Blood Utilization in Revision Versus First-Time Cardiac Surgery: An Update in the Era of Patient Blood Management

Relative to first-time (primary) cardiac surgery, revision cardiac surgery is associated with increased transfusion requirements, but studies comparing these cohorts were performed before patient blood management (PBM) and blood conservation measures were commonplace. The current study was performed as an update to determine if this finding is still evident in the PBM era.

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Patient Blood Management In The Cardiac Surgical Setting: An Updated Overview

In cardiac surgical patients it is a complex challenge to find the ideal balance between anticoagulation and hemostasis. Preoperative anemia and perioperative higher transfusion rates are related to increased morbidity and mortality. Patient blood management (PBM) is an evidence based patient specific individualized protocol used in the perioperative setting in order to reduce perioperative bleeding and transfusion rates and to improve patient outcomes.

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Perfusion Policies 101: Autotransfusion

Kat

Autotransfusion   General Description Intraoperative autotransfusion is used to recover shed blood from the surgical site or post-bypass pump volume. The blood is centrifuged and rinsed with normal saline in a Cell Saver (Haemonetics) or Cobe BRAT (Cobe Cardiovascualr), with the plasma and wash solution being discarded. The resulting washed red blood cells with a…

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How to Calculate EBL with Cell Savers

Suneel Lakki

“It was simple- but in theory is consistent with other ways I have used to extrapolate that mysterious number we always come up with- that is sometime just barely a step away from ‘home cooking’.”   Editor’s Note: Well, I was @ a new venue, doing a locum’s gig- and ran into an interesting formula/calculation…

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