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The effect of autologus and hetrologous transfusion on homeostasis and hematological parameters in cardiac surgery
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B Montazeri   , E Soleimani , S Zareiy , AA Janghorban , S Tehraniyan |
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Abstract: (13442 Views) |
Introduction: Autologous transfusion is a longstanding concept and has
many advantages, particularly for complex operative procedures,
such as cardiac surgery and organ transplantation. A.N.H
technique, one of the tree types of autologous transfusion was used
in patients who were candidates for CABG surgery with
cardiopulmonary bypass (CPB).
Materials and Methods: The records of 410 Patients who have been CABG
operated in Be’sat and Shahid Chamran hospital in 2002 has been
studied in a descriptive observation study. In this research, the
patients who showed no symptom of certain disease such as
anemia, kidney disease, and severe liver disease, were included. A
careful and scientific study of these cases required enough
information about their age, sex, cell blood count, PT, PTT, INR, O2
Saturation and amount of their needed blood products. Lack of
enough information regarding any of these factors excluded that
patient from our study.
Results: In this research, 410 Patients, mostly male (74.6%) and with
the commonest age range of 60-64(19.51) have been studied. The
amount of Hb of their blood showed no change before and after
CABG operation in autologus and heterologus group but the amount
of platelet was more in the latter.
After the operation, there was no difference on the amount of O2
Saturation and homeostasis parameters before and after CABG in
both heterologus and autologus transfusion. But the need for blood
products was more in heterologus group during the operation and
ICU care period.
Conclusion: A.N.H decreases the amount of homologous blood use.
Therefore this technique is recommended in all patients with
adequate Hb concentration who are candidates for cardiac surgery
with CPB. |
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| Keywords: CABG, Autologous and Hetrologous transfusion Homeostasis, Hematological Parameters |
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Full-Text [PDF 244 kb]
(1766 Downloads)
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Type of Study: Original |
Received: 2012/03/8 | Accepted: 2014/06/3 | Published: 2014/06/3
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