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Published on: November 2, 2019
[Strategy of transfusion in cardiac and aortic surgery]
Insights
Reducing donor blood use in cardiac surgery is possible through blood-saving methods. Complex strategies, including autoplasma and autohemotransfusion, significantly decreased the need for donor blood components in 50-70% of patients.
Area of Science:
- Cardiovascular Surgery
- Transfusion Medicine
- Anesthesiology
Context:
- Increasing concerns regarding donor blood safety and availability.
- Donor blood transfusions carry potential risks and complications.
- Need for effective blood management strategies in complex surgeries.
Purpose:
- To analyze intraoperative blood loss in cardiac and aortic surgeries.
- To evaluate the role of blood-saving factors in reducing donor blood transfusion.
- To assess the efficacy of preoperative autoplasma and intraoperative autohemotransfusion.
Summary:
- A correlation was found between the type of surgery and the need for blood components.
- Preoperative autoplasma and intraoperative autohemotransfusion (blood sampling from the right atrium before artificial circulation) were assessed.
- A complex approach combining blood-saving methods, prophylaxis, and treatment of hemostasis disturbances significantly reduced donor blood use, with 50-70% of patients avoiding donor blood components during cardiac surgery.
Impact:
- Demonstrates a significant reduction in donor blood utilization in cardiac surgery.
- Highlights the effectiveness of a multi-faceted blood management strategy.
- Offers a viable alternative to allogeneic transfusions, improving patient safety and resource management.
Abstract:
Current trend in transfusion is a decreasing of the donor's blood use due to possible complications. The article deals with analysis of intraoperative blood loss in different surgeries on the heart and aorta and of a role of blood-saving factors in decreasing of the donor's blood transfusion. We found a correlation between the blood components need and type of surgery and assessed a preoperative provision of autoplasma and intraoperative autohemotransfusion with a blood sampling from the right atrium before the beginning of artificial circulation (Complex use of the blood-saving methods with a prophylactics and treatment of hemostasis disturbances allowed the significantly decreasing of the donor's blood use. 50-70% of patients did not receive components of the donor's blood during cardiac surgery.
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