[34]
Foss NB，kristensen MT，Jensen PS，et al.The effects of liberal versus restrictive transfusion thresholds on ambulation after hip fracture surgery[J].Transfusion，2009，49（2）：227-234.
[35]
Kumar N，Lam R，Zaw AS，et al.Flow cytometric evaluation of the safety of intraoperative salvaged blood filtered with leucocyte depletion filter in spine tumour surgery[J].Ann Surg Oncol，2015，21（13）：4330-4335.
[36]
Qureshi R，Puvanesarajah V，Jain A，et al.Perioperative Management of Blood Loss in Spine Surgery[J].Clin Spine Surg，2017，30（9）：383-388.
京公网安备 11010502046607号