Effects of Cardiopulmonary Bypass on Mediastinal Drainage and the Use of Blood Products in the Intensive Care Unit in 60- to 80-Year-Old Patients Who Have Undergone Coronary Artery Bypass Grafting

The present study consisted of patients who underwent on-pump coronary artery bypass grafting (CABG) and off-pump CABG and investigated effect of using cardiopulmonary bypass (CPB) on the amount of postoperative drainage and blood products, red blood cell (RBC), free frozen plasma (FFP) given in the...

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Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2015-01, Vol.30 (6), p.597-604
Main Authors: Aygun, Fatih, Ozulku, Mehmet, Gunday, Murat
Format: Article
Language:English
Subjects:
Aged
Blood products
Blood Transfusion
CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiology
Cardiopulmonary Bypass
Cardiopulmonary Bypass - methods
Coronary Artery Bypass
Coronary Artery Bypass, Off-Pump
Drainage
Drainage - statistics & numerical data
Erythrocyte Transfusion
Female
Health of the Elderly
Heart surgery
Hematocrit
Humans
Intensive care
Intensive Care Units
Male
Middle Aged
Older people
Original
Plasma
Postoperative Period
Retrospective Studies
Studies
SURGERY
Time Factors
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Summary:The present study consisted of patients who underwent on-pump coronary artery bypass grafting (CABG) and off-pump CABG and investigated effect of using cardiopulmonary bypass (CPB) on the amount of postoperative drainage and blood products, red blood cell (RBC), free frozen plasma (FFP) given in the intensive care unit in 60-80-year-old patients who underwent CABG. The present study comprises a total of 174 patients who have undergone coronary artery bypass graft (off-pump or on-pump CABG) surgery in our clinic in between 2012-2015 year. It was observed that the amount of drainage in the first 24 postoperative hours was lower in the on-pump CABG group (Group 1) when compared to off-pump group (Group 2) (Group 1 vs . Group 2; 703.5±253.8 ml vs . 719.6±209.4 ml;P =0.716). However, the amount of drainage in the second 24 hours was statistically significantly lower in the off-pump CABG group (Group 1 vs . Group 2; 259.8±170.6 mlvs . 190.1±129.1 ml; P =0.016). With regard to the amount of overall drainage, no statistically significant difference was observed between the two groups. Group 1 needed RBC transfusion higher than Group 2 (Group 1 vs . Group 2; 2.2±1.3 bag vs . 1.2±0.9 bag;P
ISSN:0102-7638
1678-9741
1678-9741
DOI:10.5935/1678-9741.20150086