Sangre y cirugíaEstrategia de ahorro en cirugía cardíaca
- Flórez, S.
- Prieto, L.
- Maroto, L.
- Bustamante, J.
- Cubero, T.
- Fernández Gutiérrez, Mireia
- Rey, J.
- Martínez, L.
- Tamayo, E.
- García de Coca, Alfonso
- González de Zárate, J.
ISSN: 1139-8264
Year of publication: 2011
Volume: 14
Issue: 2
Pages: 89-114
Type: Article
More publications in: Revista española de investigaciones quirúrgicas
Abstract
The increase in the number of operations and their greater complexity and aggressiveness, especially in cardiovascular surgery and transplants, together with the aging of the population, has entailed an increase in the demand for transfusion and haematological derivates. The inherent medical risks of homolog blood usage, rejection for personal motivations, ethical and religious beliefs and insufficient availability of haematological derivates as a consequence of the shortage of donations, have conditioned the necessity for the development of processes for saving blood during surgery and the search for alternative techniques to transfusion. This is a problem which has its highest repercussions in cardiac surgery with cardio-pulmonary by-pass because of the high consumption of blood of patients undergoing cardiac surgery. With the experience of approximately 500 operations per year a review of the different measures and procedures associated with saving blood in surgery has been carried out, especially with regard to cardiovascular surgery.