Thursday, July 23, 2015


You are the technician trying to set up the system shown above. Here is the operating room schedule:
OR 1: Laparoscopic cholecystectomy
OR 2: Open partial nephrectomy
OR 3: Explantation of infected hip joint, irrigation with antibiotic solution
OR 4: Total knee replacement, use of methylmethacrylate
OR 5: CABG, Jehovah's witness

Challenge: Which room(s) might need the system shown above?

Image shown under Fair Use.


RaH said...

I have seen following of the surgeries: hip replacement, knee implant, and laparoscopic cholecystectomy.
i can imagine how a nephrektomy might work, and none of those might need the cell saver.
the CABG on a jehova witness on the other hand might use this for two reasons. great blood loss, and because transfusions are not an option.
although the cell saver can be used on any surgery, if a patient is anaemic.. and blood transfusions are not available wanted or possible, or even next to or prior to a transfusion ( i mean a non-autologous transfusion.)

Craig Chen said...

good analysis - sorry for the late response!

This is a blood salvage system to reduce patient exposure to allogeneic blood during and after surgery. Contraindications include use of hypotonic solutions, solutions in the field that would be contraindicated intravenously (ie. antibiotic irrigant), admixture with hemostatic products or bone cement, bacterial infections, and malignancy. Some Jehovah’s witnesses may permit use of blood salvage if the blood remains continuously connected to the patient via intravenous tubing. ORs 2 and 5 may use the system if estimated blood loss is >1L.

Source: UpToDate.