Does current evidence support the use of intraoperative cell salvage in reducing the need for blood transfusion in caesarean section?

Research output: Contribution to journalReview articlepeer-review

Standard

Does current evidence support the use of intraoperative cell salvage in reducing the need for blood transfusion in caesarean section? / Dhariwal, Sukhjit K.; Khan, Khalid S.; Allard, Shubha; Wilson, Matthew; Moore, Philip; Daniels, Jane; Parker, Samantha; Robson, Steve; Roberts, Tracy; Harkness, Mairi; Fang, Gao Smith; Hooper, Richard; Wrench, Ian; Ullal, Aarti; Ayuk, Paul; Mousa, Tommy; Hogg, Matthew; Dabrowska, Dominika; Marsh, Chris; Patal, Vinod; Osborn, Nicola; Thorp-Jones, Daryl; Clark, Vicki; Wise, Arlene; Catling, Sue; Williams, Susan; Allt, Jules; Geoghegan, James; Portch, David; Ajay, Bini; Woods, Lesley; Bugg, George; Pathak, Sangeeta; Packianathaswamy, Balaji; Bhattacharjee, Parijat; Samra, Jag; Rao, Sanjay; Gardner, Isobel.

In: Current Opinion in Obstetrics and Gynaecology, Vol. 26, No. 6, 01.12.2014, p. 425-430.

Research output: Contribution to journalReview articlepeer-review

Harvard

Dhariwal, SK, Khan, KS, Allard, S, Wilson, M, Moore, P, Daniels, J, Parker, S, Robson, S, Roberts, T, Harkness, M, Fang, GS, Hooper, R, Wrench, I, Ullal, A, Ayuk, P, Mousa, T, Hogg, M, Dabrowska, D, Marsh, C, Patal, V, Osborn, N, Thorp-Jones, D, Clark, V, Wise, A, Catling, S, Williams, S, Allt, J, Geoghegan, J, Portch, D, Ajay, B, Woods, L, Bugg, G, Pathak, S, Packianathaswamy, B, Bhattacharjee, P, Samra, J, Rao, S & Gardner, I 2014, 'Does current evidence support the use of intraoperative cell salvage in reducing the need for blood transfusion in caesarean section?', Current Opinion in Obstetrics and Gynaecology, vol. 26, no. 6, pp. 425-430. https://doi.org/10.1097/GCO.0000000000000116

APA

Dhariwal, S. K., Khan, K. S., Allard, S., Wilson, M., Moore, P., Daniels, J., Parker, S., Robson, S., Roberts, T., Harkness, M., Fang, G. S., Hooper, R., Wrench, I., Ullal, A., Ayuk, P., Mousa, T., Hogg, M., Dabrowska, D., Marsh, C., ... Gardner, I. (2014). Does current evidence support the use of intraoperative cell salvage in reducing the need for blood transfusion in caesarean section? Current Opinion in Obstetrics and Gynaecology, 26(6), 425-430. https://doi.org/10.1097/GCO.0000000000000116

Vancouver

Author

Dhariwal, Sukhjit K. ; Khan, Khalid S. ; Allard, Shubha ; Wilson, Matthew ; Moore, Philip ; Daniels, Jane ; Parker, Samantha ; Robson, Steve ; Roberts, Tracy ; Harkness, Mairi ; Fang, Gao Smith ; Hooper, Richard ; Wrench, Ian ; Ullal, Aarti ; Ayuk, Paul ; Mousa, Tommy ; Hogg, Matthew ; Dabrowska, Dominika ; Marsh, Chris ; Patal, Vinod ; Osborn, Nicola ; Thorp-Jones, Daryl ; Clark, Vicki ; Wise, Arlene ; Catling, Sue ; Williams, Susan ; Allt, Jules ; Geoghegan, James ; Portch, David ; Ajay, Bini ; Woods, Lesley ; Bugg, George ; Pathak, Sangeeta ; Packianathaswamy, Balaji ; Bhattacharjee, Parijat ; Samra, Jag ; Rao, Sanjay ; Gardner, Isobel. / Does current evidence support the use of intraoperative cell salvage in reducing the need for blood transfusion in caesarean section?. In: Current Opinion in Obstetrics and Gynaecology. 2014 ; Vol. 26, No. 6. pp. 425-430.

Bibtex

@article{2e17e07db63b4526b20ee69f47c8d91b,
title = "Does current evidence support the use of intraoperative cell salvage in reducing the need for blood transfusion in caesarean section?",
abstract = "Purpose of review: An important cause of maternal morbidity and direct maternal death is obstetric haemorrhage at caesarean section. Concerns regarding allogeneic blood safety, limited blood supplies and rising health costs have collectively generated enthusiasm for the utility of methods intended to reduce the use of allogeneic blood transfusion in cases of haemorrhage at caesarean section. This can be achieved by intraoperative cell salvage (IOCS). The aim of this review is to summarize and examine the evidence for the efficacy of IOCS during caesarean section, in women at risk of haemorrhage, in reducing the need for allogeneic blood transfusion. Recent findings: The majority of the evidence currently available is from case reports and case series. Although this evidence appears to support the use of IOCS in obstetrics, strong clinical evidence or economic effectiveness from clinical trials are essential to support the routine practice of IOCS in obstetrics. Summary: Current evidence is limited to reported case series and two small controlled studies. Overall, IOCS may reduce the need for allogeneic blood transfusions during caesarean section. Future large randomized trials are required to assess effectiveness, cost effectiveness and safety. The results of the current ongoing SALVO (A randomised controlled trial of intra-operative cell salvage during caesarean section in women at risk of haemorrhage) trial will shed light on these aspects.",
keywords = "Allogeneic blood transfusion, Caesarean section, Intraoperative cell salvage, Obstetrics",
author = "Dhariwal, {Sukhjit K.} and Khan, {Khalid S.} and Shubha Allard and Matthew Wilson and Philip Moore and Jane Daniels and Samantha Parker and Steve Robson and Tracy Roberts and Mairi Harkness and Fang, {Gao Smith} and Richard Hooper and Ian Wrench and Aarti Ullal and Paul Ayuk and Tommy Mousa and Matthew Hogg and Dominika Dabrowska and Chris Marsh and Vinod Patal and Nicola Osborn and Daryl Thorp-Jones and Vicki Clark and Arlene Wise and Sue Catling and Susan Williams and Jules Allt and James Geoghegan and David Portch and Bini Ajay and Lesley Woods and George Bugg and Sangeeta Pathak and Balaji Packianathaswamy and Parijat Bhattacharjee and Jag Samra and Sanjay Rao and Isobel Gardner",
year = "2014",
month = dec,
day = "1",
doi = "10.1097/GCO.0000000000000116",
language = "English",
volume = "26",
pages = "425--430",
journal = "Current Opinion in Obstetrics and Gynaecology",
issn = "1040-872X",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

