Why autologous blood

1
Why autologous blood?

• Shortage
• Disease transmission
• Open window period
• The next virus
• Transfusion reactions
• Immunomodulation
• improved renal allograft survival
• increased frequency and quicker relapse of
  cancer?
• increased postoperative infection rates

2
Postoperative in-hospital bacterial infection
following spinal surgery
n24
n60
A clinical and immunologic study of blood
transfusion and postoperative bacterial infection
in spinal surgery. Triulzi DJ, Vanek K, Ryan DH,
Blumberg N. Transfusion. 1992 32 517-524.
3
Methods for collecting and reinfusing autologous
blood

• Predonation
• Normovolemic haemodilution
• Intra and post operative blood salvage
• washing technique
• filtering technique

4
When can the post operative collection and
filtration technique be applied?

• Total Hip Replacement, THR
• Approx. half of the blood is lost post
  operatively
• Total Knee Replacement, TKR
• Nearly all the blood is lost post operatively
• Surgery of the Spine
• The amount of blood loss, and when it is lost
• varies between different procedures

5
Indications

• For the postoperative drainage, collection,
  filtration and reinfusion of autologous blood

6
Recommended to be used on a routine basis
following

• Total Hip Replacements, THR
• Total Knee Replacements, TKR
• Surgery of the Spine, e.g scoliosis

7
Bellovac A.B.T offers the optimal solution

• Dual function
• Easy to use
• Safe

8
Using Bellovac A.B.T is resource efficient!

• Dual function
• No additional drainage sets needed
• Easy to use
• Saves nursing time
• No expensive equipment investment is required
• No specially trained staff needed
• Safe
• Reduced requirements of homologous blood
  transfusions (1,2)
• Shortened hospital stays (1,2)
• Reduced use of antibiotics (1,2)
• Minimised risk of disease transmission

(1) The clinical advantage of autologous
transfusion. Newman JH, Bowers M, Murphy J. J
Bone Joint Surg. 1997 79-B 630-632. (2) A
clinical and immunologic study of blood
transfusion and postoperative bacterial infection
in spinal surgery. Triulzi DJ, Vanek K, Ryan DH,
Blumberg N. Transfusion. 1992 32 517-524.
9
Patients requiring homologous blood transfusions
following knee replacement
plt0,001
The clinical advantage of autologous transfusion.
A randomised controlled study after knee
replacement. Newman JH, Bowers M, Murphy J. J
Bone Joint Surg. 1997 79-B 630-632.
10
Bellovac A.B.T Set

• Complete and ready to use for the collection and
  reinfusion of one unit of autologous blood
• Catheter and trocar
• Suction bellows
• Autotransfusion bag
• Transfusion Set
• FG 10, 14, 18

11
Additional set

• For the subsequently collected and reinfused
  units of autologous blood
• Autotransfusion bag
• Transfusion Set
• (separately sterile packaged)

12
Accessories

• Y-connectors and catheters
• Transfusion Set
• Extension Line
• Drainage bags

13
Extension line

• Jehovahs Witnesses
• Receiving homologous blood transfusions are
  against their beliefs
• Autologous blood transfusion in closed circle
  accepted
• The Extension line enables autologous blood
  transfusion to Jehovahs Witnesses

14
The filters

• One macrofilter in the Autotransfusion bag. 200
  µm.
• One microfilter in the Transfusion Set. 40 µm.

15
The optimal solution