• Aryeh Shander and Tanuja S Rijhwani.
• Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029, USA. Aryeh.Shander@ehmc.com
• Anesthesiol Clin North America. 2005 Jun 1;23(2):327-45, vii.

AbstractBleeding during and after cardiac operations and the effects of cardiopulmonary bypass hemodilution commonly result in blood transfusions. Excessive microvascular bleeding can result in re-exploration and prolonged hospitalization. Nearly 20% of all blood transfusions in the United States are associated with cardiac surgery. The risks associated with the use of allogeneic blood product transfusion include mistransfusion, immunologic complications, and transmission of infectious diseases. The large demand for blood products places significant pressure on the national blood supply, resulting in frequent shortages. The variability in transfusion practice of cardiac surgery patients suggests that sound blood management and a conservative approach to this population can result in reduced transfusions without increasing morbidity or mortality and avoiding complications associated with allogeneic blood transfusion.

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