"why, there's no basement at the alamo!"
I did a case today wherein the patient lost 11 liters of blood, and we ended up transfusing, in addition to assorted exogenous (read: donated by other people) products, 16 units of Cell Saver. The concept of Cell Saver, for those unfamiliar with the technology, is this. The patient is bleeding. The surgeons suck up the blood from the field into a special machine. When the blood in the container reaches a certain level, the perfusionists wash the blood in the bowl and spin it down. Then the anesthesiologist gives the blood back to the patient. Hence, cells are saved. Cell Saver. Ah, one of the few names in medicine that makes sense.
Aside from certain circumstances when Cell Saver cannot be used (soiled bloodstuffs, certain cancers that might get disseminated), Cell Saver can be a great thing. However, in a case like this where there is just so much bleeding, the practice starts to border on the absurd. Imagine this: We give the patient blood. They bleed it all out. We suck it all up and give it back to them. They bleed it all out. We suck it up and give it back to them. They...oh, you get the idea.
It actually reminds me of this quote from "Pee Wee's Big Adventure," a movie that I loved as a kid, and now appreciate as an adult as the first truly avant-garde art film of my (ill-spent) youth. "It's like you're unravelling a cable knit sweater that someone keeps knitting, and knitting, and knitting, and knitting, and knitting, and knitting, and knitting."
michael kors outlet, ray ban sunglasses, michael kors outlet, coach purses, burberry outlet, true religion jeans, chanel handbags, kate spade outlet, louis vuitton, oakley sunglasses cheap, prada handbags, michael kors outlet, tory burch outlet, louis vuitton outlet, gucci outlet, longchamp outlet, longchamp handbags, louis vuitton outlet, prada outlet, ray ban sunglasses, michael kors outlet, true religion jeans, polo ralph lauren outlet, polo ralph lauren outlet, tiffany and co, louboutin outlet, michael kors outlet, tiffany and co, louboutin, coach factory outlet, air max, christian louboutin shoes, michael kors outlet, burberry outlet, oakley sunglasses, coach outlet store online, nike free, oakley sunglasses, longchamp handbags, kate spade handbags, jordan shoes, louis vuitton outlet stores, air max, nike shoes, coach outlet, louboutin, louis vuitton handbags
ReplyDeletebirkin bag, longchamp, canada goose outlet, insanity workout, moncler, giuseppe zanotti, uggs outlet, reebok outlet, north face outlet, north face jackets, babyliss pro, ugg australia, ugg boots, nike huarache, nfl jerseys, new balance shoes, beats by dre, ugg pas cher, canada goose, p90x, chi flat iron, jimmy choo outlet, mcm handbags, canada goose, vans shoes, ugg boots, mac cosmetics, nike roshe run, mont blanc, canada goose, marc jacobs, valentino shoes, ghd, wedding dresses, abercrombie and fitch, ferragamo shoes, herve leger, celine handbags, canada goose uk, lululemon outlet, soccer shoes, asics running shoes, canada goose jackets, bottega veneta, ugg, rolex watches, instyler, soccer jerseys, hollister
ReplyDeletemoncler, gucci, swarovski, parajumpers, lancel, moncler, pandora charms, montre homme, air max, baseball bats, ugg, links of london, supra shoes, juicy couture outlet, thomas sabo, coach outlet store online, moncler, juicy couture outlet, toms shoes, hollister, louis vuitton, swarovski crystal, karen millen, air max, oakley, vans, rolex watches, hollister clothing store, iphone 6 cases, moncler outlet, louboutin, ugg, converse, moncler, canada goose, ralph lauren, wedding dresses, timberland boots, hollister, ray ban, converse shoes, pandora charms, canada goose, pandora jewelry, moncler
ReplyDelete