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Blood Use in Cardiac Surgery

  • Conference proceedings
  • © 1991

Overview

Editors:
  1. N. Friedel

    1. Deutsches Herzzentrum Berlin, Berlin 65, Germany

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  2. R. Hetzer

    1. Deutsches Herzzentrum Berlin, Berlin 65, Germany

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  3. D. Royston

    1. Harefield Hospital, Harefield, Middlesex, UK

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Table of contents (45 papers)

  1. Non-Pharmacological Methods for the Reduction of Blood Use in Cardiac Surgery

    1. Autologous Blood Predonation

      • H. Kuppe, Th. Breitfeld, P. Schmucker
      Pages 111-118

    2. Resuscitation Fluids for the Treatment of Hemorrhagic Shock in Dogs: The Effects on Myocardial Blood Flow

      • A. R. Tait, L. O. Larson
      Pages 119-123

    3. Reduction of Blood Use in Cardiac Surgery by Topical Hemostasis Using Fibrin Sealant

      • A. Haverich
      Pages 124-128

    4. Retransfusion of Postoperative Drainage Blood

      • J. von der Emde, F. O. Mahmoud, H. D. Esperer
      Pages 129-132

    5. Bacteriological Methods to Monitor the Quality of Intraoperative Autotransfusion

      • Houda Ezzedine, P. Baele
      Pages 133-138

    6. Blood Salvage in Cardiac Surgery: Comparative Analysis of Three Different Procedures

      • B. Walpoth, U. Volken, T. Pfäffli, U. Nydegger, U. Althaus
      Pages 139-146

    7. Inflammatory Response Due to Cell-Saver in Cardiac Surgery

      • D. Loisance, A. Liou, Ph. Deleuze, I. Contremoulin, L. Intrator, J. P. Cachera
      Pages 147-150

    8. Open-Heart Surgery in Jehovahs Witnesses

      • Volker Schlosser, G. Fraedrich
      Pages 151-155

    9. Autologous Blood Transfusion in Cardiac Surgery — 15-Year Experience

      • C. Saavedra, S. Seidl, P. Satter, M. Kaltenbach, R. Dudziak
      Pages 156-159

    10. Preoperative Autologous Blood Donation to Minimize Homologous Blood Transfusions

      • Hermann Sons, H. D. Schulte, W. Bircks
      Pages 160-163

    11. Use of Predonated Autologous Blood in Cardiac Surgery

      • Elemér Donauer, B. Babik, E. Mészáros, G. Gál, G. Kovács
      Pages 164-170

    12. Blood Use Reduction by Predonation — How Effective is It?

      • H. Achenbach, A. Tanzeem, W. Saggau, S. Hagl
      Pages 171-173

    13. Autologous Blood Transfusion in Cardiac Surgery

      • L. Castro, T. Araújo, R. C. Ferreira, J. Q. Melo
      Pages 174-177

    14. Intraoperative Blood Conservation Using Cell-Saver

      • S. K. Bhattacharya, G. P. Sharma, P. I. Polimeni, L. Dyck, M. Roy
      Pages 178-180

    15. Intraoperative Autotransfusion

      • L. Claeys, M. Horsch, G. Hanisch, S. Horsch
      Pages 181-185

    16. Cardiac Surgery in Jehovah’s Witnesses: An Experience of 62 Cases

      • B. Rigler, H. Gombotz, H. Mächler, D. Dacar, Ch. Matzer, K. H. Tscheliessnig et al.
      Pages 186-189

    17. Reduction of Homologous Blood Requirement During Myocardial Revascularization — Comparison of Four Different Techniques

      • H. P. Mitto, W. Dietrich, A. Barankay, J. A. Richter
      Pages 190-191

  2. Pharmacological Methods for the Reduction of Blood Use in Cardiac Surgery

    1. Front Matter

      Pages 193-193
      Download chapter PDF

    2. Platelet Dysfunction after Coronary Artery Bypass Surgery

      • K. H. Teoh, Richard D. Weisel, J. Ivanov, S. J. Teasdale, M. F. X. Glynn
      Pages 195-207

    3. Clinical Effectiveness of Aprotinin in Heart Surgery

      • D. Royston
      Pages 208-220
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Keywords

About this book

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.

Editors and Affiliations

  • Deutsches Herzzentrum Berlin, Berlin 65, Germany

    N. Friedel, R. Hetzer

  • Harefield Hospital, Harefield, Middlesex, UK

    D. Royston

Bibliographic Information

  • Book Title: Blood Use in Cardiac Surgery

  • Editors: N. Friedel, R. Hetzer, D. Royston

  • DOI: https://doi.org/10.1007/978-3-662-06119-0

  • Publisher: Steinkopff Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1991

  • Softcover ISBN: 978-3-662-06121-3Published: 03 October 2013

  • eBook ISBN: 978-3-662-06119-0Published: 29 June 2013

  • Edition Number: 1

  • Number of Pages: X, 286

  • Number of Illustrations: 72 b/w illustrations

  • Additional Information: Jointly published with Springer-Verlag New York: ISBN 0-387-91372-6

  • Topics: Cardiac Surgery, Vascular Surgery

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