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KMID : 0387720090200020113
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Korean Journal of Blood Transfusion
2009 Volume.20 No. 2 p.113 ~ p.119
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Evaluation of Quality of Intraoperative Salvaged Red Blood Cells Processed by CATSPlus
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Kim Young-Jin
Lee Jung-Sub
Kwon Jae-Young
Song Du-Yeal
Lee Eun-Yup
Son Han-Chul
Kim Hyung-Hoi
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Abstract
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Background: CATSPlus (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 CATSPlus.
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.
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KEYWORD
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Safety, Intraoperative autologous transfusion, CATS plus, Hemolysis
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