Blood Conservation in Open-Heart Surgery

1996 ◽  
Vol 4 (4) ◽  
pp. 211-213
Author(s):  
Akshay Kumar Bisoi ◽  
Sushant Shrivastava ◽  
Puneeta Tripathy ◽  
Rakesh Tandon ◽  
Shailaja Kale ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Autologous Blood ◽  
Open Heart Surgery ◽  
Hemodynamic Instability ◽  
Blood Products ◽  
Blood Conservation ◽  
Medical Sciences ◽  
Homologous Blood ◽  
Delayed Recovery ◽  
Total Body

At the All India Institute of Medical Sciences, in a 6-week period between October and November 1995, 57 patients with preoperative hemoglobin levels of more than 10 g/100mL were included in a blood conservation protocol. Autologous blood trans-fusion, total body hemodilution to a minimum hematocrit of 20%, and retransfusion of pump blood, along with meticulous intraoperative hemostasis, were performed. Forty-eight, patients (84%) did not require transfusion of homologous blood or blood products. The remaining 9 patients (including 2 who underwent reoperation, 2 who had reexploration, and 2 with preoperative renal failure) received blood or blood products when their hemoglobin fell below 8 g/100mL. No patient had postoperative hemodynamic instability or delayed recovery. All patients were discharged on oral hematinics. Blood conservation techniques are safe and easy to implement. When used in combination, they provide satisfactory results, avoid transfusion-related problems, and conserve blood supplies.

Blood conservation techniques for cardiac surgery: a survey of French centres

Perfusion ◽  
1993 ◽  
Vol 8 (4) ◽  
pp. 293-298 ◽  
Author(s):  
J. Delonca ◽  
D. Vasmant ◽  
B. Touchot ◽  
G. Perez ◽  
I. Butoi
Keyword(s):  
Cardiac Surgery ◽  
Heart Surgery ◽  
Autologous Blood ◽  
Open Heart Surgery ◽  
High Response Rate ◽  
Autologous Blood Transfusion ◽  
Open Heart ◽  
Extracorporeal Circuit ◽  
Blood Conservation ◽  
Blood Salvage

A survey resulting from a partnership between CECEC (Centre d'Etudes en Circulation Extra-Corporelle) and Laboratoires Hoechst, France was carried out amongst all French adult cardiac surgery centres. The aim of this study was to investigate the various strategies used to decrease blood loss during open-heart surgery. Due to an exceptionally high response rate, we are able to report the current practice of French cardiac centres which account for 75% of open-heart adult surgery. The three most interesting strategies for blood conservation appear to be haemodilution, blood salvage from the extracorporeal circuit and previously deposited autologous blood transfusion, yet the three methods which are predominantly used are haemodilution (92.7%), aprotinin therapy (87.8%) and blood salvage from the extracorporeal circuit (82.9%).

scholarly journals Blood Conservation in Open-Heart Surgery. Avoiding Predonated Autologous Blood.

2000 ◽  
Vol 29 (2) ◽  
pp. 63-67 ◽  
Author(s):  
Hiroshi Osawa ◽  
Kouji Tsuchiya ◽  
Hiroyuki Saito ◽  
Hiroshi Furukawa ◽  
Youhei Kabuto ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Autologous Blood ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Blood Conservation

scholarly journals Maximal Conservation and Minimal Usage of Blood Products in Open Heart Surgery

1980 ◽  
Vol 8 (2) ◽  
pp. 178-182 ◽  
Author(s):  
P. E. Newland ◽  
J. Pastoriza-Pinol ◽  
J. McMillan ◽  
B. F. Smith ◽  
G. R. Stirling
Keyword(s):  
Heart Surgery ◽  
Blood Product ◽  
Open Heart Surgery ◽  
Blood Bank ◽  
Open Heart ◽  
Blood Products ◽  
Blood Conservation ◽  
Simple Method ◽  
Product Usage ◽  
Intraoperative Autotransfusion

Open heart surgery has previously been associated with the use of large volumes of blood products. This paper describes methods of blood conservation and a simple method of intraoperative autotransfusion that together have resulted in minimal blood product usage in elective open heart surgery cases. This has reduced our dependence on blood bank supplies for the performance of elective open heart surgery.

scholarly journals The Impact of Perioperative Viscoelastic Test Application on Blood Product Usage and Outcome in Cardiac Surgery; Regional Cardiac Surgery Center Experience

2021 ◽  
Author(s):  
Murat Aksun ◽  
Saliha Aksun ◽  
Mehmet Ali Çoşar ◽  
Elif Neziroğlu ◽  
Senem Girgin ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Clinical Experience ◽  
Heart Surgery ◽  
Blood Product ◽  
Open Heart Surgery ◽  
Control Group ◽  
Open Heart ◽  
Blood Products ◽  
Product Use ◽  
The Impact

Objective: Thromboelastography (TEG) is a diagnostic modality that gives information about coagulation. Despite all blood-preserving precautions in open heart surgery there are blood losses and the use of blood and blood products becomes inevitable. TEG is mostly not available in every center and habits, trends and clinical experience in blood use create the possibility of causing unnecessary use of blood and blood products. In this study, it was aimed to determine the effect of the use of thromboelastography on the use of blood and blood products in cardiac surgery. Methods: Two hundred patients between 18-70 years old who underwent open heart surgery were included in the study. After the cardiopulmonary bypass (CPB), the cases were confirmed to have an Activated Clotting Time (ACT) value in the range of 120-150 sec after protamine administration. In 100 patients in the TEG group, the coagulation status was evaluated with TEG and it was decided how to apply blood and blood product use. Blood and blood product use was applied to 100 patients in the control group based on clinical experience and foresight. The total amount of blood and blood product used, fluid balance, need for inotropics, mechanical ventilator time, complications, duration of intensive care and discharge times were recorded. Results: Use of Fresh Frozen Plasma (FFP) at the after CPB in the TEG group was statistically significantly lower than that of the control group FFP (p<0.05). Postoperative FFP and postoperative platelet use in the study group were statistically significantly lower than in the postoperative FFP and postoperative platelet values of the control group (p <0.05). Conclusion: The use of thromboelastography is a very useful monitoring in terms of reducing FFP use after CPB and reducing FFP and platelet usage in the postoperative period. In this way, the unnecessary use of blood and blood products can be prevented.

scholarly journals Impalement Injury to The Heart

2012 ◽  
Vol 9 (1) ◽  
pp. 80-82
Author(s):  
S Pradhan ◽  
R Sapkota ◽  
U K Shrestha ◽  
R Amatya ◽  
B Koirala
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Blood Products ◽  
Surgical Team ◽  
Rapid Imaging ◽  
Cardiac Trauma ◽  
Impalement Injury ◽  
Chest Injuries ◽  
The Right

Cardiac impalement injury is rare and one of the most severe penetrating chest injuries, often fatal. The management of penetrating cardiac injuries is a challenging one. The success in management of impaling cardiac trauma requires stabilization of the impaling object, expeditious transfer to a facility for open heart surgery, rapid imaging, access to blood and blood products and a ready surgical team. We report a case of impalement injury to the heart by a stick, transfixing the right ventricle and its successful treatment. http://dx.doi.org/10.3126/kumj.v9i1.6270 Kathmandu Univ Med J 2011;9(1):80-2

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