INTRAOPERATIVE BLOOD SALVAGE IN CHILDREN AND YOUNG-ADULTS UNDERGOING SPINAL SURGERY WITH PREDEPOSITED AUTOLOGOUS BLOOD - EFFICACY AND COST-EFFECTIVENESS
Mb. Simpson et al., INTRAOPERATIVE BLOOD SALVAGE IN CHILDREN AND YOUNG-ADULTS UNDERGOING SPINAL SURGERY WITH PREDEPOSITED AUTOLOGOUS BLOOD - EFFICACY AND COST-EFFECTIVENESS, Journal of pediatric orthopedics, 13(6), 1993, pp. 777-780
We conducted a retrospective review of 155 spinal operations at our in
stitution to determine the efficacy of intraoperative salvage. Additio
n of intraoperative salvage had little effect on the success of a preo
perative autologous donation program. Only patients with operative blo
od loss >2,000 ml (12% of patients) benefited from this expensive sour
ce of autologous blood. The technique tended to be most effective in c
hildren aged 16-18 years. Use of intraoperative salvage for all pediat
ric spinal procedures is neither necessary nor cost effective.