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FAQ
Where can Suncoast provide services?

Nationwide at any hospital, doctor’s office, surgery center, wound care center or extended care facility.

Where can I get patient education info?

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What is PRP?

Platelet rich plasma (abbreviated PRP) is a treatment used for some common orthopedic conditions. PRP is a concentration of platelet cells taken from your blood, and these platelets have growth factors that may help in the healing process of chronic injuries. Growth factors are chemicals that signal the body to initiate a healing response. By injecting PRP into areas of an injury, the hope is to stimulate and optimize your body’s ability to heal the chronic conditions. Platelet Rich Plasma is composed of plasma with a high concentration of white blood cells (WBC) and platelets containing growth factors. The WBCs help fight infections while the platelets help clot the blood and contain the powerful growth factors needed to start the healing process. A normal platelet count is 150,000-350,000. PRP contains 3-6 times that number and sometimes more

We know from laboratory studies that PRP can help increase certain growth factors that are important in the healing process. What we do not know is if this makes any difference in healing when PRP is injected into an injured part of the body. Clinical studies that have been done so far do not clearly demonstrate if PRP is more effective than other treatments. While there are reports of cases of success, it is not known if these successes are better, or worse, than other standard treatments. Currently, investigations are underway to determine if PRP is more helpful than other treatments for chronic tendonitis.


What are growth factors?
Your platelets release healing proteins called growth factors. There are many growth factors with varying responsibilities, however, cumulatively they accelerate tissue and wound healing.


Where can PRP be used?
PRP can be used in almost any surgical specialty where tissue or bone has been injured, cut, or bruised. PRP has been used in operating rooms for several decades to help with wound healing, and to stimulate bone formation in spinal fusion surgery. Recently, PRP has been used in outpatient settings for treatment of common overuse conditions including:

  • Achilles Tendonitis
  • Rotator Cuff Tendonitis
  • Tennis Elbow, and
  • Patellar Tendonitis

 


How is PRP applied?
The use of PRP varies from procedure to procedure and can be applied in a variety of ways.
Generally, it is sprayed on topically at the end of the procedure to control post-op oozing, to fixate small bone graft material, and to spread the concentrated growth factors under and around soft tissue and tissue grafts.

How PRP Is Injected:
PRP injections are given as soon as the blood has been spun and the platelets separated. Some physicians may choose to add an “activating agent,” usually either thrombin or calcium chloride, while some inject just the platelets. Studies have shown that the tendons being injected can also activate the PRP, so the activating agent may not be necessary.

There is no clear science to justify a particular quantity of PRP and number of injections needed. Most physicians perform one injection, although sometimes PRP injections are given as a series of injections over a span of several weeks.


Who makes PRP?
PRP is obtained from the patient. Blood is withdrawn from a vein in the patient’s arm and the blood is placed in a centrifuge. Most of the time the blood is drawn by a nurse or other qualified allied healthcare professional. A machine is then used to separate the different types of blood cells. The physician or allied health professional then extracts the platelet-rich portion of the blood, and injects this into the area of injury.


Who can benefit from PRP?
Anyone, from professional athletes to those who enjoy recreational activities or whose wounds are difficult to heal, can benefit from the healing effects of PRP.


Is PRP Safe?
PRP is derived from a small quantity of your own blood. Using a tabletop device, your blood is processed and prepared at or near your bedside in your doctor’s office or surgery center.


Documented uses of Platelet Rich Plasma (PRP)

  • Orthopedics/Podiatry
  • Dental/Maxillo Facial/Periodontal
  • Vascular
  • Plastic Surgery

 


If You Want PRP:
PRP injections can be done in a physician’s office. The procedure takes about 30 minutes in order to withdraw the blood, spin the blood in the centrifuge, and inject the PRP into the injured area.

Finding a physician who provides PRP injections can be a challenge, but most commonly these are offered by orthopedic physicians who specialize in the care of chronic sports injuries. Contact Suncoast Perfusion Services Inc. to see if we physicians in your area that can provide PRP injections.


