The Comparison of Transfusion Practice and Prognosis according to Transfusion Guidelines of Packed Red Blood Cells in Off-Pump Coronary Artery Bypass Graft Surgery. |
Min A Kwon, Jea Wook Jeong, Kay Hyun Park, Mi Kyung Yang, Chung Su Kim, Hyun Sung Cho, Sang Min Lee |
1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. marialee@smc.samsung.co.kr 2Department of Thoracic & Cardiovascular Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. |
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Abstract |
< 0.001); the Hb was > 10.0 g/dl in group B (minimum Hb 10.4 g/dl). The rate of bloodless OPCAB increased from 2% to 57%.
There was a similar number of blood restorations and wastage, incidence of wound infections, bleeding, arrhythmias, myocardial infarctions, sudden death, length of the ICU stay and postoperative admissions in the two groups. CONCLUSIONS With the new transfusion guideline, number of P-RBC preparations and transfusions was decreased significantly without an increase in the incidence of complications. |
Key Words:
blood transfusion; complications; OPCAB |
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