{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:33:03Z","timestamp":1788852783254,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,3,25]],"date-time":"2019-03-25T00:00:00Z","timestamp":1553472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    The use of cell salvage during caesarean section has been increasing steadily, although there are concerns relating to cost, a perceived risk of amniotic fluid embolism, and fetal red cell sensitisation. We present observational data from almost a decade of use of intra\u2010operative cell salvage in obstetrics. By the end of this period, we set up cell salvage collection for &gt;\u00a098% of all caesarean sections. From 2008 to 2017, 1170 women have had a re\u2010infusion of cell salvaged blood with no clinical safety concerns; the median (\n                    <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>\n                    [range]) volume was 231 (154\u2013306 [80\u20131690]) ml. During this time there has been a marked reduction in the number of women who were transfused allogeneic blood, as well as the amount of blood transfused. In total, 647 (55%) women have had alloimmunisation testing, with two positive cases. Quality control data indicate that the quality of blood processed from partial first bowls is no worse than that from full bowls. We discuss the costs of providing this service with regard to: staffing costs; single suction; leucodepletion filters; selectivity in the processing of collected blood; and the use of partial first bowls.\n                  <\/jats:p>","DOI":"10.1111\/anae.14630","type":"journal-article","created":{"date-parts":[[2019,3,26]],"date-time":"2019-03-26T00:43:45Z","timestamp":1553561025000},"page":"976-983","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Obstetric intra\u2010operative cell salvage: a review of an established cell salvage service with 1170 re\u2010infused cases"],"prefix":"10.1111","volume":"74","author":[{"given":"I. J.","family":"Sullivan","sequence":"first","affiliation":[{"name":"Department of Blood Transfusion Royal Cornwall Hospitals NHS Trust Truro UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. J.","family":"Ralph","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Royal Cornwall Hospitals NHS Trust Truro UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,25]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"KnightM NairM TuffnellD ShakespeareJ KenyonS KurinczukJJ.Saving lives improving mothers\u2019 care. Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2013\u201315. Maternal Newborn and Infant Clinical Outcome Review Programme (MBRRACE\u2010UK)2017.https:\/\/www.npeu.ox.ac.uk\/downloads\/files\/mbrrace-uk\/reports\/MBRRACE-UK%20Maternal%20Report%202017%20-%20Web.pdf(accessed 09\/02\/2019)."},{"key":"e_1_2_6_3_1","unstructured":"Royal College of Obstetricians and Gynaecologists.Blood transfusion in obstetrics. 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