Multi-modality blood conservation strategy in open-heart surgery: an audit.
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.
Reddy
Srikrishna Modugula
SM
Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
Talwar
Sachin
S
Velayoudam
Devgourou
D
Gharde
Parag
P
Mallick
Vishwas
V
Jha
Raju Kumar
RK
Kumar
Lokender
L
Arkalgud
Sampath Kumar
SK
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
D015415:Biomarkers; D006401:Hematologic Agents; D006454:Hemoglobins; D007501:Iron