Issue |
J Extra Corpor Technol
Volume 14, Number 4, August 1982
|
|
---|---|---|
Page(s) | 395 - 399 | |
DOI | https://doi.org/10.1051/ject/1982144395 | |
Published online | 19 September 2023 |
Original Article
Utilization of Donor Blood
1
Cardiac Surgical Service, St. Luke’s-Roosevelt Hospital Center
2
Department of Surgery, Columbia University College of Physicians and Surgeons, New York, New York
* Reprint requests to be sent to: John Hutchinson, M.D., Chief of Cardiac Surgery, St. Luke’s-Roosevelt Hospital Center, 421 West 113th Street, New York, NY 10025.
Received:
January
1982
Revised:
May
1982
Accepted:
May
1982
Due to the adoption and adaptation of known confirmed methods, donor blood requirements have decreased in the cardiac surgical patient. Eight hundred thirty-five consecutive patients were studied for donor blood requirements in 1978. A total of 1,804 units of whole blood or packed cells was utilized, averaging 2 units per patient. The average duration on cardiopulmonary bypass (CPB) was 103 minutes. During CPB, hematocrit levels were maintained at 25 ± 4%. No patients received donor blood replacement in the operating room prior to the commencement of CPB. Ten percent had homologous blood added to the prime, 76% received no blood during the conduct of CPB. Twenty percent received donor blood during perfusion. Twelve percent received donor blood during the period between completion of CPB and transfer to the recovery room. In the entire series, the average blood loss from the time of incision to completion of CPB was 513 cc’s. After completion of CPB to the time of transfer to the recovery room the average blood loss was 690 cc’s. In the open heart recovery room, 61% of patients received donor blood. Of the patients who received donor blood, 20% had CABG (1–5 grafts), 50% valve replacements (1-3 valves), and 38% miscellaneous procedures. A repeat thoracotomy was necessary to control post-operative hemorrhage in 10 patients (1%). The 30-day mortality for the series was 3%. No cases of hepatitis were reported. During the last decade at our institution, the donor blood requirements have decreased from 15 units availability to 4 units.
© 1982 AMSECT
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