Heparin Therapy during Extracorporeal Circulation: Deriving anOptimal Activated Clotting Time during Cardiopulmonary Bypass for Isolated Coronary Artery Bypass Grafting
The effect of heparin dose, sensitivity, metabolism, patient size, elective/urgent, protamine reversal regime, returned pump blood volume and heparin content, and average ACT during CPB with regard to postoperative blood loss and resternotomy was examined in a consecutive series of patients undergoing isolated coronary artery bypass surgery.
Drug, Devices, Technologies, and Techniques for Blood Management in Minimally Invasive and Conventional Cardiothoracic Surgery: A Consensus Statement From the International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS) 2011
The objectives of this consensus conference were to evaluate the evidence for the efficacy and safety of perioperative drugs, technologies, and techniques in reducing allogeneic blood transfusion for adults undergoing cardiac surgery and to develop evidence-based recommendations for comprehensive perioperative blood management in cardiac surgery, with emphasis on minimally invasive cardiac surgery.
Regional Oximetry in Clinical Practice (EP Video)
Michael Byloan discusses the use of regional cerebral oximetry in clinical practice (28:49 minutes).
Best Blood Transfusion for the CHD Patient (EP Video)
Cathy Smith discusses blood transfusions for patients with congenital heart disease (32:11 minutes).
Thromboelastography Use in Clinical Practice (EP Video)
Katie Tippit discusses the use of the TEG in clinical practice (37:02 minutes).
Eat More Chicken – Cardiac Surgery and Porcine Allergy (EP Video)
Keith Cote presents a case report on a desensitization protocol for Porcine Heparin (12:00 minutes).
Aprotinin Revisited
The present review revisits the aprotinin controversy.
Perioperative Red Blood Cell Transfusion: Harmful or Beneficial to the Patient?
This review focuses on the physiology of oxygen transport, the hazards of acute anemia, the hazards of RBC transfusion, and the literature putting these problems into perspective.
Sustained Heparin Effect Contributes to Reduced Plasma Thrombin Generation Capacity Early after Cardiac Surgery
A marked reduction in thrombin generation potential was observed in the early postoperative phase after cardiac surgery.
Early Platelet Dysfunction: An Unrecognized Role in the Acute Coagulopathy of Trauma
In this study, we show that platelet dysfunction is manifest after major trauma and before substantial fluid or blood administration.
Efficacy of Tranexamic Acid in Paediatric Cardiac Surgery: A Systematic Review and Meta-Analysis
Evidence supporting the routine use of TXA in paediatric cardiac surgery remains weak.
How Do We Integrate Thromboelastography with Perioperative Transfusion Management?
In summary, we have found TEG to be useful in a variety of perioperative situations at our institution and potentially useful in other acute care settings such as the emergency department, the maternity unit, and many of the intensive care units.