RIS

TY - JOUR

T1 - Does current evidence support the use of intraoperative cell salvage in reducing the need for blood transfusion in caesarean section?

AU - Dhariwal, Sukhjit K.

AU - Khan, Khalid S.

AU - Allard, Shubha

AU - Wilson, Matthew

AU - Moore, Philip

AU - Daniels, Jane

AU - Parker, Samantha

AU - Robson, Steve

AU - Roberts, Tracy

AU - Harkness, Mairi

AU - Fang, Gao Smith

AU - Hooper, Richard

AU - Wrench, Ian

AU - Ullal, Aarti

AU - Ayuk, Paul

AU - Mousa, Tommy

AU - Hogg, Matthew

AU - Dabrowska, Dominika

AU - Marsh, Chris

AU - Patal, Vinod

AU - Osborn, Nicola

AU - Thorp-Jones, Daryl

AU - Clark, Vicki

AU - Wise, Arlene

AU - Catling, Sue

AU - Williams, Susan

AU - Allt, Jules

AU - Geoghegan, James

AU - Portch, David

AU - Ajay, Bini

AU - Woods, Lesley

AU - Bugg, George

AU - Pathak, Sangeeta

AU - Packianathaswamy, Balaji

AU - Bhattacharjee, Parijat

AU - Samra, Jag

AU - Rao, Sanjay

AU - Gardner, Isobel

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Purpose of review: An important cause of maternal morbidity and direct maternal death is obstetric haemorrhage at caesarean section. Concerns regarding allogeneic blood safety, limited blood supplies and rising health costs have collectively generated enthusiasm for the utility of methods intended to reduce the use of allogeneic blood transfusion in cases of haemorrhage at caesarean section. This can be achieved by intraoperative cell salvage (IOCS). The aim of this review is to summarize and examine the evidence for the efficacy of IOCS during caesarean section, in women at risk of haemorrhage, in reducing the need for allogeneic blood transfusion. Recent findings: The majority of the evidence currently available is from case reports and case series. Although this evidence appears to support the use of IOCS in obstetrics, strong clinical evidence or economic effectiveness from clinical trials are essential to support the routine practice of IOCS in obstetrics. Summary: Current evidence is limited to reported case series and two small controlled studies. Overall, IOCS may reduce the need for allogeneic blood transfusions during caesarean section. Future large randomized trials are required to assess effectiveness, cost effectiveness and safety. The results of the current ongoing SALVO (A randomised controlled trial of intra-operative cell salvage during caesarean section in women at risk of haemorrhage) trial will shed light on these aspects.

AB - Purpose of review: An important cause of maternal morbidity and direct maternal death is obstetric haemorrhage at caesarean section. Concerns regarding allogeneic blood safety, limited blood supplies and rising health costs have collectively generated enthusiasm for the utility of methods intended to reduce the use of allogeneic blood transfusion in cases of haemorrhage at caesarean section. This can be achieved by intraoperative cell salvage (IOCS). The aim of this review is to summarize and examine the evidence for the efficacy of IOCS during caesarean section, in women at risk of haemorrhage, in reducing the need for allogeneic blood transfusion. Recent findings: The majority of the evidence currently available is from case reports and case series. Although this evidence appears to support the use of IOCS in obstetrics, strong clinical evidence or economic effectiveness from clinical trials are essential to support the routine practice of IOCS in obstetrics. Summary: Current evidence is limited to reported case series and two small controlled studies. Overall, IOCS may reduce the need for allogeneic blood transfusions during caesarean section. Future large randomized trials are required to assess effectiveness, cost effectiveness and safety. The results of the current ongoing SALVO (A randomised controlled trial of intra-operative cell salvage during caesarean section in women at risk of haemorrhage) trial will shed light on these aspects.

KW - Allogeneic blood transfusion

KW - Caesarean section

KW - Intraoperative cell salvage

KW - Obstetrics

UR - http://www.scopus.com/inward/record.url?scp=84928059152&partnerID=8YFLogxK

U2 - 10.1097/GCO.0000000000000116

DO - 10.1097/GCO.0000000000000116

M3 - Review article

AN - SCOPUS:84928059152

VL - 26

SP - 425

EP - 430

JO - Current Opinion in Obstetrics and Gynaecology

JF - Current Opinion in Obstetrics and Gynaecology

SN - 1040-872X

IS - 6

ER -