select ad.sno,ad.journal,ad.title,ad.author_names,ad.abstract,ad.abstractlink,j.j_name,vi.* from articles_data ad left join journals j on j.journal=ad.journal left join vol_issues vi on vi.issue_id_en=ad.issue_id where ad.sno_en='48782' and ad.lang_id='5' and j.lang_id='5' and vi.lang_id='5' Blood Loss and Intraoperative Salvage Procedure in Patients | 48782
Cardiologie clinique et expérimentale

Cardiologie clinique et expérimentale
Libre accès

ISSN: 2155-9880

Abstrait

Blood Loss and Intraoperative Salvage Procedure in Patients Underwent Coronary Artery Bypass Reoperative Surgery

Stojkovic B, Jovanovic T, Vukovic P, Calija B2, Milojevic P2, Maravic-Stojkovic V and Djukanovic B

Preoperative patients` characteristics can predict the need for perioperative blood component transfusion in cardiac operations. Currently, a large number of patients are on antiplatelet therapy. A group of these patients require reoperative surgery (redo) after coronary artery bypass grafting (CABG). We aimed to compare blood loss in patients having CABG with patients undergoing reoperative CABG surgery. Fifty-four patients (16% female, 84% male; ages 60.5 ± 6 vs. 66.2 ± 7 years) were divided in: Group 1–CABG, and Group 2–redo CABG. Blood samples were collected: 24h prior, 6h and 24h after the operation. We measured hematological parameters and total amount of blood products substituted. Preoperative clopidogrel and aspirin therapy were not statistically significant (p=0.094), while platelet count (p=0.002) was significantly lower in Group 2. Although we have found some differences in the blood drained (868.5 ± 587 vs. 1088 ± 819 mL) it was not statistically relevant (p=0. 28). Allogenic erythrocytes substituted intraoperatively were not statistically different (p=0.61), while autologous blood salvage procedure was weakly significant (p=0.05). Platelets transfused (p=0.88), fresh frozen plasma (p=0.68), and packed red blood cells transfused postoperatively (p=0.32) have not reached statistical significance. Length of stay in intensive care unit (ICU) was not influenced by used blood components transfusion, either allogenic or autologous. We have found positive correlation between blood loss and ICU stay (r=0.49, p=0.021). Monitoring of these parameters offers an important addition to the preoperative risk assessment.

Clause de non-responsabilité: Ce résumé a été traduit à l'aide d'outils d'intelligence artificielle et n'a pas encore été révisé ou vérifié.
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