Risks of PRP:
Side effects are uncommon, but they are possible. Whenever a needle is inserted through the skin, infection can occur. The other more common side effect of PRP injections is an increase in inflammation and pain after the injection.
PRP injections are not recommended in individuals with bleeding disorders, those taking anti-coagulation medications (e.g. Coumadin), or those who have cancer, active infections, or are pregnant.

What is Bone Marrow Aspiration Concentration?

Bone marrow transplantation can lead to osteogenic repair of intractable bone conditions. To achieve optimal clinical results, it is necessary to transplant as many cells with osteogenetic potential as possible. However, approaches involving special equipment and reagents for the extraction and purification of cells are expensive, and the complicated procedures involved are a hindrance to widespread acceptance of bone marrow transplantation for osteogenic repair. To standardize bone marrow transplantation for bone regeneration, a simple, safe, clean, and low-cost system is required. We describe an easy-to-use method using a conventional manual blood bag centrifugation technique traditionally used for extracting buffy coats, for concentration of cells from bone marrow aspirates (BMAs) to obtain osteogenic progenitors.

What is auto transfusion?
Since Auto transfusion has been around for ages, many surgeons have been exposed to this in their residency and fellowship programs. Unfortunately, sometimes they may forget that this service is readily available to their patients in the OR environment. A good starting point at each facility is educating the Anesthesiologists and the CRNA’s about our services. They may suggest to the physician prior to surgery and ask about having us join them in the case. As we are all aware, the anesthesia team puts primary focus on understanding the lab results prior to the patient having surgery. If they see a low Hemoglobin and Hematocrit, a low platelet count and/or delayed coagulation times, they may want to strongly recommend our presence.
The cost factor is a great way to justify our use in the OR. Each hospital values blood products differently as I have learned over the years. Some hospitals value a transfusion upwards of $1,150 and other hospitals value it around $450. Either way, cellsaver, it much cheaper and can process unlimited amounts of blood for the same cost versus repetitive costs for each donated bag.
Can be used for Jehovah Witness patients (pending closed circuit usage as described in P&P manual)
Autologous Blood is never on supply reserve. We are available 24/7 for their needs. We do not depend on donors to keep up going. Unlike the blood bank, when they go on supply shortages every year as they can sometimes have trouble keeping up with supply and demand.
Simply having us in the room collecting blood as a safety measure is evidence that the physician is going the extra mile to make sure his patient stays safe in the OR and that he is generally concerned about the overall outcome of the patient. The collection of autologous blood via SunCoast Perfusion’s Services is used to provide continuous or intermittent administration of autologous blood. Auto transfusion provides immediately available blood without the need for cross matching; greatly reduces chances of errors; reduces demand on the hospital blood bank; conserves blood resources; applicable in both elective and emergency cases; will not transmit infectious diseases since it is an autologous blood product and it is also acceptable to Jehovah’s witness patients. (Please refer to the Jehovah’s Witness P&P)
APPLICATIONS:
Auto transfusion specifically recovers blood from intra-operative procedures. Some surgical applications involving auto transfusion are:
ORTHOPEDIC SURGERY:

  • Total hip replacement
  • Total knee replacement
  • Laminectomy
  • Harrington rod
  • Open reduction internal fixation
  • Spinal fusion
  • Discectomy
  • Femur fractures
CARDIOVASCULAR SURGERY:

  • CABG
  • Valve replacement
  • ASD
  • VSD
  • Ascending thoracic aneurysms
  • Descending thoracic aneurysms
  • Thoracotomy
  • Lobectomy
  • Chest trauma
VASCULAR SURGERY:

  • AAA
  • Lower extremity reconstruction Major vessel resection
GENERAL:

  • Liver resection
  • Abdominal trauma
  • Open prostatectomy
  • Spleenectomy
  • Abdominal perineal resection
  • Hysterectomy
What services does Suncoast offer?

Perfusion, Auto transfusion, PRP, BMAC, Blood Management.

Does Suncoast Provide 24 hours on call?

Yes, we either have a 30 minute response time or can adjust it to equal the same response time as you operating room staff

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