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Korean J Thorac Cardiovasc Surg 1993; 26(2): 108-114
Published online February 5, 1993
Copyright © Journal of Chest Surgery.
최순호
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
The risks of homologous blood transfusion are well documented and recently increased with the emergence of acquired immunodeficiency syndrome. This is a report concerning 29 consecutive adult with no blood conservation patients[Group I] who had an elective cardiac operations. A similar group of 29 patients operated on 1992 but with blood conservation[Group II]. In 1 of Group I patients and 15 of Group II patients, no homologous blood products were required. Group II patients used significantly less fresh frozen plasma[2.05±0.68 unit versus 6.52±0.72 unit, p<0.05] and the homologous blood transfusion[0.42±0.9 unit versus 3.64±0.17 unit, p<0.05] than Group I patients. Group II patients had also significantly less postoperative bleeding[338±39.9 ml versus 585±93.0 ml, p<0.05] than Group I patients. Group II patients recieved 460±62.6 ml of mediastinal shed blood in acquired group. In conclusion, a simple and inexpensive blood conservation program, mainly combining autologous blood removal before bypass, retransfusion of the volume remaining in the oxygenator, and consistent autotransfusion of mediastinal shed blood has enabled us to avoid infusion of homologous blood in 15/29 patients of Group II patients. No side effects or complicatinos could be related to the blood conservation program.
Korean J Thorac Cardiovasc Surg 1993; 26(2): 108-114
Published online February 5, 1993
Copyright © Journal of Chest Surgery.
최순호
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
The risks of homologous blood transfusion are well documented and recently increased with the emergence of acquired immunodeficiency syndrome. This is a report concerning 29 consecutive adult with no blood conservation patients[Group I] who had an elective cardiac operations. A similar group of 29 patients operated on 1992 but with blood conservation[Group II]. In 1 of Group I patients and 15 of Group II patients, no homologous blood products were required. Group II patients used significantly less fresh frozen plasma[2.05±0.68 unit versus 6.52±0.72 unit, p<0.05] and the homologous blood transfusion[0.42±0.9 unit versus 3.64±0.17 unit, p<0.05] than Group I patients. Group II patients had also significantly less postoperative bleeding[338±39.9 ml versus 585±93.0 ml, p<0.05] than Group I patients. Group II patients recieved 460±62.6 ml of mediastinal shed blood in acquired group. In conclusion, a simple and inexpensive blood conservation program, mainly combining autologous blood removal before bypass, retransfusion of the volume remaining in the oxygenator, and consistent autotransfusion of mediastinal shed blood has enabled us to avoid infusion of homologous blood in 15/29 patients of Group II patients. No side effects or complicatinos could be related to the blood conservation program.