Retrograde autologous priming of the cardiopulmonary bypass circuit: safety and impact on postoperative outcomes

Journal of Cardiothoracic and Vascular Anesthesia
Glenn S MurphyWilliam J Hoff

Abstract

Retrograde autologous priming (RAP) is a blood conservation technique used to limit the severity of hemodilution during cardiopulmonary bypass and reduce perioperative transfusions. The aim of this investigation was to examine the safety of RAP and to determine the effect of RAP on adverse outcomes after cardiac surgery. Retrospective cohort study. University hospital. Five hundred fifty-nine undergoing cardiopulmonary bypass. Data were retrospectively collected on 2 cohorts of adult cardiac surgical patients operated on by a single surgeon. In the RAP group (n = 256), outcome data were analyzed on all subjects over a 2-year period during which RAP was used routinely. This group was compared with a similar cohort of patients undergoing cardiopulmonary bypass over a 2-year period immediately before the introduction of RAP into the clinical practice (no-RAP group, n = 287). In-hospital mortality was not significantly different between the RAP group (2.7%) and the no-RAP group (3.8%, p = 0.636). The incidence of postoperative cardiac arrest was significantly less in the RAP group (1 patient) compared to the no-RAP group (9 patients, p = 0.040). There were no differences between the 2 groups in the incidence of several other postop...Continue Reading

References

Apr 1, 1986·The Thoracic and Cardiovascular Surgeon·J BoldtG Hempelmann
Oct 1, 1985·The Annals of Thoracic Surgery·D M CosgroveS B Forsythe
Jun 3, 1999·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·J A RousouS G Owen
Jun 25, 2002·The Annals of Thoracic Surgery·Subramaniam BalachandranPeter Hobson
Oct 29, 2002·The Annals of Thoracic Surgery·Milo C EngorenSamuel J Durham
Jan 23, 2003·The Annals of Thoracic Surgery·Gregory P EisingRüdiger Lange
Mar 27, 2003·Anesthesiology·Santiago R Leal-NovalJesús Loscertales
Jun 28, 2003·The Journal of Thoracic and Cardiovascular Surgery·Robert H HabibAamir Shah
Jun 3, 2004·The Annals of Thoracic Surgery·Edward R NowickiUNKNOWN Northern New England Cardiovascular Disease Study Group and the Center for Evaluative Clinical Sciences, Dartmouth Medical S

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Citations

Mar 14, 2013·Interactive Cardiovascular and Thoracic Surgery·Korneel VandewieleKatrien François
May 22, 2013·Interactive Cardiovascular and Thoracic Surgery·Priyadharshanan AriyaratnamMahmoud Loubani
Feb 25, 2011·The Heart Surgery Forum·George VretzakisMenelaos Karanikolas
Aug 25, 2015·The Annals of Thoracic Surgery·Michelle C EllisUNKNOWN PERForm Registry and the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative
Jul 28, 2015·The Journal of Thoracic and Cardiovascular Surgery·Akiko TanakaValluvan Jeevanandam
Dec 3, 2010·Journal of Crohn's & Colitis·C Janneke van der WoudeUNKNOWN European Crohn's Colitis Organisation (ECCO)
Apr 1, 2014·Seminars in Cardiothoracic and Vascular Anesthesia·Jayanta MukherjiSteven B Edelstein
Feb 14, 2008·Seminars in Cardiothoracic and Vascular Anesthesia·Fiona E Ralley
Mar 20, 2015·Anesthesia and Analgesia·Aaron E BarryMartin J London
Sep 3, 2013·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Mark J RussoValluvan Jeevanandam
Aug 22, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Saurabh GuptaRichard Whitlock

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