Journal article
Blood conservation pediatric cardiac surgery in all ages and complexity levels
World journal of cardiology, Vol.9(4), pp.332-338
04/26/2017
DOI: 10.4330/wjc.v9.i4.332
PMCID: PMC5411967
PMID: 28515851
Abstract
AIM
To demonstrate the feasibility of blood conservation methods and practice across all ages and risk categories in congenital cardiac surgery.
METHODS
We retrospectively analyzed a collected database of 356 patients who underwent cardiac surgery using cardiopulmonary bypass (CPB) from 2010-2015. The patients were grouped into blood conservation (n = 138) and nonconservation (n = 218) groups and sub-grouped based on their ages and procedural complexity scores.
RESULTS
There were no statistical differences in gender, weight, pre-operative and pre-CPB hematocrit levels in both groups. Despite equivalent hematocrit levels during and after CPB for both groups, there was significantly less operative homologous blood utilized in blood conservation group across all ages and complexity levels.
CONCLUSION
Blood conservation surgery can be performed in congenital patients needing cardiac surgery in all age groups and complexity categories. The above findings in addition to attendant risks and side effects of blood transfusion and the rising cost of safer blood products justify blood conservation in congenital cardiac surgery.
Details
- Title: Subtitle
- Blood conservation pediatric cardiac surgery in all ages and complexity levels
- Creators
- Mohsen Karimi - Connecticut Children's Medical CenterJill M. Sullivan - Connecticut Children's Medical CenterCarrie Linthicum - Connecticut Children's Medical CenterAnil Mathew - Connecticut Children's Medical Center
- Resource Type
- Journal article
- Publication Details
- World journal of cardiology, Vol.9(4), pp.332-338
- Publisher
- Baishideng Publishing Group Inc
- DOI
- 10.4330/wjc.v9.i4.332
- PMID
- 28515851
- PMCID
- PMC5411967
- ISSN
- 1949-8462
- eISSN
- 1949-8462
- Number of pages
- 7
- Grant note
- UL1 TR001863 / NCATS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) UL1TR001863 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Language
- English
- Date published
- 04/26/2017
- Academic Unit
- Stead Family Department of Pediatrics; Cardiothoracic Surgery
- Record Identifier
- 9984639760202771
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