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Interact CardioVasc Thorac Surg 2009;9:480-482. doi:10.1510/icvts.2009.203034
© 2009 European Association of Cardio-Thoracic Surgery
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Srikrishna Modugula Reddy
Sachin Talwar
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Institutional report - Cardiac general

Multi-modality blood conservation strategy in open-heart surgery: an audit

Srikrishna Modugula Reddy, Sachin Talwar, Devgourou Velayoudam, Parag Gharde, Vishwas Mallick, Raju Kumar Jha, Lokender Kumar and Sampath Kumar Arkalgud*

Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India

*Corresponding author. All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110 029, India. Tel.: +91-11-26589646; fax: +91-11-26588663.

E-mail address: asampath_kumar{at}hotmail.com (S.K. Arkalgud).

The objective of this study was to perform an audit of the use of homologous blood and blood products in patients undergoing open-heart surgery by a single surgical team that follows an in-house protocol for blood conservation. The hospital records of 310 consecutive patients (age >15 years) undergoing open-heart surgery over a period of 8 months were retrospectively reviewed to assess the comprehensive blood conservation protocol. Homologous blood and blood product usage during and after surgery, in the intensive care unit and up to hospital discharge was analyzed. Two hundred and fifty-six patients (82.6%) did not receive any blood or blood products. Only 54 patients (17.4%) received one or more units of allogenic transfusion either intraoperatively or postoperatively until discharge. Mean hemoglobin at discharge was 9.8 Grams% (8.9–12 Grams%). A standardized multidisciplinary approach to blood conservation in cardiac surgery decreases bleeding and transfusion requirements in a safe and cost effective manner.

Key Words: Blood component transfusion; Heart surgery; Clinical audit


Related Article

eComment: Re: Multi-modality blood conservation strategy in open heart surgery: an audit
Leo A. Bockeria and Rachik G. Grigoryants
Interactive CardioVascular and Thoracic Surgery 2009 9: 482-483. [Full Text] [PDF]



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L. A. Bockeria and R. G. Grigoryants
eComment: Re: Multi-modality blood conservation strategy in open heart surgery: an audit
Interactive CardioVascular and Thoracic Surgery, September 1, 2009; 9(3): 482 - 483.
[Full Text] [PDF]


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