Myocardial revascularization surgery without extracorporeal circulation minimizes postoperative bleeding and the need for transfusion. Atik FA, Miana LA, Jatene FB, Auler Júnior JOC, Oliveira SA. Other situations such as thrombocytopenia, disseminated intravascular coagulation, and liver failure may also influence the occurrence of acute anemia, which should be corrected immediately.
Low hematocrit and hemoglobin and jp drain series#
In addition, it is known that the passage of blood through the cardiopulmonary bypass (CPB) circuit triggers the release of inflammatory mediators, resulting in a series of changes in hemostasis. Patients undergoing cardiac surgery are prone to excessive postoperative bleeding. ahead print, PP.0-0)Ĭardiac Surgery Postoperative Care Blood Transfusion/methods Transfusion Reaction/complications The occurrence of bleeding in the cases was low, and when transfusion of blood components was indicated, red blood cell concentrates were the most widely used component. Red blood cell concentrate was the most frequently used product (22.9% and 60%). Transfusion of blood products was required in 40.1% of cases, most frequently (70.6%) in the immediate postoperative period. During the first 24 hours, the average bleeding volume was 353.3 ± 268.3 mL. Results:Ī total of 423 patients undergoing coronary artery bypass grafting (51.5%) or heart valve replacement (33.6%) were included.
A p < 0.05 was considered statistically significant. The correlation between bleeding in the postoperative period and blood transfusion was performed using the Spearman correlation. The amount of bleeding (mL), blood transfusion (IU), clinical complications and time of hospitalization were also recorded. Perioperative data such as CPB time, hematocrit and hemoglobin values were collected after surgery. Medical records of patients who underwent myocardial revascularization surgery and/or heart valve replacement with use of cardiopulmonary bypass (CPB) were analyzed. To identify the average amount of bleeding and rates of transfusion of blood products in the postoperative period of patients undergoing cardiac surgery in a cardiology center. The indiscriminate use of blood transfusion in surgery has been associated with increased risk of infection and increased length of hospital stay.
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