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Influence of Human Factors on Coagulation Management in Cardiac Surgery: A Retrospective Analysis
Cyril Bachmann1, Teresa Di Primio1, Maria Sophia Gauger1
1Department of Anaesthesiology, Zurich City Hospital (Triemli Site), Zurich, Switzerland.
Anesthesiologist experience and on-call status did not influence coagulation product use in cardiac surgery. However, female anesthesiologists administered more products, though this finding was descriptive due to the small sample size.
Area of Science:
- Anesthesiology
- Transfusion Medicine
- Cardiac Surgery
Background:
- Coagulation product administration in cardiac surgery can vary.
- Factors influencing these decisions require investigation.
Purpose of the Study:
- To assess if anesthesiologist experience (cases/year), on-call status, or sex impacts coagulation product use during cardiac surgery.
Main Methods:
- Retrospective observational analysis at a single center.
- Included patients undergoing various cardiac surgeries.
- Examined data from 8 cardiac anesthesiologists.
Main Results:
- No significant difference in coagulation product transfusion rates based on anesthesiologist experience (≥52 vs. <52 cases/year).
- No difference in administration rates when anesthesiologists were on-call.
- The two female anesthesiologists exhibited the highest administration rates.
Conclusions:
- Anesthesiologist experience and on-call status are not associated with coagulation product administration in cardiac surgery.
- A descriptive observation noted higher administration rates among female anesthesiologists, requiring further study.
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