|
|
||||||||
Ann Thorac Surg 1990;50:675-683
© 1990 The Society of Thoracic Surgeons
a Case Western Reserve University, Cleveland, Ohio, USA
b St. Louis University, St. Louis, Missouri, USA
c University of Pittsburgh, Pittsburgh, Pennsylvania, USA
d University of Washington, Seattle, Washington, USA
e Temple University, Philadelphia, Pennsylvania, USA
f Harvard College, Boston, Massachusetts, USA
g American Red Cross, St. Louis, Missouri, USA
h University of Pennsylvania, Philadelphia, Pennsylvania, USA
* Address reprint requests to Dr Goodnough, University Hospitals of Cleveland, 2074 Abington Rd, Cleveland, OH 44106.
We have reviewed the impact of evolving issues in coronary artery bypass grafting (CABG) on transfusion support for these patients. Issues include increased awareness of transfusion risks, reappraisal of traditional indicators triggering transfusion, and evolving alternatives to homologous blood transfusion such as autologous blood and pharmacologic therapy. These issues have been prompted by programs, such as the National Institutes of Health Consensus Conferences, to provide physicians with guidelines for appropriate use of blood components. However, evidence suggests that transfusion practice in coronary artery bypass grafting procedures remains variable and does not take into account the results of recently published clinical studies. We have therefore developed guidelines and recommendations for transfusion support in patients undergoing coronary artery bypass grafting. In summary, they are the following.
This article has been cited by other articles:
![]() |
D. S. Likosky, S. D. Surgenor, L. J. Dacey, G. R. DeFoe, E. L. Maislen, J. A. Clark, J. P. Aubuchon, J. H. Higgins, P. A. Beaulieu, G. T. O'Connor, et al. Rationalising the treatment of anaemia in cardiac surgery: short and mid-term results from a local quality improvement initiative BMJ Qual. Saf., October 1, 2010; 19(5): 392 - 398. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. I. Tucker, U. M. Marzec, M. A. Berny, S. Hurst, S. Bunting, O. J. T. McCarty, A. Gruber, and S. R. Hanson Safety and Antithrombotic Efficacy of Moderate Platelet Count Reduction by Thrombopoietin Inhibition in Primates Science Translational Medicine, June 23, 2010; 2(37): 37ra45 - 37ra45. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. J. Andreasen, M. Westen, P. A. Pallesen, S. Jensen, A. Gorst-Rasmussen, and S. P. Johnsen Transfusion practice in coronary artery bypass surgery in Denmark: a multicenter audit Interact CardioVasc Thorac Surg, October 1, 2007; 6(5): 623 - 627. [Abstract] [Full Text] [PDF] |
||||
![]() |
The Society of Thoracic Surgeons Blood Conservatio, V. A. Ferraris, S. P. Ferraris, S. P. Saha, E. A. Hessel II, C. K. Haan, B. D. Royston, C. R. Bridges, R. S.D. Higgins, G. Despotis, et al. Perioperative Blood Transfusion and Blood Conservation in Cardiac Surgery: The Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists Clinical Practice Guideline Ann. Thorac. Surg., May 1, 2007; 83(5_Supplement): S27 - S86. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. H. Scott, F. C. Seifert, P. S. A. Glass, and R. Grimson Blood Use in Patients Undergoing Coronary Artery Bypass Surgery: Impact Of Cardiopulmonary Bypass Pump, Hematocrit, Gender, Age, and Body Weight Anesth. Analg., October 1, 2003; 97(4): 958 - 963. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. M. Karski and J. T. Balatbat Blood Conservation Strategies in Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2003; 7(2): 175 - 188. [Abstract] [PDF] |
||||
![]() |
A. M.-H. Ho, A. Lee, E. Ling, A. Daly, K. Teoh, and T. E. Warkentin Agreements Between the Prothrombin Times of Blood Treated In Vitro with Heparinase During Cardiopulmonary Bypass (CPB) and Blood Sampled After CPB and Systemic Protamine Anesth. Analg., January 1, 2003; 96(1): 15 - 20. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Forestier, A. Coiffic, C. Mouton, D. Ekouevi, G. Chene, and G. Janvier Platelet function point-of-care tests in post-bypass cardiac surgery: are they relevant? Br. J. Anaesth., November 1, 2002; 89(5): 715 - 721. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Ellison Red blood cells: an analysis of risk versus benefit Ann. Thorac. Surg., November 1, 2001; 72(5): S1806 - S1807. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Kottke-Marchant and S. Sapatnekar Hemostatic Abnormalities in Cardiopulmonary Bypass: Pathophysiologic and Transfusion Considerations Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2001; 5(3): 187 - 206. [Abstract] [PDF] |
