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Semin. Thorac. Cardiovasc. Surg. · Jan 2010
ReviewBlood conservation in cardiac surgery: let's get restrictive.
- Robin Varghese and M Lee Myers.
- Department of Cardiothoracic Surgery, The Mount Sinai Medical Center, Mount Sinai School of Medicine, New York, New York 10029, USA. robin.varghese@mountsinai.org
- Semin. Thorac. Cardiovasc. Surg. 2010 Jan 1;22(2):121-6.
AbstractDespite increasing evidence suggesting harmful effects of blood transfusions, physician practices are slow to change. A systematic approach is required to successfully minimize the need for red cell transfusions in the perioperative cardiac surgical patient. This involves preoperative, intraoperative, and postoperative strategies to minimize blood loss and maximize blood conservation. In addition it requires physician education regarding the potential deleterious effects of blood and the more recent evidence that restrictive transfusion strategies are safe and possibly beneficial to postoperative surgical outcomes. In this article, we review the data with respect to blood transfusions in cardiac surgery patients as well as management strategies to minimize the need for blood transfusions in the perioperative period.Copyright © 2010 Elsevier Inc. All rights reserved.
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