Download or read book Autologous Blood Transfusion in Cardiac Surgery written by Mohandas K. and published by . This book was released on 1988 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Blood Use in Cardiac Surgery written by N. Friedel and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood substitution by homologous donor blood. Only 20 years ago, open-heart operations required an average of 8 units of blood preserves. The excessive need of donor blood in those early days was mainly due to premature surgical technique, insecure control of anticoagulation, severe blood trauma by extracorporeal circulation, and the lack of retransfusion technologies that would have allowed the reuse of shed mediastinal blood. The introduction of new technologies, such as normovolemic hemodilution, in traoperative autotransfusion, postoperative return of shed mediastinal blood, and predonation of autologous blood has greatly reduced donor blood requirements. At present the majority of routine coronary artery surgical procedures can be performed without any blood transfusion. Blood loss, however, may be considerable in patients undergoing complex valve surgery or reoperations, as they often require several units of transfused blood. Blood conservation has now become an area of major interest for the cardiac surgeon. This increased concern is caused by infectious complications of blood transfusion, in particular hepatitis and, more recently, AIDS.

Download or read book Autotransfusion written by K. MESSMER and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: The practice of autologous blood collection and transfusion has been steadily increasing. The concept is not new; however, its application has been limited because of lack of interest and willingness to make the extra effort required. Also there has been concern about the safety of the procedure. Homologous blood transfusion is easy and has allo wed us to salvage lives and perform procedures which would not have been feasible without the availability of whole blood or its components. Transfusion with homologous blood products is safe; however, com plications can and do occur. The transmission of AIDS by transfusion of homologous blood products has significantly increased patient and physician awareness of the dangers one faces. This potential complica tion has promoted autotransfusion. It is now commonly used and reques ted by patients and physicians. Blood for autotransfusion is collected pre or intraoperatively by phle botomy and retrieved intra and post operatively from sites of hemor rhage. Once collected, the blood is either stored or returned to the patient as whole or processed blood. To have a successful autotransfusion program requires anticipation of its needs and coordination and training of involved personel in the blood bank, emergency room, operating room and post-surgical care units. Pre deposit and processing of collected blood requires remission of donor criteria and labeling and storage procedures.

Download or read book Use of Autologous Blood written by and published by . This book was released on 1994 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Blood Conservation in Cardiac Surgery written by Karl H. Krieger and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 678 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here, two of the foremost cardiothoracic surgeons have brought together many of the top cardiologists and haematologists to produce the most current reference source on all aspects of blood conservation, from an overall clinical approach to the use of erythropoietin and the benefits of post-operative blood salvage. The subject matter covers numerous areas involved in the preoperative considerations in cardiac surgery, the intraoperative decision-making in cardiac surgery, postoperative bleeding and management and a section on the algorithm for bloodless surgery used at the New York Hospital-Cornell Medical Center.

Download or read book Transfusion Practice in Cardiac Surgery written by Michael L. Baldwin and published by . This book was released on 1991 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Blood Use in Cardiac Surgery written by N. Friedel and published by . This book was released on 1991-01 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Essential Clinical Anesthesia written by Charles Vacanti and published by Cambridge University Press. This book was released on 2011-07-11 with total page 1191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

Download or read book Hemodilutional Autologous Blood Transfusion Reduces Postoperative 12h Chest Tube Drainage written by Hiroshi Sakamoto and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Blood transfusion in cardiac surgery with cardiopulmonary bypass (CPB) can correct anemia and coagulation abnormality. Hemodilutional autologous blood transfusion seems to have more advantages than allogeneic blood transfusion. We compared hemodilutional autologous blood transfusion with allogeneic blood transfusion.Consecutive 14 patients who received scheduled cardiac surgery with CPB with hemodilutional autologous blood transfusion and 221 patients whose surgery matches those patients were enrolled in this study.Hemodilutional autologous blood transfusion reduced postoperative 12h chest tube drainage in cardiac surgery with CPB.

