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Office:    +27  21  887  5260      Fax:    +27  86  617  3296  E-­mail:  sales@sinapi.co.za

Reg.  No:  2013/065750/07  VAT  No.  4680229525  

SINAPI biomedical Est. 2006 Directors Mr. DC De Villiers, Mr. NH Smit

     6  July  2016  To:          AUTOLOGOUS BLOOD TRANSFUSION: SINAPI CHEST DRAIN XL1000 & XL1000S MODELS

NB - ONLY FOR USE IN SOUTH AFRICA

The Sinapi Chest Drain, models XL1000 and XL1000S, incorporate a port at the bottom of the rigid container (left of the tap). This port can be spiked with a blood giving set in order to transfuse the blood that has been collected in the reservoir.

Operation:

• Clamp the chest catheter; disconnect the full Sinapi Chest Drain that will be used for autologous blood transfusion and connect a new Sinapi Chest Drain. Unclamp and confirm drainage by depressing the bulb.

• Cover the open connector of the full chest drain with a sterile glove to prevent contamination of the unit.

• Spike the auto-transfusion port with a blood giving set with micro-filter. Once connected DO NOT disconnect. (The port is protected by a dust cover to keep it clean. If the cover is removed, fluids will not leak from the container. Only once the spike of a blood set has has been inserted, fluids will be able to exit.)

• Lift the Sinapi Chest Drain as high as possible to allow for rapid gravity drainage.

Heparin requirement:

• Most pleural blood is already defibrinated when drained and may not need an anticoagulant when auto-transfused as part of emergency resuscitation.

• If required, Heparin should be added via the needleless sampling port (on the front of the rigid holder, bottom left). Swab the port before use.

Observations:

Please note that due to the distinct context of each patient, Sinapi cannot recommend a standard requirement for Heparin. The following practices have been observed:

1. Trauma setting: 1000-2000 units of Heparin is added to all chest drains with a 1000ml capacity when auto-transfusion is anticipated. (Reference: Inkosi Albert Luthuli Central Hospital: Dr Timothy Hardcastle, Head of Clinical Unit: Trauma Surgery & Deputy Director: Trauma Unit and Trauma ICU)

2. Post Cardio-Thoracic surgery: Auto-transfusion is indicated when blood drainage is ≥

           

             

 SINAPI biomedical Est. 2006 Directors: Mr. DC De Villiers, Mr. NH Smit

500ml. CPDA (blood bank) is used instead of Heparin, as it does not affect blood clotting. Two bags (60ml each) of CPDA are generally added to the reservoir before blood is drained into it. A disadvantage of CPDA is that it affects calcium levels, which should be corrected post-infusion if necessary. (Reference: Vergelegen Medi-Clinic Cardio-Thoracic department: Cardiac Surgeon: Dr van Zyl; Anaesthetist: Dr Phillips; Medical Technologist: Mr Miles)

Please find attached photos of auto-transfusion in practice.

 Chris  de  Villiers  Managing  Director  SINAPI  biomedical  pty  ltd                

 

           

             

 SINAPI biomedical Est. 2006 Directors: Mr. DC De Villiers, Mr. NH Smit