Perioperative Handling of Patients on Antiplatelet Therapy with Need for Surgery
The widespread use of metal stents and drug-eluting stents has shown the extent to which patients with unstable coronary perfusion depend on antiplatelet drugs, and how their risk of late thrombosis depends on the long-term use of agents such as clopidogrel.
The Benefit of the Arterial Filter Exceeds the Risk in Small Children (Video)
Dave Fitzgerald discusses the use of arterial line filter in pediatric perfusion circuits (39 minutes).
Relationships Among Haemoglobin Level, Packed Red Cell Transfusion and Clinical Outcomes in Patients Affter Cardiac Surgery
To vetify associations among haemoglobin (Hb) concentrations, blood transfusions, and clinical outcomes in patients after cardiac surgery, especially in those who undergo valve replacement or bypass surgery.
Timing and Incidence of Postoperative Infections Associated With Blood Transfusion: Analysis of 1,489 Orthopedic and Cardiac Surgery Patients
Transfusion rates remain high in cardiac and orthopedic surgery and differ widely across physician practices in spite of growing knowledge that allogeneic blood transfusion (ABT) is associated with a risk of postoperative infection.
The Effect on Long-Term Survival of Erythrocyte Transfusion Given for Cardiac Valve Operations
Studies in patients undergoing coronary artery bypass grafting (CABG) have shown an increased long-term mortality rates associated with perioperative blood transfusions.
Less Is More In Blood Transfusion Study
A new study suggests that blood transfusions for hospitalized cardiac patients should be a last resort because they double the risk of infection and increase by four times the risk of death.
State of the Art Blood Management in Cardiac Surgery
Blood has been described as the most precious and personal substance in the world (1), and caregivers focused on cardiac surgery issues now know that the current direction today in cardiac surgery is to actively move away from transfusing donor “allogeneic” blood products, and towards improved methods of keeping and saving the patient’s own autologous blood.
Blood Transfusions Double risk of infection for Heart Bypass Patients
Heart bypass patients who receive blood transfusions are twice as likely to develop an infection after their operation, a new study shows.
Stabilized Infective Endocarditis and Altered Heparin Responsiveness During Cardiopulmonary Bypass
We investigated whether heparin responsiveness was still altered in stabilized IE patients undergoing cardiac surgery in a prospective, controlled trial.
Bivalirudin: An Alternative Anticoagulant (Video)
Craig Vocelka discusses Bivalirudin as an alternative anticoagulant for patients with Heparin-Induced Thrombocytopenia (22 minutes).
Tug of War: Blood Management Safety (Video)
Susan Englert brings insight into the role perfusionists can play as part of a comprehensive blood management program (21 minutes).
Intraoperative Transfusion of 1 U to 2 U Packed Red Blood Cells Is Associated with Increased 30-Day Mortality, Surgical-Site Infection, Pneumonia, and Sepsis in General Surgery Patients
Among surgical patients receiving transfusions of packed RBCs (PRBCs), the incidence and degree of transfusion-related immunomodulation are related to, among other factors, the type of product transfused and patient parameters.