{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:10:16Z","timestamp":1767676216889,"version":"3.37.3"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,12,15]],"date-time":"2017-12-15T00:00:00Z","timestamp":1513296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion Medicine"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the impact of a dedicated cell salvage practitioner team on blood loss and allogeneic transfusion in abdominal aortic aneurysm (AAA) surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Cell salvage reduces allogeneic transfusion in AAA surgery, but is commonly performed by the anaesthetic nurse. At our hospital, a dedicated patient blood management practitioner is present for all elective open AAA repairs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods\/Materials<\/jats:title><jats:p>Data were collected on 171 AAA patients operated on at the John Radcliffe Hospital, Oxford over a 3\u2010year period, looking at the Patient Blood Management processes, including: blood loss, cell salvage, near\u2010patient testing (thrombelastography) and transfusion rates of allogeneic blood products.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Blood loss ranged from 3\u2013108% of estimated blood volume (EBV) (median 25%\u2009=\u20091500\u2009mL). In seven patients who lost 70\u2013110% of their EBV, none reached the thrombelastography intervention threshold for <jats:italic>R<\/jats:italic> time (11\u2009min) or MA (48\u2009mm) despite such massive blood loss. Overall, only 7\/171 (4%) patients received intra\u2010operative allogeneic blood, all of whom had a mean baseline haemoglobin concentration\u2009&lt;\u2009106\u2009g L<jats:sup>\u22121<\/jats:sup> (median 98, range 95\u2013105\u2009g L<jats:sup>\u22121<\/jats:sup>). In terms of other blood products, only 4\/171 (2\u00b73%) received one unit of platelets each intra\u2010operatively. None received FFP or cryoprecipitate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Such low levels of allogeneic transfusion have not been reported previously. We hypothesise that this is due to the additional blood management contributions of the specialised cell salvage practitioners and collaboration with the rest of the vascular surgical team. These results support the development of pre\u2010operative anaemia clinics. Overall the service runs at a profit to the trust.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tme.12495","type":"journal-article","created":{"date-parts":[[2017,12,16]],"date-time":"2017-12-16T10:53:47Z","timestamp":1513421627000},"page":"290-297","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effects of a targeted blood management programme on allogeneic blood transfusion in abdominal aortic aneurysm surgery"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2052-523X","authenticated-orcid":false,"given":"M. D.","family":"Stoneham","sequence":"first","affiliation":[{"name":"Nuffield Division of Anaesthetics John Radcliffe Hospital  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Von Kier","sequence":"additional","affiliation":[{"name":"Haemostasis and Blood Conservation Service John Radcliffe Hospital  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Harvey","sequence":"additional","affiliation":[{"name":"Nuffield Division of Anaesthetics John Radcliffe Hospital  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Murphy","sequence":"additional","affiliation":[{"name":"National Health Service (NHS) Blood and Transplant &amp; Oxford National Institute for Health Research (NIHR) Biomedical Research Centre Oxford University Hospitals &amp; University of Oxford  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1185\/030079906X132532"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2005.06.010"},{"volume-title":"Blood Transfusion and the Anaesthetist; Intra\u2010Operative Cell Salvage","year":"2009","author":"Association of Anaesthetists of Great Britain and Ireland","key":"e_1_2_9_4_1"},{"volume-title":"Blood Conservation Strategies","year":"2017","author":"Brydon C.","key":"e_1_2_9_5_1"},{"key":"e_1_2_9_6_1","first-page":"CD001888","article-title":"Cell salvage for minimising perioperative allogeneic blood transfusion","author":"Carless P.A.","year":"2010","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew270"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1538574413500538"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6359"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462305050312"},{"key":"e_1_2_9_11_1","first-page":"139","article-title":"Intra\u2010operative cell salvage: a fresh look at the indications and contraindications","volume":"9","author":"Esper S.A.","year":"2011","journal-title":"Blood Transfusion"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X0903700317"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13426"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-1433.2004.03117.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.12"},{"volume-title":"UK Cell Salvage Action Group","year":"2017","author":"Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee","key":"e_1_2_9_16_1"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2005.01.007"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e3054"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000630"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12909"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/69.3.307"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4793"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f4303"},{"key":"e_1_2_9_24_1","first-page":"224","article-title":"Prediction of blood volume in normal human adults","volume":"51","author":"Nadler S.B.","year":"1962","journal-title":"Surgery"},{"key":"e_1_2_9_25_1","unstructured":"National Institute for Health and Care Excellence. 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