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Cost-effectiveness Analysis of Intraoperative Cell Salvage for Obstetric Hemorrhage

Lim, G.; Melnyk, V.; Facco, F.L.; Waters, J.H.; Smith, K.J.

doi: 10.1097/01.aoa.0000547303.95433.a2
Mechanisms, Equipment, Hazards

(Anesthesiology. 2018;128(2):328–337)

Intraoperative cell salvage is recommended for blood conservation in cases of anticipated extreme blood loss, and reduces the need for allogeneic blood transfusion after cesarean delivery. There is a need for cost-effectiveness analysis of cell salvage in patients undergoing cesarean delivery to inform guidelines on obstetric blood management. Prior cost-effectiveness analysis demonstrated cost-savings in cases of massive transfusion or high risk of transfusion. This study aimed to use a societal perspective to analyze the cost-effectiveness of intraoperative cell salvage during cesarean delivery.

Department of Anesthesiology, Magee–Womens Research Institute and Foundation, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, PA

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