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Chapter 5, General Operation: Cell Salvage
P/N 120745-IE, Manual revision: AA
Haemonetics
®
Cell Saver
®
Elite
®
User Manual
Figure 35, Reservoir vacuum line and A&A connections
5. Close the roller clamp on the A&A line.
6. Hang the anticoagulant (AC) solution bag on the IV pole.
7. Ensure that the bag is properly labeled as anticoagulant solution.
Note: The most common anticoagulant solution is 30,000 units of heparin in 1L
of normal saline. This should be delivered at a 1:7 ratio of heparinized saline to
blood entering the reservoir by adjusting the roller clamp on the anticoagulant
line.
Citrate solution can also be used as an anticoagulant solution. A general guide
for citrate solution delivery is a ratio between 1:5 and 1:10 anticoagulant to
blood.
The rate for both anticoagulants should be set to give approximately 15 mL of
anticoagulant for each 100 mL of blood collected. This equates to a drip rate of
1-2 drops per second, depending on the rate of blood collection.
These recommendations for the use of anticoagulant solution are intended as
guidelines only and should not substitute for the user’s clinical judgment.
8. Aseptically insert the spiked end of the drip chamber into the AC solution
bag.
9. Squeeze the drip chamber.
10. Reopen the roller clamp on the AC drip line to allow full flow of AC
solution.
11. Allow approximately 150 mL of AC solution to flow into the collection
reservoir to adequately prime the filter/defoamer media.
12. Close the roller clamp until beginning the collection from the field.
1.
2.
1. Vacuum line
2. A&A line in the tubing
support