Document Detail


Coronary artery surgery: cardiotomy suction or cell salvage?
MedLine Citation:
PMID:  17961227     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coronary artery bypass grafting (CABG) today results in what may be regarded as acceptable levels of blood loss with many institutions avoiding allogeneic red cell transfusion in over 60% of their patients. The majority of cardiac surgeons employ cardiotomy suction to preserve autologous blood during on-pump coronary artery bypass surgery; however the use of cardiotomy suction is associated with a more pronounced systemic inflammatory response and a resulting coagulopathy as well as exacerbating the microembolic load. This leads to a tendency to increased blood loss, transfusion requirement and organ dysfunction. Conversely, the avoidance of cardiotomy suction in coronary artery bypass surgery is not associated with an increased transfusion requirement. There is therefore no indication for the routine use of cardiotomy suction in on-pump coronary artery surgery.
Authors:
Kelvin Lau; Hetul Shah; Andrea Kelleher; Neil Moat
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-10-25
Journal Detail:
Title:  Journal of cardiothoracic surgery     Volume:  2     ISSN:  1749-8090     ISO Abbreviation:  -     Publication Date:  2007  
Date Detail:
Created Date:  2008-01-03     Completed Date:  2009-01-14     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  101265113     Medline TA:  J Cardiothorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  46     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Royal Brompton Hospital, and NHLI at Imperial College, London SW3 6NP, UK. kelvin.lau@uhl-tr.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Loss, Surgical / prevention & control*
Blood Transfusion, Autologous / methods*
Cell Separation / methods
Coronary Artery Bypass / adverse effects*
Embolism / etiology,  prevention & control
Humans
Inflammation Mediators / blood
Intraoperative Care / adverse effects,  methods*
Suction / adverse effects*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Inflammation Mediators
Comments/Corrections

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


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