PMID: 6965580Feb 1, 1980Paper

The use of blood and blood components in 1,769 patients undergoing open-heart surgery

The Annals of Thoracic Surgery
W L BayerM L Zucker

Abstract

There has been a decrease in the use of whole blood and red cell transfusions during and after open-heart operations in the greater Kansas City area from an average of slightly more than 9 units per patient from 1969 through 1971, to just over 3 units per patient from 1975 through 1977. In 1977, 1,256 patients, or 71% of 1,769 patients, underwent coronary artery bypass exclusively and had an average transfusion utilization of 2.6 units. All other open-heart operations averaged 4.7 units per patient. Hemodilution and the acceptance of hematocrits between 25 and 30% in open-heart operations are probably the main factors responsible for lower transfusion use per patient, while the increased proportion of patients undergoing coronary artery bypass accounts for a further decrease in the average amount of blood used per patient. It is of note that blood transfused to patients having an open-heart operation was not significantly fresher than blood for routine use, yet hemostasis was not a problem as evidenced by the small use of fresh-frozen plasma in 67 patients (3.8%) and platelet concentrates in 42 patients (2.4%).

References

Oct 1, 1976·Chest·A J TectorD Lepley
Jul 1, 1974·The Annals of Thoracic Surgery·J J VerskaL A Brewer
Sep 17, 1973·JAMA : the Journal of the American Medical Association·J K Roche, J M Stengle

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Citations

Apr 24, 2001·Transfusion·E L Wallace
Mar 14, 2001·Critical Care Medicine·P C HébertUNKNOWN Transfusion Requirements in Critical Care Investigators for the Canadian Critical Care Trials Group
Jan 16, 2004·Critical Care Medicine·Paul C HébertHoward Corwin
Mar 24, 1998·Acta Anaesthesiologica Scandinavica·L KytöläG Myllylä
Jan 1, 1993·Journal of Cardiac Surgery·R M KhanK M Natrajan
Jun 1, 1996·Journal of Cardiothoracic and Vascular Anesthesia·D TempeN G Lall
May 12, 2004·Critical Care Clinics·Paul C HébertAlan Tinmouth
Oct 1, 1985·The Annals of Thoracic Surgery·D M CosgroveS B Forsythe
Jan 1, 1990·Scandinavian Journal of Thoracic and Cardiovascular Surgery·C ZussaC Valfre
Jun 24, 2004·Vox Sanguinis·P C HébertA Tinmouth
Mar 5, 2014·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Caitlin A SmithCarol R Schermer
Oct 1, 1985·Annals of Saudi Medicine·B El-BadawiR S Kwik

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