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An Economic Analysis of Costs Associated with Development of a Cell Salvage Program

An Economic Analysis of Costs Associated with Development of a Cell Salvage Program

We present financial information which may be useful to institutions that are considering the addition of a cell salvage service.

The Effect of Red Blood Cell Age on Coagulation

The Effect of Red Blood Cell Age on Coagulation

Packed red blood cell (PRBC) units stored and unused at community hospitals are transferred to trauma centers near the end of their shelf storage life, because of a higher likelihood of utilization before expiration without consideration of coagulation system effects. This study was conducted to determine if the stored age of PRBC units has an effect on coagulation.

Evaluation of Blood Components Exposed to Coated Arterial Filters in Extracorporeal Circuits

Evaluation of Blood Components Exposed to Coated Arterial Filters in Extracorporeal Circuits

This study evaluates eight biocompatible coatings used for arterial filters and their effects on blood components during circulation.

Evidence-Based Transfusion in Cardiac Surgery (Video)

Evidence-Based Transfusion in Cardiac Surgery (Video)

Dr. James Lonquist discusses a multidisciplinary approach to blood management and his experiences in a community hospital setting (58 minutes).

Hemostatic Resuscitation for Massive Bleeding: The Paradigm of Plasma and Platelets – A Review of the Current Literature

Hemostatic Resuscitation for Massive Bleeding: The Paradigm of Plasma and Platelets – A Review of the Current Literature

Continued hemorrhage remains a major contributor of mortality in massively transfused patients and controversy regarding the optimal management exists. Recent studies indicate a possible survival benefit in patients receiving a higher ratio of plasma and platelets (PLTs) to red blood cells (RBCs) than what is recommended in current transfusion guidelines.

Acute Transfusion-Associated Lung Injury (TRALI): The Obvious and the Incomprehensible

Acute Transfusion-Associated Lung Injury (TRALI): The Obvious and the Incomprehensible

Acute transfusion-associated lung injury (TRALI) is an acute lung injury associated with and develops within 6 hours after the transfusion of components and blood preparations.

Plasmapheresis and Heparin Reexposure as a Management Strategy for Cardiac Surgical Patients with Heparin-Induced Thrombocytopenia

Plasmapheresis and Heparin Reexposure as a Management Strategy for Cardiac Surgical Patients with Heparin-Induced Thrombocytopenia

Heparin-induced thrombocytopenia (HIT) complicates the management of patients presenting for cardiac surgery, because high-dose heparin anticoagulation for cardiopulmonary bypass is contraindicated in these patients.

Does Point of Care Prothrombin Time Measurement Reduce the Transfusion of Fresh Frozen Plasma in Patients Undergoing Major Surgery? The POC-OP Randomized-Controlled Trial

Does Point of Care Prothrombin Time Measurement Reduce the Transfusion of Fresh Frozen Plasma in Patients Undergoing Major Surgery? The POC-OP Randomized-Controlled Trial

Point of care testing of prothrombin time ensures that one major parameter of coagulation is available in the operation theatre within minutes. It is fast, easy to perform, inexpensive and may enable physicians to rationally determine the need for FFP.

Early Induction of Hypothermia During Cardiac Arrest Improves Neurological Outcomes in Patients With Out-of-Hospital Cardiac Arrest Who Undergo Emergency Cardiopulmonary Bypass and Percutaneous Coronary Intervention

Early Induction of Hypothermia During Cardiac Arrest Improves Neurological Outcomes in Patients With Out-of-Hospital Cardiac Arrest Who Undergo Emergency Cardiopulmonary Bypass and Percutaneous Coronary Intervention

Therapeutic hypothermia for comatose survivors of out-of-hospital cardiac arrest has demonstrated neurological benefits.

Hemofiltration During Cardiopulmonary Bypass Does Not Decrease the Incidence of Atrial Fibrillation After Cardiac Surgery

Hemofiltration During Cardiopulmonary Bypass Does Not Decrease the Incidence of Atrial Fibrillation After Cardiac Surgery

We hypothesized that hemofiltration during CPB, which may attenuate inflammation, might decrease the incidence of AF after cardiac surgery.

