Skip to main content
SpringerLink
Log in

Blood Salvage After Cardiac Surgery

  • Chapter
Blood Conservation in Cardiac Surgery

  • 174 Accesses

Abstract

Public awareness of the risks associated with administration of homologous blood has increased dramatically since the discovery of the acquired immunodeficiency syndrome (AIDS) and the fact that the human immunodeficiency virus (HIV) could be transmitted by transfusion.1 This concern has had a salutary effect in reducing the rate of blood usage, although some risks have been exaggerated. For example, in 1989 slightly less than half of the adults in the United States believed that blood transfusions were safe,2 and a 1991 report indicated 10% of adults believed that a patient was “very likely” to contract AIDS after a blood transfusion.3

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ammann AJ, Cowan MJ, Wara DW, et al. Acquired immunodeficiency in an infant: possible transmission by means of blood products.Lancet 1983;1:956–958.

    Article  PubMed  CAS  Google Scholar 

  2. Dawson DA. AIDS knowledge and attitudes for January-March 1989: provisional data from the National Health Interview Survey.Advance Data from Vital and Health Statistics Hyattsville, MD: National Center for Health Statistics, 1989;no. 176.

    Google Scholar 

  3. American Association of Blood Banks.Attitudes of US Adults Toward AIDS and the Safety of America’s Blood Supply. Bethesda, MD: AABB and the Gallup Organization, 1991.

    Google Scholar 

  4. Cumming PD, Wallace EL, Schorr JB, Dodd RY. Exposure of transfused patients to human immunodeficiency virus through the transfusion of blood components that test antibody negative.N Engl J Med 1989;321:917–924.

    Article  Google Scholar 

  5. Donahue JG, Nelson KE, Munoz A, et al. Transmission of HIV by transfusion of screened blood.N Engl J Med 1990;323:1709.

    PubMed  CAS  Google Scholar 

  6. Myhre BA. Fatalities from blood transfusion.JAMA 1980;244:1333–1335.

    Article  PubMed  CAS  Google Scholar 

  7. Malouf M, Glanville AR. Blood transfusion related adult respiratory distress syndrome.Anaesth Intensive Care 1993;21:44–49.

    PubMed  CAS  Google Scholar 

  8. Thaler M, Shamiss A, Orgao S, et al. The role of blood from HLA-homozygous donors in fatal transfusion-associated graft versus host disease after open heart surgery.N Engl J Med 1989;321:25–28.

    Article  PubMed  CAS  Google Scholar 

  9. von Fliedner V, Higby DJ, Kim U. Graft-versus-host reaction following blood product transfusion.Am J Med 1982;72:951–961.

    Article  Google Scholar 

  10. National Institutes of Health Consensus Conference. Perioperative red cell transfusion.JAMA 1988;260:2700–2705.

    Article  Google Scholar 

  11. National Institutes of Health Consensus Conference. Fresh frozen plasma: indications and risks.JAMA 1985;253:551–553.

    Article  Google Scholar 

  12. National Institutes of Health Consensus Conference. Platelet transfusion therapy.JAMA 1987;257:1777–1780.

    Article  Google Scholar 

  13. Goodnough LT, Johnston MFM, Ramsey G, et al. Guidelines for transfusion support in patients undergoing coronary artery bypass grafting.Ann Thorac Surg 1990;50:675–683.

    Article  PubMed  CAS  Google Scholar 

  14. American College of Surgeons. Practice strategies for elective red blood cell transfusion.Ann Intern Med 1992;116:403–406.

    Google Scholar 

  15. Cuello L, Vasquez E, Rios R, et al. Autologous blood transfusion in thoracic and cardiovascular surgery.Surgery 1967;62:814–818.

    PubMed  CAS  Google Scholar 

  16. Brown AL, Debenham MW. Use of blood from hemothorax.JAMA 1931;96:1223–1225.

    Google Scholar 

  17. Johnson RG, Rosenkrantz KR, Preston RA, et al. The efficacy of postoperative autotransfusion in patients undergoing cardiac operations.Ann Thorac Surg 1983;36:173–179.

    Article  PubMed  CAS  Google Scholar 

  18. Schaff HV, Hauer J, Gardner TJ, et al. Routine use of autotransfusion following cardiac surgery: experience in 700 patients.Ann Thorac Surg 1979;27:493–499.

    Article  PubMed  CAS  Google Scholar 

  19. Schaff HV, Hauer JM, Bell WR, et al. Autotransfusion of shed mediastinal blood after cardiac surgery.J Thorac Cardiovasc Surg 1978;75:632–641.

