Document Detail


Autotransfusion decreases blood usage following cardiac surgery -- a prospective randomized trial.
MedLine Citation:
PMID:  11250189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: 10% of blood issued by the National Blood Service (220,000) is utilised in cardiac procedures. Transfusion reactions, infection risk and cost should stimulate us to decrease this transfusion rate. We tested the efficacy of autotransfusion of washed postoperative mediastinal fluid in a prospective randomized trial. PATIENTS AND METHODS: 166 patients undergoing coronary artery bypass grafting (CABG), valve or CABG + valve procedures were randomized into three groups. The indication for transfusion was a postoperative haemoglobin (Hb) < 10 g/l or a packed cell volume (PCV) < 30. When applicable, group A patients received washed post-operative drainage fluid. Group B all received blood processed from the cardiopulmonary bypass (CPB) circuit following separation from CPB and if appropriate washed post-operative drainage fluid. Group C were controls. Groups were compared using analysis of variance. RESULTS: There was no significant difference in age, sex, type of operation, CPB time and preoperative Hb and PCV between the groups. Blood requirements were as shown. [table - see text] Twelve patients in group A and 10 in group B did not require a homologous transfusion following processing of the mediastinal drainage fluid. CONCLUSION: Autotransfusion of washed postoperative mediastinal fluid can decrease the amount of homologous blood transfused following cardiac surgery. There was no demonstrable benefit in processing blood from the CPB circuit as well as mediastinal drainage fluid.
Authors:
M J Dalrymple-Hay; S Dawkins; L Pack; C D Deakin; S Sheppard; S K Ohri; M P Haw; S A Livesey; J L Monro
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  9     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-03-16     Completed Date:  2001-05-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  184-7     Citation Subset:  IM    
Affiliation:
Wessex Cardiothoracic Centre, Southampton, UK. mdh@btinternet.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Transfusion, Autologous*
Cardiac Surgical Procedures*
Coronary Artery Bypass
Female
Heart Valve Diseases / surgery
Humans
Male
Postoperative Period
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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