ATS Waste Cost Estimator for Residual CPB Circuit Volume
Comment (red is calculation) [=equation]
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The average patient Hct during shed blood collection
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The average patient platelet count during shed blood collection
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The average patient total protein concentration during shed blood collection
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The average patient fibrinogen concentration during shed blood collection
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Total volume in the reservoir before processing red cell mass
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Surgical field irrigant volume
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Heparinized saline volume
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Total patient shed blood volume in reservoir [ = reservoir - irrigant - hep saline vol ]
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RBCM in shed blood reservoir to be processed in bowl [= (Hct/100)*reservoir vol]
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Patient plasma volume in the reservoir [= patient shed vol - RBCM]
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ATS device bowl volume
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Expected ATS bowl end-processing Hct
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Number of bowls to be filled to process reservoir RBCM[= reservoir RBCM / (bowl vol * (bowl Hct/100))]
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Total bowl volume transferred to anesthesiologist patient transfusion bag [= # of bowls * bowl vol]
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The percent of platelets that are activated by the ATS process - if not wasted
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If there are 1,000 mm3 in one cc of plasma, the total number of platelets wasted [= (pt shed vol * 1000 mm3/cc * plt cnt)/10^6) * (100 - % plt activation)]
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The percent of the proteins that are removed by the ATS process
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The total number of mg of fibrinogen that are discarded [= pt shed vol / 100 dl/l * fib conc * (% prot removal)]
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The total number of gm of protein that are discarded other than the fibrinogen mg [= (pt shed vol / 100 dl/l * prot conc * % prot removal) - (fib mg/1000)]
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The volume in a platelet pack to determine the cost of platelets
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The concentration of platelets in the platelet pack
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The total number of platelets in the platelet pack example [= (plt pack vol * 1000 mm3/cc * plt conc)/106 ]
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The cost of the volume of platelets in the platelet pack
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The volume in a unit of allogeniec FFP
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The concentration of fibrinogen in the FFP unit
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Total number of mg of fibrinogen in the FFP unit example [= (FFP vol / 100) * fib conc ]
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The cost of the FFP unit
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The volume of the protein concentrate
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The concentration by volume of the protein concentrate
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Total number of gm of protein in the protein concentrate [= (prot conc / 100) * prot vol]
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Cost of the protein concentrate example
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Number of platelet packs required to replace wasted platelets [= M wasted platelets / M of platelets in plt pack]
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Cost to replace the total number of platelets expected to survive that were wasted during ATS [= # plt pack replacement * cost of plt pack]
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Number of FFP units required to replace wasted fibrinogen [= mg wasted fibrinogen / mg in one FFP unit]
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Cost to replace the total number of mg fibrinogen that are wasted during ATS [= # FFP unit replacement * cost of one FFP unit]
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Number of protein vials required to replace wasted protein [= gm wasted protein / gm in one protein vial]
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Cost to replace the total number of gm protein (minus fibrinogen) that are wasted during ATS [= # prot vials replacement * cost of one protein vial]
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Total cost to replace fibrinogen, protein and platelets lost during ATS processing [= sum of plt pack cost + FFP unit cost + prot conc cost]
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Cost of the Hemobag® and hemoconcentrator
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Total cost of recovered waste minus cost of Hemobag® and hemoconcentrator [= cost of waste - cost of Hemobag® and HC]