ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Herbert B. Ward
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ward, H. B.
Right arrow Articles by Swaim, W. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ward, H. B.
Right arrow Articles by Swaim, W. R.

Ann Thorac Surg 1993;56:137-141
© 1993 The Society of Thoracic Surgeons

Articles

Prospective, randomized trial of autotransfusion after routine cardiac operations

Herbert B. Ward, MD, PhD*, Robin R.A. Smith, BSN, Karen P. Landis, BAN, Timothy G. Nemzek, MS, Agustin P. Dalmasso, MD, William R. Swaim, MD

Department of Surgery, Nursing Service, and Laboratory Service, Minneapolis Veterans Affairs Medical Center and University of Minnesota, Minneapolis, Minnesota USA

Accepted for publication November 23, 1992.

* Address reprint requests to Dr Ward, Surgical Service (112), VA Medical Center, One Veterans Dr, Minneapolis, MN 55417.

To study the effectiveness of autotransfusion of shed mediastinal blood in decreasing the need for homolo gous blood transfusion in the routine cardiac surgical patient, we prospectively randomized 35 consecutive patients into two groups. The experimental group (n = 18) received autotransfusion for 12 hours after completion of the operative procedure. The control group (n = 17) was treated with standard chest drainage and fluid replacement. Both groups received homologous blood transfusion when the hemoglobin level fell to less than 8.0 g/dL. Student's t test, {chi} 2 analysis, and multivariate logistic regression analysis were used where appropriate. Packed red blood cells were required postoperatively in 6 of the 17 control and 6 of the 18 autotransfusion patients (p = not significant). Postoperative colloid fluid replacement (excluding autotransfusion fluid) in the autotransfusion group (333 ± 78 mL; 95% confidence bounds, 168 to 498 mL) was less than in the control group (615 ± 114 mL; 95% confidence bounds, 372 to 857 mL; p = 0.048). Total homologous blood product exposure tended to be higher in autotransfusion patients (83%) than in control patients (47%) (p = 0.057). Fibrin split products were elevated only in the serum of the autotransfusion patients (p < 0.002). No transfusion-related complications were apparent in either group. Although the sample size is small, autotransfusion of shed mediastinal blood does not appear to decrease the need for homologous blood transfusion in the routine cardiac surgical patient.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
L. Y. Lee, W. J. DeBois, K. H. Krieger, and O. W. Isom
Transfusion Therapy and Blood Conservation
, January 1, 2008; 3(2008): 415 - 430.
[Full Text]

Home page
 Card Surg AdultHome page
Z. I. Khalpey, R. B. Ganim, and J. D. Rawn
Postoperative Care of Cardiac Surgery Patients
, January 1, 2008; 3(2008): 465 - 486.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
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]

Home page
 Ann. Thorac. Surg.Home page
R. C. Arora, J.-F. Legare, K. J. Buth, J. A. Sullivan, and G. M. Hirsch
Identifying Patients at Risk of Intraoperative and Postoperative Transfusion in Isolated CABG: Toward Selective Conservation Strategies
Ann. Thorac. Surg., November 1, 2004; 78(5): 1547 - 1554.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. N. Ramnath, H. R. Naber, A. de Boer, and J. A. Leusink
No benefit of intraoperative whole blood sequestration and autotransfusion during coronary artery bypass grafting: Results of a randomized clinical trial
J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1432 - 1437.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
L. Y. Lee, W. J. DeBois, K. H. Krieger, and O. W. Isom
Transfusion Therapy and Blood Conservation
, January 1, 2003; 2(2003): 389 - 400.
[Full Text]

Home page
 J Am Acad Orthop SurgHome page
E. M. Keating and J. B. Meding
Perioperative Blood Management Practices in Elective Orthopaedic Surgery
J. Am. Acad. Orthop. Surg., November 1, 2002; 10(6): 393 - 400.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. Shibata, S. Takamoto, Y. Kotsuka, and H. Sato
Effectiveness of combined blood conservation measures in thoracic aortic operations with deep hypothermic circulatory arrest
Ann. Thorac. Surg., March 1, 2002; 73(3): 739 - 743.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
C. Huet, L. R. Salmi, D. Fergusson, A. W. M. M. Koopman-van Gemert, F. Rubens, and A. Laupacis
A Meta-Analysis of the Effectiveness of Cell Salvage to Minimize Perioperative Allogeneic Blood Transfusion in Cardiac and Orthopedic Surgery
Anesth. Analg., October 1, 1999; 89(4): 861 - 861.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. L. Kilgore and A. D. Pacifico
Shed Mediastinal Blood Transfusion After Cardiac Operations: A Cost-Effectiveness Analysis
Ann. Thorac. Surg., May 1, 1998; 65(5): 1248 - 1254.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J.-F. Hardy, S. Belisle, C. Dupont, F. Harel, D. Robitaille, M. Roy, and L. Gagnon
Prophylactic Tranexamic Acid and {epsilon}-Aminocaproic Acid for Primary Myocardial Revascularization
Ann. Thorac. Surg., February 1, 1998; 65(2): 371 - 376.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. M. Nguyen, B. M. Gilfix, F. Dennis, D. Blank, D. A. Latter, P. L. Ergina, J. E. Morin, and B. de Varennes
Impact of Transfusion of Mediastinal Shed Blood on Serum Levels of Cardiac Enzymes
Ann. Thorac. Surg., July 1, 1996; 62(1): 109 - 114.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
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]

Home page
 Ann. Thorac. Surg.Home page
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]

Home page
 Ann. Thorac. Surg.Home page
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]

Home page
 Ann. Thorac. Surg.Home page
J. Salas, M. Munoz, S. Peran, S. Negri, and N. G. de Vega
Autotransfusion of shed mediastinal blood after cardiac operations
Ann. Thorac. Surg., January 1, 1995; 59(1): 257 - 258.
[PDF]

Home page
 American Journal of Medical QualityHome page
L. T. Goodnough, M. S. Bodner, and J. W. Martin
Blood Transfusion and Blood Conservation: Cost and Utilization Issues
American Journal of Medical Quality, December 1, 1994; 9(4): 172 - 183.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. J. Morris and Y. S. Tan
Autotransfusion: Is there a benefit in a current practice of aggressive blood conservation?
Ann. Thorac. Surg., August 1, 1994; 58(2): 502 - 508.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. L. Early and S. R. Roberts
Autotransfusion in routine cardiac operations
Ann. Thorac. Surg., January 1, 1994; 57(1): 262 - 263.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
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]


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
Copyright © 1993 by The Society of Thoracic Surgeons.