Retrograde Autologous Priming of the Cardiopulmonary Bypass Circuit Reduces Blood Transfusion in Small Adults: a Prospective, Randomized Trial
Extreme haemodilution occurring with cardiopulmonary bypass imposes a primary risk factor for blood transfusion in small adult cardiac surgical patients. Priming of the cardiopulmonary bypass circuit with patients' own blood [retrograde autologous priming (RAP)] is a technique used to limit haemodilution and reduce transfusion requirements.
Retrograde Autologous Priming and Allogeneic Blood Transfusions: A Meta-Analysis
A literature review and meta-analysis were undertaken to assess the clinical effectiveness of retrograde autologous priming of the cardiopulmonary bypass circuit to reduce allogeneic packed red blood transfusions in adult cardiac surgery.
Factors that Influence the Ability to Perform Autologous Priming
The purpose of this study was to determine which factors impact the ability to perform autologous priming (AP) of the extracorporeal circuit.
Cerebral Oximetry Monitoring During Preoperative Phlebotomy to Limit Allogeneic Blood Use in Patients Undergoing Cardiac Surgery
This investigation aimed to demonstrate that minimum volume replacement after preoperative phlebotomy can be used safely when guided by cerebral oxygenation (rSO(2)) measured by near-infrared spectroscopy (NIRS).
High Preoperative Plasma Neopterin Predicts Delirium after Cardiac Surgery in Older Adults
To examine the association between plasma levels of pterins and amino acids and postoperative delirium.
Washing Red Blood Cells and Platelets Transfused in Cardiac Surgery Reduces Postoperative Inflammation and Number of Transfusions: Results of a Prospective, Randomized, Controlled Clinical Trial
We hypothesize that washing red blood cells and platelets transfused to these patients will reduce postoperative transfusion-related immune modulation and inflammation.
Incidence of Deep Sternal Wound Infection Is Not Reduced with Autologous Platelet Rich Plasma in High-Risk Cardiac Surgery Patients
Deep sternal wound infections (DSWI) remain a devastating complication in cardiac surgery applying full sternotomy.
Ventricular Assist Devices: What Intensive Care Unit Nurses Need to Know about Postoperative Management
This article focuses on the physiological basis for postoperative nursing management strategies and the most important complications of which critical care nurses need to be aware.
A Stepwise Progression in the Treatment of Cardiogenic Shock
We present a case of a young woman with a massive anterior wall MI and subsequent cardiogenic shock who was treated with advanced mechanical circulatory support.
Cardiac Surgery in Jehovah’s Witness Patients: Ten-Year Experience
Cardiac surgery in Jehovah's Witnesses poses unique challenges. We have developed a comprehensive multimodality program for these patients and have obtained excellent results.
Gentamicin Collagen Sponges for the Prevention of Sternal Wound Infection: A Meta-Analysis of Randomized Controlled Trials
The study objective was to determine whether the application of gentamicin collagen sponges reduces sternal wound infections in patients undergoing cardiac surgery.
Washing of Irradiated Red Blood Cells in Paediatric Cardiopulmonary Bypass: Is it Clinically Useful? A Retrospective Audit
Irradiation of blood weakens the cell membranes and results in an increase of lactate and potassium concentration.