Download or read book Autotransfusion written by Roy Lawson Tawes and published by Appleton Communications, Incorporated. This book was released on 1997 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Autotransfusion written by B. G. Adhoute and published by Springer. This book was released on 1991 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book A Comparative Study Autologous Blood Donation with Normovolemic Haemodilution in a Tertiary Cardiac Unit UK written by Yogini Kalamkar and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Title:tA comparative study: autologous blood donation with normovolemic haemodilution in a tertiary cardiac unit, UKAuthor(s):tKalamkar Y.1, Jeeji R.1, Mehta V.1, Butterworth G.1, Balacumaraswami L.2Institute(s):t1University Hospitals of North Midlands, Dept of Anaesthesiology & Intensive Care, Stoke on Trent, United Kingdom, 2University Hospitals of North Midlands, Cadiothoracic Surgery, Stoke on Trent, United KingdomText:tBackground: It is estimated that cardiac surgical units utilise about 4% of all red cell transfusions. [1.] The national blood transfusion audit (NBA) reveals wide variation in transfusion rates and product usage between units. [2] Autologous Blood Donation (ABD) with normovolemic haemodilution is an established strategy for blood conservation.Method: This is a retrospective study of blood transfusion practice in our adult cardiac unit. Two groups, 78 patients in each, undergoing elective and emergency cardiac surgery were included. Normovolaemic haemodilution was performed with one unit of autologous blood (500ml) collected via a PA sheath under all asepsis before skin incision in ABD group. Autologous blood was reinfused after heparin reversal. Anonymised data were collected from a theatre management system, patient's anaesthetic notes and transfusion databases. Comparison was made with the NBA.Results: A total of 156 patients were analysed. The largest procedure groups were coronary artery bypass grafts (CABG) on-pump and off pump, followed by aortic valve surgery and single valve with CABG procedures. The gross transfusion rates for packed red cells (PRC), fresh frozen plasma (FFP), cryoprecipitate (Cryo) and platelets (Plt) were 15.3%, 6.4%, 5.1% and 2.5% in ABD group and 69.2%, 47.4%, 62.8% and 56.4% in Non-Autologous transfusion group respectively.National Comparative Audit of blood transfusion 2011 shows that the average rate transfusion rate of 43% for Packed red cells, 13% for FFP and 15% Platelets. Blood transfusion rate in all patients on-pump and off pump, elective and non-elective CABG is 42% in our centre.Conclusion: The overall transfusion rates are significantly less in patients with autologous blood donor group.Homologous blood transfusion can have adverse effects on clinical outcomes. Patients undergoing urgent or emergency coronary artery bypass grafting (CABG) are usually on single or dual antiplatelet agents this is associated with increased need for homologous blood transfusion perioperatively. Autologous blood donation significantly reduces allogeneic blood requirement in cardiac surgery. We recommend Autologous blood donation should be considered as a cost-effective and safe alternative to reduce allogeneic blood consumption.References: 1. Tinegate et al. Ten-year pattern of red blood cell use in the North of England. Transfusion2013; 53: 483-9. 2. Grant-Casey J. Audit of blood transfusion in adult cardiac surgery, 2011.

