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Heparinized Cardiopulmonary Bypass Circuits and Low Systemic Anticoagulation: An Analysis of Nearly 6000 Patients Undergoing Coronary Artery Bypass Grafting
Heparin coating of cardiopulmonary bypass circuits reduces the inflammatory response and increases the thromboresistance during extracorporeal circulation. These properties enables a lower systemic heparin dose, which has been shown to reduce the need for blood transfusions. Experience with this technique accumulated over 11 years has been analyzed.
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Patients Who Refuse Transfusion: An Integrated Management Strategy (EP Video)
Steven Hill and Kevin Collins present an integrated management strategy for patients who refuse transfusion (74:36 minutes).
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The Effect of Tranexamic Acid in Blood Loss and Transfusion Volume in Adolescent Idiopathic Scoliosis Surgery: A Single-Surgeon Experience
Tranexamic acid (TXA) has been shown to decrease blood loss in cardiac and joint surgery. Few studies have examined its use in pediatric spine surgery, and the results are inconsistent. The aim of this study was to determine whether TXA decreases intraoperative blood loss and transfusion requirements in adolescent idiopathic scoliosis patients undergoing posterior spinal fusion by a single surgeon.
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