||||
![]() |
N. J. Skubas and G. J. Despotis Optimal Management of Bleeding Complications After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2001; 5(3): 217 - 228. [Abstract] [PDF] |
||||
![]() |
W. C. Oliver Jr, P. J. Santrach, G. K. Danielson, G. A. Nuttall, D. R. Schroeder, and M. H. Ereth Desmopressin does not reduce bleeding and transfusion requirements in congenital heart operations Ann. Thorac. Surg., December 1, 2000; 70(6): 1923 - 1930. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. J. Despotis and L. T. Goodnough Management approaches to platelet-related microvascular bleeding in cardiothoracic surgery Ann. Thorac. Surg., August 1, 2000; 70(2): S20 - 32. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Speck, D. Bonderman, L. Cook, and J. Larison Proposed Procedure for Evaluating Platelet Concentrate Units to Be Used for Transfusion Clinical and Applied Thrombosis/Hemostasis, July 1, 1998; 4(3): 217 - 219. [Abstract] [PDF] |
||||
![]() |
M. A. Forgie, P. S. Wells, A. Laupacis, D. Fergusson, and for the International Study of Perioperative Trans Preoperative Autologous Donation Decreases Allogeneic Transfusion but Increases Exposure to All Red Blood Cell Transfusion: Results of a Meta-analysis Arch Intern Med, March 23, 1998; 158(6): 610 - 616. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. J. Despotis, J. H. Joist, and L. T. Goodnough Monitoring of hemostasis in cardiac surgical patients: impact of point-of-care testing on blood loss and transfusion outcomes Clin. Chem., September 1, 1997; 43(9): 1684 - 1696. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Schmidt, P. E. Mortensen, S. L. Folsgaard, and E. A. Jensen Autotransfusion After Coronary Artery Bypass Grafting Halves the Number of Patients Needing Blood Transfusion Ann. Thorac. Surg., April 1, 1996; 61(4): 1177 - 1181. [Abstract] [Full Text] |
||||
![]() |
L. T. Goodnough, G. J. Despotis, C. W. Hogue Jr, and T. B. Ferguson Jr On the need for improved transfusion indicators in cardiac surgery Ann. Thorac. Surg., August 1, 1995; 60(2): 473 - 480. [Abstract] [PDF] |
||||
![]() |
L. Sandrelli, A. Pardini, R. Lorusso, M. L. Sala, M. Licenziati, and O. Alfieri Impact of autologous blood predonation on a comprehensive blood conservation program Ann. Thorac. Surg., March 1, 1995; 59(3): 730 - 735. [Abstract] [PDF] |
||||
![]() |
Fresh-Frozen Plasma, Cryoprecipitate, and Platelet, E. S. Cooper, A. W. Bracey, A. E. Horvath, J. N. Shanberge, T. L. Simon, and D. H. Yawn Practice Parameter for the Use of Fresh-Frozen Plasma, Cryoprecipitate, and Platelets JAMA, March 9, 1994; 271(10): 777 - 781. [Abstract] [PDF] |
||||
![]() |
T. C. Axford, J. A. Dearani, G. Ragno, H. MacGregor, M. A. Patel, C. R. Valeri, and S. F. Khuri Safety and therapeutic effectiveness of reinfused shed blood after open heart surgery Ann. Thorac. Surg., March 1, 1994; 57(3): 615 - 622. [Abstract] [PDF] |
||||
![]() |
G. J. Despotis, S. A. Santoro, E. Spitznagel, K. M. Kater, J. L. Cox, P. Barnes, and D. G. Lappas Prospective evaluation and clinical utility of on-site monitoring of coagulation in patients undergoing cardiac operation J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 271 - 279. [Abstract] [Full Text] |
||||
![]() |
L. T. Goodnough Blood conservation and blood transfusion practices: Flip sides of the same coin Ann. Thorac. Surg., July 1, 1993; 56(1): 3 - 4. [PDF] |
||||
![]() |
E. Ovrum, E. A. Holen, M. Abdelnoor, and R. Oystese Conventional blood conservation techniques in 500 consecutive coronary artery bypass operations Ann. Thorac. Surg., September 1, 1991; 52(3): 500 - 505. [Abstract] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |