scholarly journals Blood utilization in revision versus first-time cardiac surgery: an update in the era of patient blood management

Transfusion ◽  
2017 ◽  
Vol 58 (1) ◽  
pp. 168-175 ◽  
Author(s):  
Nadia B. Hensley ◽  
Megan P. Kostibas ◽  
William W. Yang ◽  
Todd C. Crawford ◽  
Kaushik Mandal ◽  
...  
2021 ◽  
Vol 10 (10) ◽  
pp. 2141
Author(s):  
Aimilia Tsante ◽  
Anastasia Papandreadi ◽  
Andreas G. Tsantes ◽  
Elias Kyriakou ◽  
Panagiota Douramani ◽  
...  

Objectives: Our aim was to assess blood utilization after implementation of a patient blood management (PBM) program in a Greek tertiary hospital. Methods: An electronic transfusion request form and a prospective audit of transfusion practice were implemented. After the one-year implementation period, a retrospective review was performed to assess transfusion practice in medical patients. Results: Pre-PBM, a total of 9478 RBC units were transfused (mean: 1.75 units per patient) compared with 9289 transfused units (mean: 1.57 units per patient) post-PBM. Regarding the post-PBM period, the mean hemoglobin (Hb) level of the 3099 medical patients without comorbidities transfused was 7.19 ± 0.79 gr/dL. Among them, 2065 (66.6%) had Hb levels >7.0 gr/dL, while 167 (5.3%) had Hb levels >8.0 gr/dL. In addition, 331 (25.3%) of the transfused patients with comorbidities had Hb >8.0 gr/dL. The Hb transfusion thresholds significantly differed across the clinics (p < 0.001), while 21.8% of all medical non-bleeding patients received more than one RBC unit transfusion. Conclusion: A poor adherence with the restrictive transfusion threshold of 7.0 gr/dL was observed. The adoption of a less strict threshold might be a temporary step to allow physicians to become familiar with the program and be informed on the safety and advantages of the restrictive transfusion strategy.


2017 ◽  
Vol 125 (3) ◽  
pp. 731-733 ◽  
Author(s):  
Matthew M. Townsley ◽  
Joseph G. Timpa ◽  
James E. Davies ◽  
Marisa B. Marques

Author(s):  
Aryeh Shander ◽  
Victor A. Ferraris

This chapter discusses patient blood management strategies in cardiac surgery, including sections on the burden of anaemia in cardiac surgery, blood transfusion in cardiac surgery, patient blood management in cardiac surgery (management of anaemia, optimization of haemostasis, autotransfusion techniques, and other supportive measures), and outcomes of patient blood management programmes.


The Lancet ◽  
2019 ◽  
Vol 393 (10187) ◽  
pp. 2177-2178
Author(s):  
Gregory M T Hare ◽  
C David Mazer

Transfusion ◽  
2020 ◽  
Vol 60 (11) ◽  
pp. 2581-2590
Author(s):  
Steven M. Frank ◽  
Brian D. Lo ◽  
Lekha V. Yesantharao ◽  
Kevin R. Merkel ◽  
Caroline X. Qin ◽  
...  

2018 ◽  
Vol 32 (1) ◽  
pp. 88-120 ◽  
Author(s):  
Christa Boer ◽  
Michael I. Meesters ◽  
Milan Milojevic ◽  
Umberto Benedetto ◽  
Daniel Bolliger ◽  
...  

2019 ◽  
Vol 47 (5) ◽  
pp. 402-406
Author(s):  
Gokce Selcuk Sert ◽  
◽  
Mine Cavus ◽  
Perihan Kemerci ◽  
Serife Bektas ◽  
...  

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