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E-Thesis 796 views 227 downloads

The Extent to Which Cell Salvage Can Support Patient Blood Management / Bernard Crotty

Swansea University Author: Bernard Crotty

DOI (Published version): 10.23889/Suthesis.48728

Abstract

Cell salvage involves the recycling of a patient’s own blood shed during or after an operation. The procedure is mainly used in the specialties of orthopaedics, cardiac and obstetrics where high volumes of blood loss are expected. The cell salvage process can therefore obviate the need for a patient...

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Published: 2018
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa48728
first_indexed 2019-02-11T11:58:01Z
last_indexed 2024-11-14T11:57:35Z
id cronfa48728
recordtype RisThesis
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spelling 2023-06-28T15:56:06.1648711 v2 48728 2019-02-07 The Extent to Which Cell Salvage Can Support Patient Blood Management a7de2de4b99825130dd62359f2e80dc5 0000-0003-3316-1321 Bernard Crotty Bernard Crotty true true 2019-02-07 Cell salvage involves the recycling of a patient’s own blood shed during or after an operation. The procedure is mainly used in the specialties of orthopaedics, cardiac and obstetrics where high volumes of blood loss are expected. The cell salvage process can therefore obviate the need for a patient to require a blood transfusion using donated (allogeneic) blood.This thesis examines the cost effectiveness of cell salvage in primary total hip replacement surgery. It compares data for three hospital sites in England; one an extensive user of cell salvage and two sites that do not utilise cell salvage. The thesis concludes that recent procedural changes and the adoption of published blood management guidance can reduce the requirement for a patient to require an allogeneic blood transfusion. These changes render both intra-operative and post-operative cell salvage unnecessary to support most primary total hip replacement operations.The thesis recommends further comparative studies in surgery with higher potential blood loss to assess the impact of intra-operative cell salvage in a less predictable operating environment. E-Thesis Cell salvage, Blood, Orthopaedics, Obstetrics, Cardiac 31 12 2018 2018-12-31 10.23889/Suthesis.48728 A selection of third party content is redacted or is partially redacted from this thesis. COLLEGE NANME College of Human and Health Sciences COLLEGE CODE Swansea University Doctoral Ph.D 2023-06-28T15:56:06.1648711 2019-02-07T10:32:38.9393797 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Healthcare Science Bernard Crotty 0000-0003-3316-1321 1 0048728-08022019145722.pdf Crotty_Bernard_PhD_Final_Thesis_Redacted.pdf 2019-02-08T14:57:22.2530000 Output 16051559 application/pdf Redacted version - open access true 2019-02-07T00:00:00.0000000 true
title The Extent to Which Cell Salvage Can Support Patient Blood Management
spellingShingle The Extent to Which Cell Salvage Can Support Patient Blood Management
Bernard Crotty
title_short The Extent to Which Cell Salvage Can Support Patient Blood Management
title_full The Extent to Which Cell Salvage Can Support Patient Blood Management
title_fullStr The Extent to Which Cell Salvage Can Support Patient Blood Management
title_full_unstemmed The Extent to Which Cell Salvage Can Support Patient Blood Management
title_sort The Extent to Which Cell Salvage Can Support Patient Blood Management
author_id_str_mv a7de2de4b99825130dd62359f2e80dc5
author_id_fullname_str_mv a7de2de4b99825130dd62359f2e80dc5_***_Bernard Crotty
author Bernard Crotty
author2 Bernard Crotty
format E-Thesis
publishDate 2018
institution Swansea University
doi_str_mv 10.23889/Suthesis.48728
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Healthcare Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Healthcare Science
document_store_str 1
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description Cell salvage involves the recycling of a patient’s own blood shed during or after an operation. The procedure is mainly used in the specialties of orthopaedics, cardiac and obstetrics where high volumes of blood loss are expected. The cell salvage process can therefore obviate the need for a patient to require a blood transfusion using donated (allogeneic) blood.This thesis examines the cost effectiveness of cell salvage in primary total hip replacement surgery. It compares data for three hospital sites in England; one an extensive user of cell salvage and two sites that do not utilise cell salvage. The thesis concludes that recent procedural changes and the adoption of published blood management guidance can reduce the requirement for a patient to require an allogeneic blood transfusion. These changes render both intra-operative and post-operative cell salvage unnecessary to support most primary total hip replacement operations.The thesis recommends further comparative studies in surgery with higher potential blood loss to assess the impact of intra-operative cell salvage in a less predictable operating environment.
published_date 2018-12-31T19:33:49Z
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score 11.106734

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