Blood conservation techniques for cardiac surgery: a survey of French centres

A survey resulting from a partnership between CECEC (Centre d'Etudes en Circulation Extra-Corporelle) and Laboratoires Hoechst, France was carried out amongst all French adult cardiac surgery centres. The aim of this study was to investigate the various strategies used to decrease blood loss du...

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Bibliographic Details
Published in:Perfusion 1993, Vol.8 (4), p.293-298
Main Authors: Delonca, J., Vasmant, D., Touchot, B., Perez, G., Butoi, I.
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Aprotinin - therapeutic use
Biological and medical sciences
Blood Loss, Surgical - prevention & control
Blood Transfusion - methods
Blood Transfusion - utilization
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Extracorporeal Circulation - adverse effects
Extracorporeal Circulation - methods
Extracorporeal Circulation - utilization
France
Health technology assessment
Hemodilution - utilization
Humans
Medical sciences
Retrospective Studies
Surveys and Questionnaires
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
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Summary:A survey resulting from a partnership between CECEC (Centre d'Etudes en Circulation Extra-Corporelle) and Laboratoires Hoechst, France was carried out amongst all French adult cardiac surgery centres. The aim of this study was to investigate the various strategies used to decrease blood loss during open-heart surgery. Due to an exceptionally high response rate, we are able to report the current practice of French cardiac centres which account for 75% of open-heart adult surgery. The three most interesting strategies for blood conservation appear to be haemodilution, blood salvage from the extracorporeal circuit and previously deposited autologous blood transfusion, yet the three methods which are predominantly used are haemodilution (92.7%), aprotinin therapy (87.8%) and blood salvage from the extracorporeal circuit (82.9%).
ISSN:0267-6591
1477-111X
DOI:10.1177/026765919300800403