| Open heart surgery: preliminary report of blood transfusion practice and haematological changes. Experience from a nigerian tertiary teaching hospital. | |
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MedLine Citation:
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PMID: 21909146 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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AIMS AND OBJECTIVES: The study aimed at reviewing the utilisation of blood / blood products and haematological profile changes, with a view to developing a hospital transfusion guideline in open heart surgery in Nigeria. MATERIALS AND METHODS: The surgeries were performed at the intensive care unit theatre of Lagos State University Teaching Hospital. Eligibility for surgery was determined by the Cardiologist and the cardiovascular Surgeon based on clinical presentation, electro- and echocardiography assessments among other tests. Fourteen open-heart surgeries were conducted. Blood products demand for different procedures and several peri-operative laboratory parameters such as full blood count, and coagulation profile were determined. RESULTS: The greatest demand for blood products was found in valvular surgery and atrial septal defect (ASD) where a mean of four units of red cell concentrate, fresh frozen plasma and cryoprecipitate were transfused. Other surgeries such as, patent ductus arteriosus, Tetralogy of Fallot did not require much transfusion of blood products. Overall, the pre-operative and post-operative haematocrit, white cell count, platelet count, and international normalized ratio (INR) mean were 37% /25%,4.9 X 10 9/L / 11.4 X 10 9/L, 182 X 10 9/L/ 97 X 10 9/L, and 1.15/ 2.2 respectively. CONCLUSION: It appears that transfusion requirement in most open heart surgeries aside from valvular surgery and atrial septal defect (ASD) repair, is minimal. Patients for valvular heart surgeries and ASD repair should be evaluated for possible autologous blood transfusion. |
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Authors:
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A A Akinbami; A O Dosunmu; O O Oshinaike; A Adediran; T A Adeyemo; A S Akanmu |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Nigerian postgraduate medical journal Volume: 18 ISSN: 1117-1936 ISO Abbreviation: Niger Postgrad Med J Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-09-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9613595 Medline TA: Niger Postgrad Med J Country: Nigeria |
Other Details:
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Languages: eng Pagination: 177-81 Citation Subset: IM |
Affiliation:
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Department of Haematology and Blood Transfusion,Lagos State University College of Medicine, Ikeja, Nigeria. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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