[Currently available blood saving methods in a patient at cardiac surgery under extracorporeal circulation].
Different blood saving methods are analyzed in 2000 cardiac surgical patients undergoing coronary and vascular bypass surgery in 1993 to 2000. The basic blood saving methods are as follows: intraoperative autoreinfusion (normovolemic thermodilution), reinfusion of the patient's blood, preoperative autologous plasma donation in combination with aprotinine, aminocapronic acid, etc. An analysis revealed a decrease in homologous blood components intraoperatively. Red blood cell transfusion decreased from 100% in 1993 to 44% in 2000, fresh frozen plasma and platelet transfusions did from 98 to 39% and from 96 to 1%, respectively. Intraoperative homologous blood transfusion could be avoided in 70% of those undergone coronary bypass surgery.
Trekova
N A
NA
Iavorovskiĭ
A G
AG
Solovova
L E
LE
Shabalkin
B V
BV
Krapivkin
I A
IA
Smirnova
L A
LA
Charnaia
M A
MA
Poplavskaia
N S
NS
D001793:Blood Preservation / Q000379:methods*; D001804:Blood Transfusion, Autologous / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D006801:Humans; D016343:Monitoring, Intraoperative; D017202:Myocardial Ischemia / Q000601:surgery; D012189:Retrospective Studies