title: Multi-modality blood conservation strategy in open-heart surgery: an audit.
abstract: The objective of this study was to perform an audit of the use of homologous blood and blood products in patients undergoing open-heart surgery by a single surgical team that follows an in-house protocol for blood conservation. The hospital records of 310 consecutive patients (age >15 years) undergoing open-heart surgery over a period of 8 months were retrospectively reviewed to assess the comprehensive blood conservation protocol. Homologous blood and blood product usage during and after surgery, in the intensive care unit and up to hospital discharge was analyzed. Two hundred and fifty-six patients (82.6%) did not receive any blood or blood products. Only 54 patients (17.4%) received one or more units of allogenic transfusion either intraoperatively or postoperatively until discharge. Mean hemoglobin at discharge was 9.8 Grams% (8.9-12 Grams%). A standardized multidisciplinary approach to blood conservation in cardiac surgery decreases bleeding and transfusion requirements in a safe and cost effective manner.
authors: Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors: Srikrishna Modugula
authors: SM
authors: Reddy
authors: Sachin
authors: S
authors: Talwar
authors: Devgourou
authors: D
authors: Velayoudam
authors: Parag
authors: P
authors: Gharde
authors: Vishwas
authors: V
authors: Mallick
authors: Raju Kumar
authors: RK
authors: Jha
authors: Lokender
authors: L
authors: Kumar
authors: Sampath Kumar
authors: SK
authors: Arkalgud
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000378:metabolism; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion; D001804:Blood Transfusion, Autologous; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002985:Clinical Protocols; D003131:Combined Modality Therapy; D017707:Erythrocyte Transfusion; D005260:Female; D006401:Hematologic Agents / Q000627:therapeutic use; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D007501:Iron / Q000627:therapeutic use; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D009752:Nutritional Status; D017713:Platelet Transfusion; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D012189:Retrospective Studies; D013997:Time Factors; D055815:Young Adult
chemical_list: D015415:Biomarkers; D006401:Hematologic Agents; D006454:Hemoglobins; D007501:Iron