Blood Conservation In Cardiac Surgery

Author : Karl H. Krieger,O. Wayne Isom
Publisher : Springer Science & Business Media
Page : 678 pages
File Size : 48,6 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9781461221807

Get Book

Blood Conservation in Cardiac Surgery by Karl H. Krieger,O. Wayne Isom Pdf

Here, two of the foremost cardiothoracic surgeons have brought together many of the top cardiologists and haematologists to produce the most current reference source on all aspects of blood conservation, from an overall clinical approach to the use of erythropoietin and the benefits of post-operative blood salvage. The subject matter covers numerous areas involved in the preoperative considerations in cardiac surgery, the intraoperative decision-making in cardiac surgery, postoperative bleeding and management and a section on the algorithm for bloodless surgery used at the New York Hospital-Cornell Medical Center.

Author : N. Friedel,R. Hetzer,D. Royston
Publisher : Springer Science & Business Media
Page : 286 pages
File Size : 49,9 Mb
Release : 2013-06-29
Category : Medical
ISBN : 9783662061190

Get Book

Blood Use in Cardiac Surgery by N. Friedel,R. Hetzer,D. Royston Pdf

Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood substitution by homologous donor blood. Only 20 years ago, open-heart operations required an average of 8 units of blood preserves. The excessive need of donor blood in those early days was mainly due to premature surgical technique, insecure control of anticoagulation, severe blood trauma by extracorporeal circulation, and the lack of retransfusion technologies that would have allowed the reuse of shed mediastinal blood. The introduction of new technologies, such as normovolemic hemodilution, in traoperative autotransfusion, postoperative return of shed mediastinal blood, and predonation of autologous blood has greatly reduced donor blood requirements. At present the majority of routine coronary artery surgical procedures can be performed without any blood transfusion. Blood loss, however, may be considerable in patients undergoing complex valve surgery or reoperations, as they often require several units of transfused blood. Blood conservation has now become an area of major interest for the cardiac surgeon. This increased concern is caused by infectious complications of blood transfusion, in particular hepatitis and, more recently, AIDS.

Author : Christian von Heymann,Christa Boer
Publisher : Springer
Page : 219 pages
File Size : 52,8 Mb
Release : 2019-06-03
Category : Medical
ISBN : 9783030153427

Get Book

Patient Blood Management in Cardiac Surgery by Christian von Heymann,Christa Boer Pdf

This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery. All aspects of patient blood management are covered that may contribute to a reduction in perioperative bleeding and transfusion requirements in cardiac surgery. This is achieved through practical cases and a theoretical background that gives a better understanding of patient hemostasis and the occurrence of bleeding complications. This book is relevant to cardiac surgeons, anesthesiologists, clinical perfusionists, hematologists and intensivists.

Author : Robert David Slight,Pankaj Mankad
Publisher : Unknown
Page : 216 pages
File Size : 42,5 Mb
Release : 2008
Category : Electronic
ISBN : OCLC:696147235

Get Book

Blood Conservation in Cardiac Surgery by Robert David Slight,Pankaj Mankad Pdf

Cardiac surgery is traditionally a heavy user of blood and blood products. Until recently, the benefits of transfusion have been largely assumed and the risks relatively ignored. This has prompted us to examine new ways of minimising patient exposure to donor red blood cells (RBC's). At the present time, most clinical guidelines for RBC transfusion are based mainly upon haemoglobin concentration ([Hb]). As [Hb] may be artificially depressed by the haemodiluting effect of the heavy clear fluid load associated with cardiac surgery, transfusing based upon [Hb] alone may overestimate the requirement for RBC's. Where such haemodilution is present, systemic oxygenation may be maintained through a viscosity mediated patho-physiological response. The work reported in this thesis attempts to explore the relative contribution of both red cell volume (RCV) and plasma volume (PV) to the anaemia encountered following cardiac surgery while also examining factors that may be associated with a low post-operative RCV. In addition, we have explored on a theoretical basis what [Hb] would represent a critical level of systemic oxygen delivery (DO2Crit). Taken together, this has allowed us to develop an RCV based transfusion guideline aimed at reducing the incidence of unnecessary (and potentially counter-productive) RBC transfusion. As RBC's may be associated with pulmonary endothelial damage, we have also studied the impact of the RCV guideline developed on post-operative acute lung injury (ALI). Finally, in a separate study, the merits of a simple activated clotting time (ACT) based system of anti-coagulation management for cardiopulmonary bypass (CPB) versus that of an individualised heparin management system (HMS) are described.

Author : Safuh Attar
Publisher : Wiley-Blackwell
Page : 262 pages
File Size : 46,6 Mb
Release : 1999-09-01
Category : Medical
ISBN : 0879934107

Get Book

Hemostasis in Cardiac Surgery by Safuh Attar Pdf

Medical knowledge about blood, its use in transfusions, and blood products has grown exponentially, as well as awareness about its safety, risks and costs. In a discipline where risks are proportional to benefits, medical specialists involved in open heart surgery need to have the latest information to make informed decisions. Dr. Attar's work reflects the contributors' direct interest and experience in blood and cardiac surgery introducing the latest information on blood and its use, hemostasis, blood conservation techniques and safety, the risks involved, alternatives to blood transfusions, the diagnosis and therapy of coagulopathy associated with cardiac surgery, and medicolegal aspects. Medical advances include the latest intraoperative diagnostic measures for platelet functions and therapy strategies for hemostasis abnormalities with cardiac surgery. This work is unique for its extensive and critical description of instruments and tests used intraoperatively, especially for the evaluation of the coagulation factors and platelets, the algorithms for transfusion guidelines and the detailed application of APROTININ and other antifibrinolytic agents in minimizing bleeding in cardiac surgery. Written for cardiac and transplant specialists -- from surgeons, anesthesiologists, surgical nurses to perfusionists -- this valuable and timely reference thoroughly explores the subject of blood transfusions in open heart surgery, its clinical applications, the current status of blood substitutes and important legal aspects.

Author : R.A. Guyton,Christina T. Mora,D.C. Finlayson,R.L. Rigatti
Publisher : Springer Science & Business Media
Page : 510 pages
File Size : 51,5 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9781461224846

Get Book

Cardiopulmonary Bypass by R.A. Guyton,Christina T. Mora,D.C. Finlayson,R.L. Rigatti Pdf

A definitive, comprehensive text on the technological developments and clinical applications of this critical subject matter. Written for the entire heart surgery team, this volume covers the physiology of cardiopulmonary bypass, mechanics and components of the heart-lung machine, the conduct of cardiopulmonary bypass in cardiac surgery, non-cardiac applications of cardiopulmonary bypass, and mechanical assistance of the failing heart and lung. The authors also give special consideration to such areas as blood conservation in cardiac surgery, religions objections to blood transfusions, medical-legal aspects and cardiopulmonary bypass, as well as warm blood cardioplegia and normothermic cardiopulmonary bypass.

Author : Michael L. Baldwin,Sanford R. Kurtz
Publisher : Unknown
Page : 80 pages
File Size : 42,8 Mb
Release : 1991
Category : Blood
ISBN : CHI:36455735

Get Book

Transfusion Practice in Cardiac Surgery by Michael L. Baldwin,Sanford R. Kurtz Pdf

Author : Corey S. Scher,Alan David Kaye,Henry Liu,Seth Perelman,Sarah Leavitt
Publisher : Springer Nature
Page : 469 pages
File Size : 46,9 Mb
Release : 2021-03-12
Category : Medical
ISBN : 9783030592950

Get Book

Essentials of Blood Product Management in Anesthesia Practice by Corey S. Scher,Alan David Kaye,Henry Liu,Seth Perelman,Sarah Leavitt Pdf

This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.

Author : A.C. Cernaianu,A.J. DelRossi
Publisher : Springer Science & Business Media
Page : 254 pages
File Size : 45,5 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9781461524236

Get Book

Cardiac Surgery by A.C. Cernaianu,A.J. DelRossi Pdf

The topicS in this book represent the presentations given at the Fifth Annual Meeting entitled "Cardiac Surgery: Current Issues" held at the Frenchman's Reef Beach Resort. St. Thomas. U.S. Virgin Islands. November 11-14. 1992. This symposium was sponsored by the Division of Cardiothoracic Sur gery. the School of Cardiovascular Perfusion and the Department of Nursing Education and QUality Assurance of Cooper Hospital/University Medical Center. the University of Medicine and Dentistry of New Jersey. Robert Wood Johnson Medical School. Camden. New Jersey. as well as the Academy of Medicine of New Jersey. Chapter authors were charged with the task of writing brief overviews of major issues related to the field of cardiac surgery. The book is specifically tailored to the needs of cardiothoracic surgeons. cardiovascular perfusionists. allied health professionals and nursing personnel involved in all phases of caring for the cardiac surgical patient. Although intended as a reference source with emphasis on up-dated approaches applied in cardiac surgery. it is hoped that the discussion of these topics will compliment other texts and manuscripts. Obviously.' ;ibook of this length cannot cover the whole multidiSciplinary and complex field of cardiac surgery. However. co-editors are certain that the annual appearance of this text will highlight comprehensive. new and interesting approaches to the field of cardiac surgery.

Author : Mohammed Ramez Salem
Publisher : Lippincott Williams & Wilkins
Page : 472 pages
File Size : 53,7 Mb
Release : 1996
Category : Blood
ISBN : UOM:39015034523475

Get Book

Blood Conservation in the Surgical Patient by Mohammed Ramez Salem Pdf

Author : Nicolas Jabbour
Publisher : John Wiley & Sons
Page : 376 pages
File Size : 49,9 Mb
Release : 2014-08-01
Category : Medical
ISBN : 9781118554715

Get Book

Transfusion-Free Medicine and Surgery by Nicolas Jabbour Pdf

This book aims to be a guide to the practice of blood conservation. The first chapter discusses the legal and administrative aspects of bloodless medicine describing the legal principles and practical issues relatd to refusal of transfusion. The second is on balancing the risks and benefits of transfusion includes clinical vignettes of appropriate and inappropriate transfusion. The remainder of the book covers the principles and practice of bloodless medicine, including a chapter on the scientific issues of haemostasis and the investigation of bleeding idsorders. The book concludes with chapters on blood conservation in neonatal and paediatric surgery, the costs associated with blood transfusion and the quest for artifical blood. New chapters will be included to address blood utilization in oncology and geriatric patients.

