[Blood saving in heart surgery. Personal experience with 232 patients].
In order to minimize the need of homologous blood transfusion during cardiac surgery four different blood sparing methods have been tested in four groups of patients. In 62 patients (group A) blood from operative field has been collected and processed by the Autotrans (Dideco (R)) apparatus. Intraoperative autotransfusion has been performed in 50 patients (group B). Prostacyclin (Pgh2) has been administered to 36 patients (group C), starting before systemic heparinization, and continuing during extracorporeal circulation. Standard techniques have been employed in a control group of 84 patients (group D). The following parameters have been examined: preoperative blood counts; length of extracorporeal circulation postoperative bleeding (including I.C.U); homologous blood volume transfused; and only in group A the mean number of blood units collected. Significant reduction of bank-blood consumption has been achieved only in B group (intraoperative autotransfusion) while in the remaining groups blood saving was not statistically significant.
Fesani
M G
MG
Cattedra di Chirurgia del Cuore e dei Grossi Vasi Università di Parma.
Vezzani
A
A
Saccani
A
A
Spaggiari
I
I
Contini
S A
SA
D000328:Adult; D001804:Blood Transfusion, Autologous; D006348:Cardiac Surgical Procedures; D011464:Epoprostenol / Q000008:administration & dosage; D005069:Evaluation Studies as Topic; D005112:Extracorporeal Circulation; D006801:Humans; D007430:Intraoperative Care; D008875:Middle Aged
D011464:Epoprostenol
Risparmio di sangue in cardiochirurgia. Esperienze personali su 232 pazienti.