Reinfusión de sangre procedente del drenaje mediastínico en cirugía cardiaca
- Brizuela, J. A.
- Rey, J.
- Flórez, S.
- Andrés, J.L.
- Guerola, D.N.
- García de Coca, Alfonso
ISSN: 1139-8264
Year of publication: 2008
Volume: 11
Issue: 1
Pages: 17-25
Type: Article
More publications in: Revista española de investigaciones quirúrgicas
Abstract
The growing number of surgical interventions, the development of high complexity techniques, the higher comorbility and the increase in the average age of patients, has lead to a greater spent of homologous blood. By means of many factors, especially because of the cardiopulmonary bypass, undergoing cardiac surgery determines the use of an important amount of blood and other by-products. This background of an increasing demand and an insufficient offer of blood from donations, makes it very difficult to maintain an adequate balance between demand and availability. In answer to this situation, new strategies in blood saving are being developed. The autotransfusion of mediastinal shed blood is an usual technique in many cardiac surgery units, nevertheless there is still an ongoing debate regarding to it�s safety and capability to save blood-bank resources. In this study, we carried out the analysis of mediastinal shed blood transfusion in cardiac surgery as an alternative to homologous blood transfusion with this aims: to verify that it is a feasible and easy to carry out method, and in second place, to analyze and evaluate the alterations of the coagulation in patients and in the recovered blood.