Preoperative Autologous Blood Donation Versus Intraoperative Blood Salvage: Intraindividual Analyses and Modeling of Efficacy in 1103 Patients

Preoperative Autologous Blood Donation Versus Intraoperative Blood Salvage: Intraindividual Analyses and Modeling of Efficacy in 1103 Patients

Preoperative autologous blood donation (PABD) and intraoperative blood salvage (IBS) represent established blood conservation measures. However, data comparing PABD to IBS are very sparse.

Value of Blood Transfusion in Patients With a Blood Hematocrit of 24% to 30% After Percutaneous Coronary Intervention

Value of Blood Transfusion in Patients With a Blood Hematocrit of 24% to 30% After Percutaneous Coronary Intervention

Bleeding is a serious complication after percutaneous coronary intervention (PCI).

The Influence of Platelet-Rich Plasma on Angiogenesis During the Early Phase of Tendon Healing

The Influence of Platelet-Rich Plasma on Angiogenesis During the Early Phase of Tendon Healing

The aim of this study was to assess the effect of Platelet Rich Plasma (PRP) on angiogenesis during tendon healing.

AmSECT Today November / December 2009

AmSECT Today November / December 2009

Economics of Transfusions in Cardiac Surgery (Video)

Economics of Transfusions in Cardiac Surgery (Video)

Jim Campbell from Helena Labs discusses the economics of transfusions in cardiac surgery (27 minutes).

On-Pump versus Off-Pump Coronary-Artery Bypass Surgery

On-Pump versus Off-Pump Coronary-Artery Bypass Surgery

CABG without cardiopulmonary bypass (off-pump CABG) might reduce the number of complications related to the heart–lung machine.

Evidence-Based Transfusion in Cardiac Surgery (Video)

Evidence-Based Transfusion in Cardiac Surgery (Video)

Joseph Thomas for Strategic Blood Management discusses Ecurrent evidence-based transfusion guidelines in cardiac surgery (57 minutes).

Treating Sports Injuries With Platelet-Rich Plasma (Video)

Treating Sports Injuries With Platelet-Rich Plasma (Video)

John Rivera provides a little history on PRP and discusses clincal applications in sports medicine (55 minutes).

Blood Products Should Be Used Conservatively in Heart-Surgery Patients, Trial Shows

Blood Products Should Be Used Conservatively in Heart-Surgery Patients, Trial Shows

The study, presented by medical student Robert Riddell (Dalhousie University, Halifax, NS), was conducted at the Maritime Heart Center in Halifax, NS in 3842 consecutive patients undergoing all types of cardiac surgery.

Operation Iraqi Freedom: One Surgeon’s Experience (Video)

Operation Iraqi Freedom: One Surgeon’s Experience (Video)

Dr. James Obney discusses his battlefield medical experiences in Operation Iraqi Freedom (70 minutes).

TEG & ECMO Applications (Video)

TEG & ECMO Applications (Video)

Mike Miller discussed possible roles for the TEG in ECMO applications for hemostasis management (52 minutes).

Growth Factor-Rich Plasma Increases Tendon Cell Proliferation and Matrix Synthesis on a Synthetic Scaffold: An In Vitro Study

Growth Factor-Rich Plasma Increases Tendon Cell Proliferation and Matrix Synthesis on a Synthetic Scaffold: An In Vitro Study

In the current study, a bioactive scaffold was created by combining a synthetic scaffold with growth factor-rich plasma (GFRP), an autologous concentration of growth factors derived from a platelet-rich plasma preparation.

Platelet-rich Plasma: Current Concepts and Application in Sports Medicine

Platelet-rich Plasma: Current Concepts and Application in Sports Medicine

Many controlled clinical trials are under way, but clinical use should be approached cautiously until high-level clinical evidence supporting platelet-rich plasma efficacy is available.

How I Do It: Utilization of High-Pressure Sealants in Aortic Reconstruction

How I Do It: Utilization of High-Pressure Sealants in Aortic Reconstruction

Increased blood loss during aortic reconstructive surgery can arise from friable, thin tissue in aneurysms, connective tissues, dissected aortic tissues, and holes/tracks left by large needles.