Download or read book Perioperative Management written by Michael J. Breslow and published by Mosby Elsevier Health Science. This book was released on 1990 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Autologous Transfusion written by S. Gerald Sandler and published by . This book was released on 1983 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Cardiac Surgery written by A.C. Cernaianu and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: The topicS in this book represent the presentations given at the Fifth Annual Meeting entitled "Cardiac Surgery: Current Issues" held at the Frenchman's Reef Beach Resort. St. Thomas. U.S. Virgin Islands. November 11-14. 1992. This symposium was sponsored by the Division of Cardiothoracic Sur gery. the School of Cardiovascular Perfusion and the Department of Nursing Education and QUality Assurance of Cooper Hospital/University Medical Center. the University of Medicine and Dentistry of New Jersey. Robert Wood Johnson Medical School. Camden. New Jersey. as well as the Academy of Medicine of New Jersey. Chapter authors were charged with the task of writing brief overviews of major issues related to the field of cardiac surgery. The book is specifically tailored to the needs of cardiothoracic surgeons. cardiovascular perfusionists. allied health professionals and nursing personnel involved in all phases of caring for the cardiac surgical patient. Although intended as a reference source with emphasis on up-dated approaches applied in cardiac surgery. it is hoped that the discussion of these topics will compliment other texts and manuscripts. Obviously.' ;ibook of this length cannot cover the whole multidiSciplinary and complex field of cardiac surgery. However. co-editors are certain that the annual appearance of this text will highlight comprehensive. new and interesting approaches to the field of cardiac surgery.

Download or read book Comparison of ICU Transfusion Practice with and Without Autologous Transfusion in a Cardiac Surgery Population written by Saskia Van Nieuwenhove and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Comparison of ICU transfusion practice (with and without autologous transfusion) in a cardiac surgery population.Van Nieuwenhove S. M.D., Verbeke J. M.D., De Neve N. M.D., De Decker K. M.D. Department of Intensive care, OLV hospital, Aalst, Belgium.Background Several trials concluded that postoperative transfusion increases the risk for complications in cardiac surgery patients (1-2). Although this idea was challenged by other reports, it has led to the development of cell saving devices that collect autologous blood and - after washing of the red blood cells - deliver an end product with a high hematocrit. ObjectivesFor several years, some of our surgeons used the CardioPAT device (Haemonetics, Braintree, Massachusetts, USA), but due to production problems and the company takeover, autologous transfusion was reduced in 2016 and finally stopped early January 2017. In order to look at the impact of this management change, we evaluated our transfusion numbers and several other outcome data.Materials and methodsWe compared the transfusion data from the previous years (2015-2016) with the data from 2017, in which the device was no longer used. With regard to transfusion data we looked at the amount of blood products used and the percentage of patients receiving them in the postoperative phase. Furthermore, we made a comparison of these data between the group receiving autologous transfusion and the group that did not. Finally we also describe several other outcome parameters (reintervention rate, new onset of atrial fibrillation, acute kidney injury, length of ICU stay and mortality). ResultsThe number of procedures in 2015, 2016 and 2017 was 674, 640 and 456 (untill August 31st) respectively. A total amount of 351 and 186 units of cell saved blood were retransfused in the first two years, correlating with 82.9 and 33.6 liters of autologous blood. The percentage of patients receiving allogeneic red blood cells increased (6%) in parallel with the reduction of cell saving, but the amount of blood products did not (table 1). The ICU length of stay did not change over the years (3.05, 3.08 and 3.01 days respectively), nor did the mortality. We then divided all patients receiving blood products in two groups, one group with and another one without the retransfusion of autologous blood. Transfusion data are presented in table 2. Previous reports on the use of the CardioPAT device were contradictory. A large Italian trial (3), investigating intra- and postoperative autotransfusion, showed a significant reduction in exposure to allogeneic RBCu2019s. Complications were also less frequent and the use of CardioPAT appeared to be safe. A more recent Dutch trial (4) did not show reduced transfusion requirements compared to intraoperative cell salvage alone and showed higher CK levels. Transfusion is significantly higher in the non-cell saved group. The data are somewhat higher than the percentages mentioned in the two previous trials. When comparing our two groups of transfused patients, we noticed differences in various outcome parameters between the group receiving autologous blood and the group that did not. The incidence of reinterventions was 8.73% in the cell saved group vs 16.52% in the non-cell saved group (p=0.005). There was also a statistically significant change in severity of acute kidney injury (26.75% vs 55.13% rise in post- vs preoperative serum creatinine (p

Download or read book Blood Saving in Open Heart Surgery written by International Society for Heart Transplantation. Meeting and published by . This book was released on 1990 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: