Document Detail


Character of shed blood in cardiac and thoracic surgery patients: implications for reinfusion.
MedLine Citation:
PMID:  7911067     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether the independently observed increase in the levels of cardiac enzymes in peripheral blood can be accounted for by elevations from postoperative shed-blood reinfusion in patients who have undergone cardiac or thoracic operations. DESIGN: Prospective, case-controlled study. SETTING: A cardiothoracic surgery unit at a university referral centre. PATIENTS: Thirty-four consecutive patients who underwent cardiac or thoracic surgery within a 3-week period. INTERVENTIONS: Coronary artery revascularization (23 patients), cardiac valve replacement or repair (4) and lung resection (7). MAIN OUTCOME MEASURES: Determination of levels of cardiac enzymes and isoenzymes in samples of peripheral and shed blood. Statistical comparison was by paired t-tests within groups and by unpaired t-tests between groups. RESULTS: Serum levels of creatine kinase, lactic dehydrogenase and aspartate aminotransferase were significantly (p < 0.001) elevated in samples of shed blood compared with peripheral blood in all groups. The elevations were found to be related to skeletal muscle injury and were not of cardiac origin. In the absence of myocardial infarction, cardiac isoenzyme levels were significantly (p < 0.001) elevated in the peripheral blood of cardiac surgery patients compared with that of thoracic surgery patients. CONCLUSION: Reinfusion of shed blood will result in elevated levels of cardiac enzymes in peripheral blood but will not increase the percentage of isoenzymes.
Authors:
R Adoumie; R Lockanathan; A Yen; R C Chiu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  37     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-07-07     Completed Date:  1994-07-07     Revised Date:  2007-08-16    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  203-7     Citation Subset:  IM    
Affiliation:
Division of Cardiothoracic Surgery, McGill University, Montreal General Hospital, Que.
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MeSH Terms
Descriptor/Qualifier:
Alanine Transaminase / blood
Alkaline Phosphatase / blood
Aspartate Aminotransferases / blood*
Blood Transfusion, Autologous*
Cardiac Surgical Procedures*
Case-Control Studies
Chest Tubes
Coronary Artery Bypass
Creatine Kinase / blood*
Drainage
Heart Valves / surgery
Humans
Isoenzymes
L-Lactate Dehydrogenase / blood*
Leukocyte Count
Lung / surgery
Middle Aged
Pericardium
Prospective Studies
Sternum / surgery
Thoracic Surgery*
Thoracotomy
gamma-Glutamyltransferase / blood
Chemical
Reg. No./Substance:
0/Isoenzymes; EC 1.1.1.27/L-Lactate Dehydrogenase; EC 2.3.2.2/gamma-Glutamyltransferase; EC 2.6.1.1/Aspartate Aminotransferases; EC 2.6.1.2/Alanine Transaminase; EC 2.7.3.2/Creatine Kinase; EC 3.1.3.1/Alkaline Phosphatase
Comments/Corrections
Comment In:
Can J Surg. 1995 Feb;38(1):98-9   [PMID:  7882223 ]

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


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