[Heart surgery without blood transfusion]. / Hjertekirurgi uten blodtransfusjon.
Tidsskr Nor Laegeforen
; 110(6): 694-7, 1990 Feb 28.
Article
en Nor
| MEDLINE
| ID: mdl-2321191
Blood conservation in open heart surgery has become mandatory in order to reduce the risk of viral contamination, and because of limited resources. We have performed 100 consecutive coronary artery bypass operations (13 women/87 men, aged 33-73 years, mean 58 years) without using homologous blood. A strict blood conservation programme was applied, with removal of autologous blood prebypass for retransfusion at the end of surgery, retransfusion of the heart-lung machine content to the patient, and autotransfusion of shed mediastinal blood in the postoperative period. All patients survived the operation and were extubated 1.6 hours (0-6) postoperatively. No patients needed resternotomy for bleeding, and no homologous blood was given. Five patients received 1-2 units of fresh frozen plasma because of coagulopathy. Mean hemoglobin was 12.0 g/100 ml and mean hematocrit was 36% at discharge from hospital. Elective coronary artery bypass surgery can be performed with little or no transfusions of homologous blood.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Transfusión de Sangre Autóloga
/
Puente de Arteria Coronaria
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Nor
Revista:
Tidsskr Nor Laegeforen
Año:
1990
Tipo del documento:
Article
Pais de publicación:
Noruega