Perioperative blood product transfusion of two different perfusion strategies on pediatric patients undergoing aortic arch surgery

2019 ◽  
Vol 44 (1) ◽  
pp. 40-49
Author(s):  
Yuanyuan Tong ◽  
Peiyao Zhang ◽  
Shoujun Li ◽  
Jun Yan ◽  
Zhengyi Feng ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Pediatric Patients ◽  
Blood Product ◽  
Blood Product Transfusion ◽  
Aortic Arch Surgery

Printing of 3-dimensional models for surgical planning of complex aortic arch surgery

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
R. Sodian ◽  
G. Juchem ◽  
S. Weber ◽  
N. Gerber ◽  
N. Khaladj ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Surgical Planning ◽  
Aortic Arch Surgery ◽  
3 Dimensional ◽  
Dimensional Models

Minimally Invasive Aortic Arch Surgery

2016 ◽  
Vol 64 (S 01) ◽  
Author(s):  
P. Risteski ◽  
A. El-Sayed Ahmad ◽  
N. Monsefi ◽  
I. Radacki ◽  
N. Papadopoulos ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Aortic Arch ◽  
Aortic Arch Surgery

Neuroprotection in aortic arch surgery: A risk factor analysis

2007 ◽  
Vol 55 (S 1) ◽  
Author(s):  
C Hagl ◽  
N Khaladj ◽  
S Meck ◽  
K Kallenbach ◽  
M Shrestha ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Risk Factor ◽  
Aortic Arch ◽  
Risk Factor Analysis ◽  
Aortic Arch Surgery

scholarly journals The Effects of Oral Anticoagulant Exposure on the Surgical Outcomes of Patients Undergoing Surgery for High-Risk Abdominal Emergencies

2021 ◽  
Author(s):  
Woubet Tefera Kassahun ◽  
Tristan Cedric Wagner ◽  
Jonas Babel ◽  
Matthias Mehdorn
Keyword(s):  
Liver Cirrhosis ◽  
High Risk ◽  
Hospital Mortality ◽  
Oral Anticoagulant ◽  
Blood Product ◽  
Oral Anticoagulants ◽  
Blood Product Transfusion ◽  
Bleeding Rate ◽  
Abdominal Emergencies ◽  
Peripheral Arterial

Abstract Background In chronic anticoagulant users undergoing surgery, bleeding and thromboembolism are common and serious complications. Many studies on mainly elective or minor emergency surgical procedures with low associated risks have focused on these outcomes. In comparison, patients undergoing high-risk emergency abdominal surgical procedures have not received sufficient attention. This study aimed to compare outcomes between oral anticoagulant users and nonusers who required emergency laparotomy for high-risk abdominal emergencies. Methods Patients who underwent surgery for abdominal emergencies at our institution between January 2012 and July 2019 were retrospectively reviewed. Results There were 875 patients, including 370 anticoagulant users and 505 nonusers. Of the 370 anticoagulant users, 189 (51.3), 77 (20.8%), 45 (12.2%), and 59 (15.9%) were prescribed antiplatelets, a vitamin k antagonist, a direct oral anticoagulant, and a combination drug regimen, respectively. The most common high-risk emergencies requiring surgery in both groups were perforated viscus (25.7% vs 40.9%), mesenteric ischemia with enteric necrosis (27% vs 12.8%), and bowel obstruction (17.6% vs 28.1%). The overall bleeding rate was higher (29.2% vs 22%, p = 0.015) in anticoagulant users than in nonusers, but the major bleeding rate was similar (17.8% vs 14.1%, p = 0.129) between the two groups. The rates of thromboembolic events and mortality were significantly higher in anticoagulant users than in nonusers (25.7% vs 9.7%, p < 0.0001 and 39.7% vs 31.1%, p = 0.01, respectively). Liver cirrhosis, peripheral arterial diseases, reoperation, and blood product transfusion were independent predictors of the overall risk of bleeding or TEEs, according to the multivariate analysis. In this model, liver cirrhosis had the largest overall effect on mortality, followed by pneumonia, thromboembolism, peripheral arterial disease, blood product transfusion, and atrial fibrillation. The use of oral anticoagulants was not an independent predictor of either bleeding or in-hospital mortality. The use of oral anticoagulants was associated with a decreased risk of all-cause in-hospital mortality. Conclusion Based on our results, the continued use of oral anticoagulants is more protective than harmful considering the overall outcomes in this subset of patients.

