scholarly journals Red blood cell transfusion is an independent risk factor for cardiovascular complications in adult patients undergoing cardiac surgery: a propensity score-matched analysis

Critical Care ◽  
2011 ◽  
Vol 15 (S2) ◽  
Author(s):  
JP Almeida ◽  
F Galas ◽  
JL Vincent ◽  
JT Fukushima ◽  
RE Nakamura ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Risk Factor ◽  
Propensity Score ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Independent Risk Factor ◽  
Cardiovascular Complications ◽  
Adult Patients ◽  
Red Blood Cell Transfusion

Allogeneic Red Blood Cell Transfusion Is an Independent Risk Factor for the Development of Postoperative Bacterial Infection

Vox Sanguinis ◽  
2000 ◽  
Vol 78 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Hong Chang ◽  
Gregory A. Hall ◽  
William H. Geerts ◽  
Celia Greenwood ◽  
Robin S. McLeod ◽  
...  
Keyword(s):  
Risk Factor ◽  
Blood Cell ◽  
Bacterial Infection ◽  
Red Blood Cell ◽  
Independent Risk Factor ◽  
Red Blood Cell Transfusion

scholarly journals A liberal strategy of red blood cell transfusion reduces cardiovascular complications in older patients undergoing cardiac surgery

Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P107
Author(s):  
R Nakamura ◽  
JL Vincent ◽  
J Fukushima ◽  
J Almeida ◽  
F Bergamin ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Older Patients ◽  
Cardiovascular Complications ◽  
Red Blood Cell Transfusion

scholarly journals Red blood cell transfusion after cardiac surgery does not result in improvement of tissue perfusion in adult patients

Critical Care ◽  
2011 ◽  
Vol 15 (S2) ◽  
Author(s):  
F Galas ◽  
JL Vincent ◽  
J Fukushima ◽  
R Nakamura ◽  
R Kalil Filho ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Tissue Perfusion ◽  
Adult Patients ◽  
Red Blood Cell Transfusion

scholarly journals BLOOD TRANSFUSION IN CARDIAC SURGERY- NEED TO FOLLOW BASICS!

2020 ◽  
Vol 7 (3) ◽  
Keyword(s):  
Cardiac Surgery ◽  
Blood Transfusion ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Red Blood Cell Transfusion ◽  
Transfusion Strategy ◽  
Transfusion Threshold ◽  
Restrictive Transfusion ◽  
Conflicting Evidence ◽  
American Society

More and more data is coming in recent times about hazards of blood transfusion. In a landmark TRICC1 trial Euvolemic patients in the intensive care unit (ICU) with Hb<9 g/dl were randomized to a restrictive transfusion strategy for transfusion of PRBCs (transfused if Hb<7 g/dl to maintain Hb between 7 and 9 g/dl) or a liberal strategy (transfused if Hb<10 g/dl to maintain Hb 10-12 g/dl). Mortality was similar in both groups, indicating that liberal transfusions were not beneficial. An Updated Report by the American Society of AnaesthesiologistsTask Force on Perioperative Blood Management tells us restrictive red blood cell transfusion strategy may be safely used to reduce transfusion administration. It further states that The determination of whether hemoglobin concentrations between 6 and 10 g/dl justify or require red blood cell transfusion should be based on potential or actual on going bleeding (rate and magnitude), intravascular volume status, signs of organ ischemia, and adequacy of cardiopulmonary reserve. Should we extrapolate these guidelines in Cardiac surgery? TRACS2 trial concluded that among patients undergoing cardiac surgery, the use of a restrictive perioperative transfusion strategy compared with a more liberal strategy resulted in noninferior rates of the combined outcome of 30-day all-cause mortality and severe morbidity.They advocated use of restrictive strategy, but 5 years later, the authors 3concluded that A restrictive transfusion threshold after cardiac surgery was not superior to a liberal threshold with respect to morbidity or health care costs. With this conflicting evidence, by which way anaesthesiologist to go?

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