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Specialized equipment and procedures: blood salvage, rapid infusion systems, and renal replacement therapy 

Specialized equipment and procedures: blood salvage, rapid infusion systems, and renal replacement therapy
Chapter:
Specialized equipment and procedures: blood salvage, rapid infusion systems, and renal replacement therapy
Author(s):

Andrew Watts

and Kirstin Naguit

DOI:
10.1093/med/9780199651429.003.0038
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date: 25 August 2019

This chapter covers the specialized equipment that is used during transplantation and other major non-transplant surgery in patients exposed to major blood loss and in critically ill patients with renal failure and significant electrolyte and metabolic derangements. Intraoperative cell salvage (ICS) and rapid infusion systems (RIS) are both utilized in major surgery when significant blood loss is expected. ICS is used to reduce exposure to allogeneic blood products (with its attendant risks) and to reduce demands upon the limited resources of blood banks. RIS were developed during the advent of liver transplantation and systems have been modified and improved to meet changing requirements. Renal replacement therapy describes a broad system of treatments to manage metabolic derangements, fluid overload, and electrolyte disturbances in critically ill patients. This chapter’s description pertains to predominantly perioperative management in the liver transplant patient.

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