Author : Ahmed S. Awad, MD, MBA
Publisher : Springer Nature
Page : 649 pages
File Size : 40,8 Mb
Release : 2021-02-10
Category : Medical
ISBN : 9783030517557

Get Book

Cardiac Anesthesia by Ahmed S. Awad, MD, MBA Pdf

This concise book meets the market need for an accessible and up-to-date guide on understanding and managing cardiac anesthesia patients. It reflects the continual evolution of the very complex field of cardiac anesthesia. Organized into 10 sections, beginning chapters comprehensively examine the foundational concepts of cardiovascular function. The book then functions as a practical guide for clinical settings, including patient evaluation, operating room and anesthetic management, and postoperative care. Each chapter is authored by experienced cardiac anesthesiologists and many are supplemented by high quality, images, videos and tables. Written for the student, trainee, and junior cardiac anesthesiologist, Cardiac Anesthesia: The Basics of Evaluation and Management covers the core concepts needed to treat the cardiac surgery patient and to the skillset needed to succeed in this field.

Author : Dafydd Thomas,John Thompson,Biddy Ridler
Publisher : tfm Publishing Limited
Page : 350 pages
File Size : 51,6 Mb
Release : 2016-04-01
Category : Medical
ISBN : 9781910079492

Get Book

All Blood Counts by Dafydd Thomas,John Thompson,Biddy Ridler Pdf

This book gathers together the collected wisdom of an experienced group of practitioners from the world of blood conservation including surgeons, anaesthetists, haematologists, transfusion specialists, microbiologists, and legal advisors. Topics included are: an historical overview, transfusion-transmitted diseases, changing demographics and the projected impact on blood supplies, who needs transfusion, practicalities and tips - how to do it, the laboratory perspective, haemodilution, intra-operative cell salvage, surgical methods to minimise blood loss, anaesthetic methods to minimise blood loss, pharmacological methods to minimise blood loss, postoperative salvage, postoperative haemoglobin, cancer patients, patient consent and refusal, trauma management, patient ID and documentation, audit/clinical governance, the role of the Hospital Transfusion Team, education, national reports including European Directives, further information. Additional chapters will include pre-operative blood management, near-patient testing, the incidence and relevance of pre-operative anaemia, anaemia management in obstetrics, pre-operative anaemia in orthopaedics, haemostatic sealants, the effect of transfusion in cardiovascular surgery, transfusion alternatives.

Author : Christina T. Mora
Publisher : Springer
Page : 504 pages
File Size : 41,8 Mb
Release : 1995-01-01
Category : Blood
ISBN : 3540942424

Get Book

Cardiopulmonary Bypass by Christina T. Mora Pdf

Author : Hans Gombotz,Kai Zacharowski,Donat Rudolf Spahn
Publisher : Georg Thieme Verlag
Page : 442 pages
File Size : 43,7 Mb
Release : 2015-11-10
Category : Medical
ISBN : 9783132581647

Get Book

Patient Blood Management by Hans Gombotz,Kai Zacharowski,Donat Rudolf Spahn Pdf

Patient Blood Management (PBM) is an innovative clinical concept that aims to reduce the need for allogenic blood transfusions, cut health-care costs, and avert or correct the risk factors related to blood transfusion, thus minimizing the rate of side effects and complications. This comprehensive hands-on volume offers a three-point approach for the implementation of PBM to improve patient outcome, focusing on how to prevent or treat anemia, reduce blood loss, and increase anemia tolerance. The book also goes beyond preoperative PBM, with detailed accounts of coagulation disorder management and the administration of coagulation products and platelet concentrates. Special Features: Presents a clear three-pillar strategy for the application of PBM: diagnosis and treatment of anemia, reduction of peri-interventional blood loss, and optimization of the tolerance to anemia in the everyday clinical setting Covers issues such as PBM during surgery, requirements for modern transfusion medicine, ordering blood products, the role of pre-anesthesia clinics, benchmarking processes, and potential implications of PBM in the public health sector Overview of research in PBM including landmark studies and current clinical trials Boxes in each chapter highlighting key information, core statements, and summaries A multidisciplinary and international team of contributors experienced in PBM Patient Blood Management is a guide for clinicians and residents whose patients are at risk for anemia, coagulation disorders, or severe blood loss. Anesthesiologists, surgeons, and specialists involved in the use of blood and blood products can use the book for quick reference or to learn more about a leading-edge concept for optimizing patient safety and improving outcome.