HLA Antibodies and Their Association with Blood Product Exposures in Pediatric Patients Undergoing Cardiac Transplantation

2021 ◽  
Author(s):  
Susana Cruz‐Beltran ◽  
Andrea Lane ◽  
Shivani Seth ◽  
Kati Miller ◽  
Reneé H. Moore ◽  
...  
Keyword(s):  
Cardiac Transplantation ◽  
Pediatric Patients ◽  
Blood Product ◽  
Hla Antibodies

scholarly journals Hypocalcemia in Military Casualties From Point of Injury to Surgical Teams in Afghanistan

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 300-304
Author(s):  
Jeffrey R Conner ◽  
Linda C Benavides ◽  
Stacy A Shackelford ◽  
Jennifer M Gurney ◽  
Edward F Burke ◽  
...  
Keyword(s):  
Blood Product ◽  
Calcium Supplementation ◽  
Cohort Analysis ◽  
Blood Product Transfusion ◽  
Blood Products ◽  
Military Trauma ◽  
Retrospective Cohort Analysis ◽  
Increased Risk ◽  
Surgical Teams ◽  
Patterns Of Injury

ABSTRACT Introduction Hypocalcemia is a known sequela of citrated blood product transfusion. Civilian data suggest hypocalcemia on hospital admission is associated with worse outcomes. Initial calcium levels in military casualties have not previously been analyzed. The objective of this retrospective review aimed to assess the initial calcium levels in military trauma casualties at different Forward Surgical Teams (FST) locations in Afghanistan and describe the effects of prehospital blood product administration on arrival calcium levels. Materials and Methods This is a retrospective cohort analysis of military casualties arriving from point of injury to one of two FSTs in Afghanistan from August 2018 to February 2019 split into four locations. The primary outcome was incidence of hypocalcemia (ionized calcium &lt; 1.20 mmol/L). Results There were 101 patients included; 55 (54.5%) experienced hypocalcemia on arrival to the FST with a mean calcium of 1.16 mmol/L (95% confidence interval [CI], 1.14 to 1.18). The predominant mechanism of injury consisted of blast patterns, 46 (45.5%), which conferred an increased risk of hypocalcemia compared to all other patterns of injury (odds ratio = 2.42, P = .042). Thirty-eight (37.6%) patients required blood product transfusion. Thirty-three (86.8%) of the patients requiring blood product transfusion were hypocalcemic on arrival. Mean initial calcium of patients receiving blood product was 1.13 mmol/L (95% CI, 1.08 to 1.18), which was significantly lower than those who did not require transfusion (P = .01). Eight (7.9%) of the patients received blood products before arrival, with 6/8 (75%) presenting with hypocalcemia. Conclusions Hypocalcemia develops rapidly in military casualties and is prevalent on admission even before transfusion of citrated blood products. Blast injuries may confer an increased risk of developing hypocalcemia. This data support earlier use of calcium supplementation during resuscitation.

Neonatal aortic arch surgery

2007 ◽  
Vol 2007 (0723) ◽  
Author(s):  
G. Gargiulo ◽  
G. Oppido ◽  
E. Angeli ◽  
C. P. Napoleone
Keyword(s):  
Aortic Arch ◽  
Aortic Arch Surgery

Perioperative complications in aortic arch surgery

1992 ◽  
Vol 6 (1) ◽  
pp. 85
Author(s):  
H. Müller ◽  
A. Alken ◽  
J. Laas ◽  
D. Schaps
Keyword(s):  
Aortic Arch ◽  
Perioperative Complications ◽  
Aortic Arch Surgery
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