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| Contraindications For Autotransfusion Salvage |
Clotting Agents l Irrigation Agents l Contaminants l Malignancy l Blood Disorders
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These products may cause platelet aggregation, clotting cascade activation, & microaggregate formation
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Avitene Instat Gelfoam Powder Oxycel Helitene MCH
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Surgicel Surgicel NuKnit Super Stat HemoFoam Hemopad Helistat Gelfoam Sponge |
Thrombin-JMI Thrombostat Thrombogen
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If these products are used during the autotransfusion surgical procedure, be sure to avoid aspirating any of the product into the autotransfusion reservoir. If the physician chooses to continue with autotransfusion, make sure he irrigates the area with large amounts of 0.9% sodium chloride, and suctions the irrigation through a waste suction device.
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These products may cause red cell destruction, renal toxicity, or clotting activation
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Alcohol Bacitracin Neomycin Polymyxcin Betadine
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Chloropactin Hydrogen Peroxide Hyper/hypotontic Solutions (water or dextrose solution)
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Lactated Ringers (when citrate is used as an anticoagulant) Methylmethacrylate (liquid, powder, or hardened form) |
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If these products are used during the autotransfusion surgical procedure, be sure to avoid aspirating any of the product into the autotransfusion reservoir. If the physician chooses to continue with autotransfusion, make sure he irrigates the area with large amounts of 0.9% sodium chloride, and suctions the irrigation through a waste suction device.
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These solutions may cause red cell destruction, renal toxicity, or clotting activation, septicemia, or autotransfusion reservoir clogging
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Amniotic Fluid Bone Chips or Bone Graft Material Bowel Contents Fat
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Gastric Fluid Pancreatic Fluid Infectious Tissue Urine
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Vaginal Secretions Nasal Secretions Oral Secretions
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If these solutions are aspirated in the autotransfusion reservoir during surgical procedure, be sure to discuss the medical risks with the physician and medical staff to determine when to terminate the use of autotransfusion. |
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These products may cause red cell destruction, renal toxicity, or clotting activation, septicemia, or autotransfusion reservoir clogging
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Primary Tumor or Malignancy Metastatic Tumor |
Pheochromocytoma Ascites with Tumor |
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If these products are aspirated in the autotransfusion reservoir during surgical procedure, be sure to discuss the medical risks with the physician and medical staff to determine when to terminate the use of autotransfusion. |
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These are some blood disorders that make autotransfusion prohibitive
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Sickle Cell Trait |
Sickle Cell Anemia |
Cold Agglutinin Antibody |
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Cold agglutination of red blood cells may occur at blood temperatures lower than 37 degrees celcius, which can occur during the wash phase of autotransfusion. The washing of red blood cells on a patient with sickle cell anemia or trait can cause the red blood cells to sickle. |
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Copyright
© 2001 PPAI Medical™ All rights reserved.
Revised: March 17, 2005
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Perfusion |
