• Bahauddin Khan, IslamMujahid UlMUDr. Mujahid Ul Islam, FCPS. Associate Professor, Department of Anesthesia, Rehman Medical Institute, Peshawar, Pakistan., Imtiaz Ahmad, and Mujeeb Ur Rehman.
• Dr. Bahauddin Khan, FCPS. Assistant Professor, Department of Cardiothoracic Surgery, Rehman Medical Institute, Peshawar, Pakistan.
• Pak J Med Sci. 2022 Mar 1; 38 (4Part-II): 855-861.

ObjectivesIn this study we determine the modifiable factors related to bleeding and transfusion in post-cardiac surgery patients who underwent open heart surgery.MethodsThis is a retrospective study that include two hundred patients who had undergone open heart surgery (OHS) at Northwest General Hospital and Research Center from December 2018 to July 2021. Platelet count and hemoglobin level were measured in the pre-operative period.ResultsThis study included both male and female patients. Postoperative platelets were counted as follow: 50-100 x109 L in 3.0% cases, 101-150 x109 L seen in 27.5% cases, and >150 x 109 L in 69.5% cases which required transfusion. We have also reported the increased requirement of transfusion of blood and blood products in patients with pre-operative hemoglobin (Hb) < 10 g/dl.ConclusionCorrection of pre-op Hb, post-op platelet count and total bypass time are the significant and preventable parameters in patients undergoing cardiac surgery if proper pre-op assessment of the patient is performed.Copyright: © Pakistan Journal of Medical Sciences.

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