Coagulopathy and Hemostatic Monitoring in Cardiac Surgery: An Update
This review describes coagulopathies occurring in cardiac surgery and the monitoring of these.
Washing of Irradiated Red Blood Cells in Paediatric Cardiopulmonary Bypass: Is It Clinically Useful? A Retrospective Audit
To avoid the adverse effects of increased lactate and potassium concentration during paediatric bypass, prewashing of homologous blood in a cell-saving device was implemented at our institution. A retrospective audit of clinical data was performed to assess the relevance of this method.
Nadir Hematocrit During Cardiopulmonary Bypass: End-organ Dysfunction and Mortality
To discover the effects of the lowest hematocrit during cardiopulmonary bypass on end-organ function and mortality in patients who did not receive red blood cell transfusion and to identify predictors of nadir hematocrit.
Assessment of Platelet Function in Patients on Antiplatelet Therapy Undergoing Cardiac Surgery: A Review
Increasing numbers of patients are undergoing cardiac surgery on dual antiplatelet therapy following previous percutaneous coronary intervention.
Blood Utilization: Fostering an Effective Hospital Transfusion Culture
Blood products may save lives, but they also pose inherent risks, are in limited supply, and may take longer than expected to deliver
Interoperative Platelet Pheresis (EP Video)
Melissa Aberts discusses the value of interoperative platelet pheresis (35:26 minutes).
The RBC Storage Lesion (EP Video)
Dr. Yazer discusses the impact of storage on red blood cell quality and function (42:53 minutes).
Implementing a Blood Management Program to Improve Patient Safety (EP Video)
Ty Walker discusses the development of a blood management program and its impact on patient safety (32:07 minutes).
Admission Rapid Thrombelastography Can Replace Conventional Coagulation Tests in the Emergency Department: Experience With 1974 Consecutive Trauma Patients
Injury and shock lead to alterations in conventional coagulation tests (CCTs). Recently, rapid thrombelastography (r-TEG) has become recognized as a comprehensive assessment of coagulation abnormalities.
Point-of-Care Testing: A Prospective, Randomized Clinical Trial of Efficacy in Coagulopathic Cardiac Surgery Patients
The current investigation aimed to study the efficacy of hemostatic therapy guided either by conventional coagulation analyses or point-of-care (POC) testing in coagulopathic cardiac surgery patients.
Transfusion-Free Cardiopulmonary Bypass in Jehovah’s Witness Patients Weighing Less than 5 Kg
We report the use of cardiopulmonary bypass (CPB) during open-heart surgery in three infants with a body weight of 4.5 kg, 3.5 kg, and 3.1 kg, respectively, without transfusion of blood components.
Fibrinogen Concentration Significantly Decreases After On-Pump Versus Off-Pump Coronary Artery Bypass Surgery: A Systematic Point-of-Care ROTEM Analysis
Studies have emphasized the importance of normal fibrinogen concentrations in surgical patients. The primary hypothesis of this study was that fibrinogen levels significantly decrease in on-pump coronary artery bypass graft (CABG) surgery versus off-pump coronary artery bypass graft (OPCAB) surgery. The second objective was to show that ROTEM (TEM International, GmbH, Munich, Germany) rapidly detects these abnormalities compared with standard tests.