| The safety and efficacy of "bloodless" cardiac surgery. | |
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MedLine Citation:
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PMID: 15735844 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Nearly 20% of blood transfusions in the United States are associated with cardiac surgery. Despite the many blood conservation techniques that are available, safe, and efficacious for patients undergoing cardiac surgery, many of these operations continue to be associated with significant amounts of blood transfusion. Although surgical bleeding after cardiopulmonary bypass is a common problem as reflected by the substantial use of blood products, it is the individual physician and institutional behavior that have been identified as reasons for transfusion and not necessarily patient comorbidity or blood loss. Transfusion rates in cardiac surgery remain high despite major advances in perioperative blood conservation, with large variations among individual centers. The adoption of available blood conservation techniques, either alone or in combination in patients undergoing cardiac surgery, could result in an estimated 75% reduction of unnecessary transfusions. The success of previously reported blood conservations programs in cardiac surgery should call for a reevaluation of allogeneic transfusion practices in patients undergoing cardiac surgery. By applying the numerous reported blood conservation strategies for the management of patients presenting for cardiac surgery, we can preserve our dwindling blood resources and help alleviate some of the direct costs of blood as well as the indirect costs of treating noninfectious and infectious complications of transfusion. |
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Authors:
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Aryeh Shander; David Moskowitz; Tanuja S Rijhwani |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Seminars in cardiothoracic and vascular anesthesia Volume: 9 ISSN: 1089-2532 ISO Abbreviation: Semin Cardiothorac Vasc Anesth Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-02-28 Completed Date: 2005-04-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9807630 Medline TA: Semin Cardiothorac Vasc Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 53-63 Citation Subset: IM |
Affiliation:
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Critical Care Medicine, Pain Management and Hyperbaric Medicine, Englewood Hospital and Medical Center, Englewood, NJ 07361, USA. aryeh.shander@ehmc.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Preservation Blood Transfusion* / adverse effects Cardiac Surgical Procedures / adverse effects, methods* Humans |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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