Advertisement

Blood Use in Cardiac Surgery

  • N. Friedel
  • R. Hetzer
  • D. Royston
Conference proceedings

Table of contents

  1. Front Matter
    Pages I-X
  2. Pathomechanism of Defective Hemostasis During and After Extracorporeal Circulation

    1. Front Matter
      Pages 1-1
    2. F. Bachmann, Fedor Bachmann
      Pages 3-9
    3. L. Henry Edmunds Jr., R. W. Colman, S. Niewiarowski
      Pages 27-36
    4. Andrzej Bochenek, Z. Religa, J. Wojnar, A. Wnuk-Wojnar, M. Zembala, J. Hołlowiecki et al.
      Pages 37-40
    5. C. P. Ratnatunga, P. Gorog, I. B. Kovacs, G. M. Ress
      Pages 41-43
    6. Najib Al-Khaja, A. Belboul, B. Liu, D. Roberts
      Pages 44-47
    7. H. Teufelsbauer, M. Havel, P. Knöbl, S. Andert, P. Jaksch, M. Müller et al.
      Pages 48-51
  3. Epidemiology — The Size of the Clinical Problem

    1. Front Matter
      Pages 57-57
    2. Harvey G. Klein
      Pages 69-73
    3. R. C. G. Gallandat Huet, A. F. de Geus, H. E. Mungroop, N. G. Borgstein, T. Keane, J. T. M. Pierce et al.
      Pages 74-77
    4. G. Marggraf, M. Schax, H. Trübenbach, M. Brand, K. R. Flechsenhar, N. Doetsch
      Pages 78-83
  4. Non-Pharmacological Methods for the Reduction of Blood Use in Cardiac Surgery

    1. Front Matter
      Pages 109-109
    2. H. Kuppe, Th. Breitfeld, P. Schmucker
      Pages 111-118
    3. J. von der Emde, F. O. Mahmoud, H. D. Esperer
      Pages 129-132
    4. B. Walpoth, U. Volken, T. Pfäffli, U. Nydegger, U. Althaus
      Pages 139-146
    5. D. Loisance, A. Liou, Ph. Deleuze, I. Contremoulin, L. Intrator, J. P. Cachera
      Pages 147-150
    6. Volker Schlosser, G. Fraedrich
      Pages 151-155
    7. C. Saavedra, S. Seidl, P. Satter, M. Kaltenbach, R. Dudziak
      Pages 156-159
    8. Hermann Sons, H. D. Schulte, W. Bircks
      Pages 160-163
    9. Elemér Donauer, B. Babik, E. Mészáros, G. Gál, G. Kovács
      Pages 164-170
    10. H. Achenbach, A. Tanzeem, W. Saggau, S. Hagl
      Pages 171-173
    11. L. Castro, T. Araújo, R. C. Ferreira, J. Q. Melo
      Pages 174-177
    12. S. K. Bhattacharya, G. P. Sharma, P. I. Polimeni, L. Dyck, M. Roy
      Pages 178-180
    13. L. Claeys, M. Horsch, G. Hanisch, S. Horsch
      Pages 181-185
    14. B. Rigler, H. Gombotz, H. Mächler, D. Dacar, Ch. Matzer, K. H. Tscheliessnig et al.
      Pages 186-189
  5. Pharmacological Methods for the Reduction of Blood Use in Cardiac Surgery

    1. Front Matter
      Pages 193-193
    2. K. H. Teoh, Richard D. Weisel, J. Ivanov, S. J. Teasdale, M. F. X. Glynn
      Pages 195-207
    3. G. Fraedrich, K. Neukamm, T. Schneider, M. Haag-Weber, D. Schmidt, C. Weber et al.
      Pages 221-231
    4. W. Dietrich, M. Spannagl, M. Jochum, P. Wendt, A. Barankay, J. A. Richter
      Pages 232-239
    5. N. Tabuchi, W. van Oeveren, L. Eijsman, K. J. Roozendaal, Y. J. Gu, Ch. R. H. Wildevuur
      Pages 245-251
    6. D. U. Preiss, I. Witt, H. Kiefer, P. Betz
      Pages 252-259
    7. D. N. Ross, J. C. Simpson
      Pages 260-262
    8. David H. T. Scott, J. Au
      Pages 263-265
    9. M. Havel, H. Teufelsbauer, W. Zwölfer, A. Laczkovics, E. Wolner
      Pages 266-268
    10. Ch. R. H. Wildevuur
      Pages 269-274
  6. Panel Discussion

    1. Front Matter
      Pages 275-275

About these proceedings

Introduction

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.

Keywords

cardiac surgery surgery trauma

Editors and affiliations

  • N. Friedel
    • 1
  • R. Hetzer
    • 1
  • D. Royston
    • 2
  1. 1.Deutsches Herzzentrum BerlinBerlin 65Germany
  2. 2.Harefield HospitalHarefield, MiddlesexUK

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-662-06119-0
  • Copyright Information Steinkopff-Verlag Darmstadt 1991
  • Publisher Name Steinkopff, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-662-06121-3
  • Online ISBN 978-3-662-06119-0
  • Buy this book on publisher's site