title: Fresh frozen plasma in pump priming for congenital heart surgery: evaluation of effects on postoperative coagulation profiles using a fibrinogen assay and rotational thromboelastometry.
abstract: OBJECTIVE
  In this prospective study, the effects of fresh frozen plasma (FFP) included in pump priming for congenital heart surgery in infants and children on post-bypass coagulation profiles were evaluated.
  
  
  METHODS
  Either 20% albumin (50-100 mL) or FFP (1-2 units) was added to pump priming for patients randomly allocated into control or treatment groups, respectively. Hematologic assays, including functional fibrinogen level, and rotational thromboelastometry (ROTEM®) were measured before skin incision (baseline), after weaning from cardiopulmonary bypass (CPB) and heparin reversal, and at 24 hours (h) in the intensive care unit (ICU).
  
  
  RESULTS
  All the baseline measurements were comparable between the control and treatment groups of infants and children. After heparin reversal, however, significantly higher fibrinogen levels and less reduced ROTEM parameters, which reflect clot formation and firmness, were demonstrated in the treatment groups of infants and children. At 24 h in the ICU, hematologic assays and ROTEM measurements were comparable between the control and treatment groups of infants and children. Transfusion requirements, excluding FFP in pump prime, and postoperative bleeding were comparable between the control and treatment groups of infants and children.
  
  
  CONCLUSIONS
  Although clinical benefits were not clearly found, the inclusion of FFP in pump priming for congenital heart surgery in infants and children was shown to improve the hemodilution-related hemostatic dysfunction immediately after weaning from CPB and heparin reversal.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.
authors.forename: Jong Wha
authors.initials: JW
authors.lastname: Lee
authors.forename: Young-Chul
authors.initials: YC
authors.lastname: Yoo
authors.forename: Han Ki
authors.initials: HK
authors.lastname: Park
authors.forename: Sou-Ouk
authors.initials: SO
authors.lastname: Bang
authors.forename: Ki-Young
authors.initials: KY
authors.lastname: Lee
authors.forename: Sun-Joon
authors.initials: SJ
authors.lastname: Bai
mesh_terms: D000293:Adolescent; D001777:Blood Coagulation; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D005340:Fibrinogen / Q000378:metabolism*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010949:Plasma; D011184:Postoperative Period; D013916:Thrombelastography / Q000379:methods
chemical_list: D005340:Fibrinogen
keywords: Congenital heart disease; blood coagulation disorder; cardiopulmonary bypass; fresh frozen plasma
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