Appendices
P/N 53063-50, Manual Revision: B
APP-4
Contaminants
A. Amniotic Fluid
Contains proteolytic
enzymes which may
activate clotting.
Cell salvage is an option after
delivery of the fetus, removal of the
amniotic fluid, and copious
irrigation with 0.9% sodium
chloride solution to an alternate
suction source.
B. Bone Chips/Bone Grafting
Materials
May cause clogging of the
system.
Flush suction line occasionally with
anticoagulant solution or normal
saline to keep clear.
C. Bowel Contents
Potential for bacteremia.
Do not aspirate into system.
Resumption is an option after
copious irrigation with 0.9% sodium
chloride solution to an alternate
suction source.
D. Fat
May not wash out
completely.
Retain visible fat layer in reservoir
and reinfusion bag.
Increase wash volume to 2000 ml. If
visible fat layer exists in reinfusion
bag, piggyback two microaggregate
filters between reinfusion bag and
transfer pack or infusion set.
E. Gastric and Pancreatic Fluid
Proteolytic enzyme may
cause red cell lysis.
Do not aspirate into system.
Resumption is an option after
copious irrigation with 0.9% sodium
chloride solution to an alternate
suction source.
F. Infection at Site of Aspiration
Potential for bacteremia
Avoid aspiration in the presence of
purulent material.
G. Skin Lesions (Infectious)
Incising a lesion may
introduce organisms.
Cell salvage may be used if incision
is not through a lesion.
H. Urine
Potential for bacteremia if
urinary tract infection
present.
Avoid aspiration into system in the
presence of a urinary tract infection.
I. Mucous Membrane Procedures
Examples:
Oral, Nasal, Vaginal
Potential for bacteremia
due to normal resident
bacteria.
Medical risks and benefits should be
discussed between the surgeon and
the medical director of the surgical
services program.
Complications of and contraindications to perioperative blood recovery
1
(Per 1997 AABB Guidelines for blood recovery and reinfusion in surgery and trauma pg 19-22)
Substance
Effects
Recommended Action
