SABM James D. Ferguson, Keith A. Samolyk, Victor Carcioppolo ...

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• Webb, et al, looked at the infusion of such particles after the shed blood was washed and then passed the blood through a series of lipid and leukocyte filters – Their findings indicate that the use of processed blood should be employed with consideration of at least a 40µm filter, and a filter with adequate microaggregate retention capabilities. – Additionally, The use of such filters (lipid/leukocyte) of at least 40µm would significantly reduce the potential exposure to these microemboli • Brinke et al. in 2005 – Concluded that use of a continuous autotransfusion system stabilizes the performance of the transfusion leukocytedepletion filter and significantly enhances its leukocyte and platelet removal efficiency. In particular, neutrophils are efficiently removed
“The risk of stroke postoperatively is approximately 1-5%. Incidences rates for neurocognitive deficit, however, , vary markedly depending on the detection method, although typically it is reported in at least 10% of Patients Reducing cerebral injury during cardiac surgery depends upon the surgical team’s s ability to minimize operative emboli of any source including GME from entering the patient’s s circulation (Venous line air) To utilize shed blood effectively, eliminating these microemboli are essential before reinfusing the product into the patient. Clinical Perfusion Education University of Nebraska Medical Center
Page 1 and 2: SABM James D. Ferguson, Keith A. Sa
Page 3: • It’s time for Perfusion and t
Page 8 and 9: Mortality & Morbidity TRALI (Tx Re
Page 10: • Are there components found in s
Page 16 and 17: • -Proinflammatory mediators •
Page 18: Should we discard cardiotomy suctio
Page 21: More Cardiotomy Blood Concerns •
Page 25: • Dr Stump’s s research on card
Page 28 and 29: Approved by the Wake Forest Univers
Page 30: Number of Cerebral Lipid Microembol
Page 33 and 34: • A national survey conducted Jus
Page 35 and 36: • Methods - 71 patients were enro
Page 37 and 38: The study showed Shed Mediastinal B
Page 39 and 40: The Meta-Analysis contained 31 rand
Page 41 and 42: Abstract Objective: During cardiopu
Page 43 and 44: Munir Boodhwani, Howard J. Nathan,
Page 45 and 46: Conclusions from Study Contrary to
Page 47 and 48: So what can we determine from all o
Page 49 and 50: Abstract: Cell salvage devices are
Page 51 and 52: Autotransfusion Pitfalls The potent
Page 53 and 54: Remove 70-90% of soluble contaminan
Page 55 and 56: Quality improves by process change:
Page 57 and 58: We are at a conundrum in cardiac su
Page 59 and 60: 1. Belway, D., Rubens, F., Wonzy, D
Page 61: 13. Shann, K. G., Likosky, D. S., M

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