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Anaesthesia · Cardiovascular physiology, fluids, and blood management: curriculum recognition
Sample itemDuring repair of a ruptured aortic aneurysm, blood is aspirated from the operative field, anticoagulated, centrifuged, washed and returned to the patient. Which technique is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Intraoperative cell salvage
Cell salvage collects shed blood, washes the red cells and reinfuses them, which suits operations with large expected blood loss. Haemodilution instead withdraws blood before surgery, and autologous donation stores blood in advance.
Option by option
A. Intraoperative cell salvage (correct)
Correct. Shed blood is collected, washed and reinfused during the operation.
B. Preoperative autologous donation
Preoperative donation collects and stores blood weeks before surgery.
C. Directed donation from relatives
Directed donation uses blood from chosen donors, not the patient's own shed blood.
D. Acute normovolaemic haemodilution
Haemodilution removes blood before bleeding starts and replaces it with fluid.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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