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Ann Thorac Surg 1982;34:680-683
© 1982 The Society of Thoracic Surgeons

Articles

Hetastarch as a Prime for Cardiopulmonary Bypass

David A. Palanzo, B.S., C.P., Grant V.S. Parr, M.D.*, Anthony P. Bull, M.D., Dennis R. Williams, C.C.P., Martin J. O'Neill, M.D., John A. Waldhausen, M.D.

From the Departments of Surgery and Anesthesiology, The Milton S. Hershey Medical Center, College of Medicine, The Pennsylvania State University, Hershey, PA 17033

Accepted for publication February 19, 1982.

* Address reprint requests to Dr. Parr, Presbyterian–University of Pennsylvania Medical Center, 51 N 39th St, Philadelphia, PA 19104

Hetastarch, a synthetic colloid osmotic plasma volume expander, was employed in a prime for cardiopulmonary bypass in 37 patients undergoing myocardial revascularization. Comparison of laboratory values to those of 42 patients undergoing myocardial revascularization using an albumin-containing prime showed lower postoperative platelet counts (p < 0.02) with hetastarch. There were no differences in chest tube drainage, blood use, plasma hemoglobin, fibrinogen levels, or coagulation times. The hetastarch prime cost $119.50 per patient, whereas the albumin-containing prime cost $321.35 per patient.




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