Special Cycles
X
TRA Operator’s Manual 20077/021 US 6-7
Reinfusion
Description
Reinfusion of the red blood cells processed by the XTRA is under the control and supervision of the
physician in charge and can be accomplished by several different means:
• Processed blood can be held in the RBC bag until the bag becomes full. Use the Purge function
(refer to “Removing Air From the RBC Bag: The Purge Cycle” on page 6-6) to remove any
accumulated air and then disconnect the bag from the autologous transfusion circuit, hang, and
reinfuse according to normal blood administration protocol, as described in AABB standards.
• Some of the processed blood can be moved into a transfer pack and handed off to the
anesthesiologist for reinfusion while processing of shed blood continues.
• If necessary—for example, when a patient’s religion requires that blood be maintained in a
continuous loop—a secondary transfer pack or blood RBC bag can be attached to the X
TRA RBC
bag with a Y-type blood administration set. The processed blood can be reinfused by transferring
the blood to the secondary RBC bag and closing the clamp between the two bags.
• Blood can be stored for later reinfusion. In this case, follow your institution’s blood administration
protocol for appropriate labeling and blood storage requirements.
WARNING
The American Association of Blood Banks (AABB) provides
recommendations for expiration of salvaged blood. See Warning
#11 in “
Chapter 1: Introduction and Safety” for specific
recommendations.
i
i
American Association of Blood Banks.
Standards for Perioperative
Autologous Blood Collection and Administration
. 3rd Edition. Bethesda,
MD. 2007 Reference Standard 5.1.8 (Handling, Storage, Transportation).
WARNING
Do not reinfuse the patient’s blood from the primary RBC bag when
it is connected to the X
TRA autologous transfusion circuit. Reinfusion
from the primary reinfusion bag connected to the circuit could lead
to air embolism.
WARNING
Do not reinfuse under pressure (i.e., do not use a blood pressure cuff
on the RBC or plasma/PRP bags). Reinfusion under pressure could
lead to air embolism.
WARNING
To reduce risk of air embolism, remove all air from the primary
reinfusion bag before handing the bag over for reinfusion.
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