cell saver audit l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Cell Saver Audit PowerPoint Presentation
Download Presentation
Cell Saver Audit

Loading in 2 Seconds...

play fullscreen
1 / 19

Cell Saver Audit - PowerPoint PPT Presentation


  • 1200 Views
  • Uploaded on

Cell Saver Audit. Dr Richard Evans (CONS) Dr Vikram Halikar (SHO) Dr Kevin Chu (PRHO). Introduction. Fresenius CATS (Continuous AutoTransfusion System) Autologous blood transfusion Mechanism Citrate Collection & Filter Centrifuge & Wash Haematocrit 60% (depending on wash).

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Cell Saver Audit' - Albert_Lan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
cell saver audit

Cell Saver Audit

Dr Richard Evans (CONS)

Dr Vikram Halikar (SHO)

Dr Kevin Chu (PRHO)

introduction
Introduction
  • Fresenius CATS (Continuous AutoTransfusion System)
  • Autologous blood transfusion
  • Mechanism
    • Citrate
    • Collection & Filter
    • Centrifuge & Wash
    • Haematocrit 60% (depending on wash)
why this audit
Why this Audit?
  • Usage & efficacy
  • Cost implications
  • Problems / Suggestions
why use a cell saver
Why Use A Cell Saver
  • Loss of Transfusion Risk
    • Infection
    • Transfusion Error
    • Difficult Cross Match
  • Blood Shortage
  • Cost Benefits
when not to use a cell saver
When not to use a Cell Saver
  • Tumour
  • Infection
  • Chemicals
data collected
Data Collected
  • Cell Saver audit forms
    • August 2002 – April 2003 inclusive
    • 9 months
    • 48 patients
  • Theatre Ledger
  • Emergency Operation Lists
  • Diary of Bookings
  • Blood bank records
operations
Operations
  • Vascular
    • Emergency AAA
    • Elective AAA
  • Urology
    • Cystectomy
    • Prostatectomy
    • Nephrectomy
  • Orthopaedic
    • Revision Hips / Occasional Total Hip Replacment
    • Spinal Fusions
cost effectiveness
Cost Effectiveness
  • Capital Cost
    • Cell Saver £21,000 (Now £14,000)
    • ODP Training £300 * 7 = £2,100
  • Running Costs (over 9 months)
    • 48 cases * £90 disposables/case = £4,320
cost effectiveness14
Cost Effectiveness
  • Total Salvaged 24,971ml (over 9 months)
    • Approx 250ml / unit i.e. 100 units
    • Cost / unit £120
    • Total Saved £12,000
  • Predicted Saving
    • £12,000 - £4,320 = £7,680 (over 9 months)
    • £10,240 savings per year (at current usage)
    • £160 savings per case
problems missed cases
Problems / Missed Cases
  • Availability
    • Of Cell Saver (double booking)
    • Of ODP trained in usage
    • Of ODP for usage in Emergency AAA
  • Under-usage
    • Especially in orthopaedics
    • Relatively new technique
    • Lack of awareness: surgical & anaesthetic
conclusions
Conclusions
  • Cell Saver is highly cost effective
  • Second unit (in orthopaedics) would bring further cost benefit
  • Expanding staff training would allow greater usage of the machine
suggestions plans
Suggestions / Plans
  • 2nd Machine for Orthopaedics
  • Increase awareness
  • Routine collection for
    • All Hip operations
    • All Knee operations (not using tourniquet)
    • Femoral Nails
  • Expand staff training
re audit
Re-Audit
  • This audit was first presented at the anaesthetic meeting on 5 September 2003
  • Re-audit of use 6 months from then