title: A comparison of intra-operative cell-saving strategies upon immediate post-operative outcomes after CPB-assisted cardiac procedures.
abstract: Cardiotomy suction has been associated with adverse outcomes under routine conditions in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). We hypothesized that the routine use of a cell saver (CS) in place of the cardiotomy sucker would have no negative impact on transfusion rate (TR), chest tube drainage (CTD), ventilation time (VT) or intensive care unit length of stay (ICULOS) while avoiding the detrimental effects of cardiotomy suction. Retrospective data were collected from 69 patients where a cell saver was not used (NCS). Prospective data were collected from 219 patients who were followed after the implementation of an intra-operative cell saver. No significant increase in transfusion rate, chest tube drainage or ventilation time was found between the NCS group and the CS group. However, post-operative hemoglobin concentrations were significantly higher in the CS group (0.0001) and the CS group spent significantly less time in the ICU (p=0.018).
authors.affiliation: Royal University Hospital, Saskatoon, Saskatchewan.
authors.forename: Je
authors.initials: J
authors.lastname: Marcoux
authors.forename: M
authors.initials: M
authors.lastname: Rosin
authors.forename: E
authors.initials: E
authors.lastname: McNair
authors.forename: G
authors.initials: G
authors.lastname: Smith
authors.forename: Hj
authors.initials: H
authors.lastname: Lim
authors.forename: T
authors.initials: T
authors.lastname: Mycyk
mesh_terms: D000368:Aged; D001803:Blood Transfusion; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D005260:Female; D006331:Heart Diseases / Q000097:blood / Q000601:surgery*; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011446:Prospective Studies; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D006454:Hemoglobins