The Rationale for Platelet Transfusion during Cardiopulmonary Bypass: An Observational Study
The objectives of this study were to determine the factors that influenced physicians' decisions to transfuse platelets perioperatively and to determine whether these factors coincide with characteristics using chart abstraction.
A Practical Tranexamic Acid Dosing Scheme Based on Population Pharmacokinetics in Children Undergoing Cardiac Surgery
The authors' objectives were thus to investigate the population pharmacokinetics of TA in pediatric cardiac surgery patients during cardiopulmonary bypass (CPB).
Implementation of aTransfusion Algorithm to Reduce Blood Product Utilization in Pediatric Cardiac Surgery
The goal of this project is to measure the impact of standardization of transfusion practice on blood product utilization and postoperative bleeding in pediatric cardiac surgery patients.
Strategic and Operational Aspects of a Transfusion-Free Neonatal Arterial Switch Operation
We report an overview of the literature regarding blood transfusion-free complex congenital cardiac surgery.
High Lactate Levels are Predictors of Major Complications after Cardiac Surgery
The aim of this study was to evaluate whether high lactate levels after cardiac surgery are predictors of major complications including mortality.
The Effect of Retrograde Autologous Priming Volume on Haemodilution and Transfusion Requirements During Cardiac Surgery
This study is designed to determine the influence or RAP on intraoperative haematocrit, transfusion and its clinical consequences.
Operating One-Handed: Emergency Treatment of Jehovah’s Witnesses
An elderly woman was brought to the emergency room (ER) hypotensive in a confused mental state from what turned out at exploration to be a ruptured splenic artery aneurysm. You are in the operating room, and the anesthesiologist has just hung the first unit of blood but has not started infusion when the ER calls.
Aortic Valve Replacement in a Jehovah’s Witness: a Case of Multi-Disciplinary Clinical Management for Bloodless Surgery
This case highlights the importance of carefully navigating through the most recent clinical and ethical protocol involved in the surgical management of JW's.
The Approach to Patients with Bleeding Disorders Who Do Not Accept Blood-Derived Products
Despite the widespread use of allogeneic blood components in clinical practice, there are patients in whom transfusion cannot be carried out for various reasons, including refusal of transfusions because of religious beliefs.
From Bloodless Surgery to Patient Blood Management
Safety and efficacy concerns of allogeneic blood transfusions and their impact on patient outcomes and associated staggering costs and restricted supply have fueled the quest for other modalities and strategies to reduce use of blood components.
Open Cardiac Surgery in the First Hours of Life Using Autologous Umbilical Cord Blood
This article describes the first clinical experience of complete repair of complex critical congenital heart diseases (CHDs) in the first hours of life using autologous umbilical cord blood (UCB).
Platelet Function Testing and Prediction of Procedural Bleeding Risk
However, uncertainties remain about how well platelet function testing may predict haemostasis and guide management of bleeding risk.