    PubMed  CAS  Google Scholar 

  20. Thurer RL, Lytle BW, Cosgrove DM, et al. Autotransfusion following cardiac operations: a randomized, prospective study.Ann Thorac Surg 1978;27:500–507.

    Article  Google Scholar 

  21. Adan A, Brutel R, Haas F, et al. Autotransfusion of drained mediastinal blood after cardiac surgery: a reappraisal.Thorac Cardiovasc Surg 1988;36:10–14.

    Article  PubMed  CAS  Google Scholar 

  22. Page R, Russell GN, Fox MA, et al. Hard-shell cardiotomy reservoir for reinfusion of shed mediastinal blood.Ann Thorac Surg 1989;48:514–517.

    Article  PubMed  CAS  Google Scholar 

  23. Ward HB, Robin RR, Landis KP, et al. Prospective, randomized trial of autotransfusion after routine cardiac operations.Ann Thorac Surg 1993;56:137–141.

    Article  PubMed  CAS  Google Scholar 

  24. Eng J, Kay PH, Murday AJ, et al. Postoperative autologous transfusion in cardiac surgery: a prospective, randomized study.Eur J Cardiothorac Surg 1990;4:595–600.

    Article  PubMed  CAS  Google Scholar 

  25. Axford TC, Dearani J A, Ragno G, et al. Safety and therapeutic effectiveness of reinfused shed blood after cardiac surgery.Ann Thorac Surg 1994;57:615–622.

    Article  PubMed  CAS  Google Scholar 

  26. Cosgrove DM, Loop FD, Lytle BW, et al. Determinants of blood utilization during myocardial revascularization.Ann Thorac Surg 1985;40:380–384.

    Article  PubMed  CAS  Google Scholar 

  27. Morris JJ, Tan YS. Autotransfusion: Is there a benefit in a current practice of aggressive blood conservation?Ann Thorac Surg 1994;58:502–508.

    Article  PubMed  CAS  Google Scholar 

  28. Hartz RS, Smith JA, Green D. Autotransfusion after cardiac operation. Assessment of hemostatic factors.J Thorac Cardiovasc Surg 1988;96:178–182.

    PubMed  CAS  Google Scholar 

  29. Fuller JA, Buxton BF, Picken J, et al. Haematological effects of reinfused mediastinal blood after cardiac surgery.Med J Aust 1991;154:737–740.

    PubMed  CAS  Google Scholar 

  30. Aaron RK, Beazley RM, Riggle GC. Hematologic integrity after intraoperative autotransfusion. Comparison with bank blood.Arch Surg 1974;108:831–837.

    PubMed  CAS  Google Scholar 

  31. Utley JR, Moores WY, Stephens DB. Blood conservation techniques.Ann Thorac Surg 1981;31:482–490.

    Article  PubMed  CAS  Google Scholar 

  32. Winton TL, Charrette EJP, Salerno TA. The cell saver during cardiac surgery: Does it save?Ann Thorac Surg 1982;33:379–381.

    Article  PubMed  CAS  Google Scholar 

  33. Carter RF, McArdle B, Morritt GM. Autologous transfusion of mediastinal drainage blood: a report of its use following open heart surgery.Anaesthesia 1981;36:54–59.

    Article  PubMed  CAS  Google Scholar 

  34. Breyer RH, Engelman RM, Rousou JA, et al. Blood conservation for myocardial revascularization. Is it cost effective?J Thorac Cardiovasc Surg 1987;93:512–522.

    PubMed  CAS  Google Scholar 

  35. Ferraris VA, Ferraris SP. Limiting excessive postoperative blood transfusion after cardiac procedures. A review. [Review]Texas Heart Inst J 1995;22:216–230.

    CAS  Google Scholar 

Download references

Authors
  1. Joseph A. Dearani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hartzell V. Schaff
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Cardiothoracic Surgery, The New York Hospital-Cornell Medical Center, 10021, New York, NY, USA

    Karl H. Krieger M.D. (Professor and Vice Chairman) & O. Wayne Isom M.D. (Professor and Chairman) (Professor and Vice Chairman) &  (Professor and Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Dearani, J.A., Schaff, H.V. (1998). Blood Salvage After Cardiac Surgery. In: Krieger, K.H., Isom, O.W. (eds) Blood Conservation in Cardiac Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2180-7_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-2180-7_19

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-94908-6

  • Online ISBN: 978-1-4612-2180-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation