Postnet Suite 214 Private Bag X5061 Stellenbosch, 7599 South Africa ARC / Infruitec, Lelie Rd. Stellenbosch, South Africa Office: +27 21 887 5260 Fax: +27 86 617 3296 Email: [email protected] 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 ≥