Transfusion Trigger Hct 25%: Above or below, Which is Better? Pro: Hct <25% Is Better

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 18, Issue 2, 2004, Pages 234-237

  Murkin, John M ^a,b  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b LONDON HEALTH SCIENCES CENTRE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTERIAL CARBON DIOXIDE TENSION; BLOOD AUTOTRANSFUSION; BRAIN OXYGEN CONSUMPTION; CARDIOPULMONARY BYPASS; HEALTH CARE POLICY; HEMATOCRIT; HUMAN; IMMUNE DEFICIENCY; INFECTION RISK; MEDICAL DECISION MAKING; NEUROLOGIC DISEASE; PERIOPERATIVE PERIOD; PRACTICE GUIDELINE; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; TREATMENT INDICATION; VIRUS TRANSMISSION;

EID: 1942519274     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.jvca.2004.01.004     Document Type: Article

References (44)

1. Mercuriali F, Inghilleri G, Colotti MT, et al: Bedside transfusion errors: analysis of 2 years' use of a system to monitor and prevent transfusion errors. Vox Sang 70:16-20, 1996
2. Schreiber GB, Busch MP, Kleinman SH, et al: The risk of transfusion-transmitted viral infections. N Engl J Med 334:1686-1690, 1996
3. Binder LS, Ginsberg V, Harmel MH: A six-year study of incompatible blood transfusion. Surg Gynecol Obstet 108:19-34, 1959
4. Murphy WG, McClelland DB: Deceptively low morbidity from failure to practice safe blood transfusion: An analysis of serious blood transfusion errors. Vox Sang 57:59-62, 1989
5. Fernandez MC, Gottlieb M, Menitove JE: Blood transfusion and postoperative infection in orthopedics patients. Transfusion 32:318-322, 1992
6. Warner MA, Faust RJ: Risks of transfusion, in Speiss BD (ed): Anesthesiology Clinics of North America, vol 8, no 3. Philadelphia, PA, WB Saunders, 1990, pp 501-517
7. Gaydos JC, Covan DN, Polk AJ, et al: Blood typing errors on US Army identification cards and tags. Milit Med 152:618-620, 1988
8. Pineda AA, Taswell HF, Brzica SM: Delayed hemolytic transfusion reaction: an immunologic hazard of blood transfusion. Transfusion 18:1-7, 1978
9. Nichols RL, Smith JW, Klein DB, et al: Risk of infection after penetrating abdominal trauma. N Engl J Med 311:1065-1070, 1984
10. Tartter PI, Driefuss RM, Malon AM, et al: Relationship of postoperative septic complications and blood transfusions in patients with Crohn's disease. Am J Surg 155:43-48, 1988
11. Graves TA, Cioffi WG, Mason AD Jr, et al: Relationship of transfusion and infection in burn population. J Trauma 29:948-954, 1989
12. Takaya S, Bronsther O, Iwaki Y, et al: The adverse impact on liver transplantation of using positive cytotoxic crossmatch donors. Transplantation 53:400-404, 1992
13. Smith JD, Danskine AJ, Rose ML, et al: Specificity of lymphocytotoxic antibodies formed after cardiac transplantation and correlation with rejection episodes. Transplantation 53:1358-1362, 1992
14. Donahue JG, Munoz A, Ness PM, et al: The declining risk of post-transfusion hepatitis C virus infection. N Engl J Med 327:369-373, 1992
15. Sirchia G, Giovanetti AM, Parravicini A, et al: Prospective evaluation of posttransfusion hepatitis. Transfusion 31:299-302, 1991
16. Khanna MP, Hebert PC, Fergusson DA: Review of the clinical practice literature on patient characteristics associated with perioperative allogeneic red blood cell transfusion. Transfus Med Rev 17:110-119, 2003
17. McMillan D, Dando H, Potger K, et al: Intraoperative autologous blood management. Transfus Apheresis Sci 27:73-81, 2002
18. Van der Linden P, De Hert S, Daper A, et al: A standardized multidisciplinary approach reduces the use of allogeneic blood products in patients undergoing cardiac surgery. Can J Anaesth 48:894-901, 2001
19. Stover EP, Siegel LC, Parks R, et al: Variability in transfusion practice for coronary artery bypass surgery persists despite national consensus guidelines: A 24-institution study. Institutions of the Multicenter Study of Perioperative Ischemia Research Group. Anesthesiology 88:327-333, 1998
20. Friedman BA, Burns TL, Schork MA: An analysis of blood transfusion of surgical patients by sex: A question for the transfusion trigger. Transfusion 20:179-188, 1980
21. Wilhelmi M, Franke U, Cohnert T, et al: Coronary artery bypass grafting surgery without the routine application of blood products: Is it feasible? Eur J Cardiothorac Surg 19:657-661, 2001
22. Engoren MC, Habib RH, Zacharias A, et al: Effect of blood transfusion on long-term survival after cardiac operation. Ann Thorac Surg 74:1180-1186, 2002
23. Olsen MA, Lock-Buckley P, Hopkins D, et al: The risk factors for deep and superficial chest surgical-site infections after coronary artery bypass graft surgery are different. J Thorac Cardiovasc Surg 124:136-145, 2002
24. Leal-Noval SR, Rincon-Ferrari MD, Garcia-Curiel A, et al: Transfusion of blood components and postoperative infection in patients undergoing cardiac surgery. Chest 119:1461-1468, 2001
25. Fransen E, Maessen J, Dentener M, et al: Impact of blood transfusions on inflammatory mediator release in patients undergoing cardiac surgery. Chest 116:1233-1239, 1999
26. Northern New England Cardiovascular Disease Study Group: Lowest hematocrit on bypass and adverse outcomes associated with coronary artery bypass grafting. Ann Thorac Surg 71:769-776, 2001
27. van Wermeskerken GK, Lardenoye JW, Hill SE, et al: Intraoperative physiologic variables and outcome in cardiac surgery: Part II. Neurologic outcome. Ann Thorac Surg 69:1077-1083, 2000
28. Hill SE, van Wermeskerken GK, Lardenoye JW, et al: Intraoperative physiologic variables and outcome in cardiac surgery: Part I. In-hospital mortality. Ann Thorac Surg 69:1070-1075, 2000
29. Swaminathan M, Phillips-Bute BG, Conlon PJ, et al: The association of lowest hematocrit during cardiopulmonary bypass with acute renal injury after coronary artery bypass surgery. Ann Thorac Surg 76:784-791, 2003
30. Murkin JM: Stroke and the elderly: Aortic atheroma and CNS outcome after cardiac surgery. Cardiovasc Reviews Reports 22:397-398, 2001
31. Gokgoz L, Gunaydin S, Sinci V, et al: Psychiatric complications of cardiac surgery postoperative delirium syndrome. Scand Cardiovasc J 31:217-222, 1997
32. 2 × kg(-1) × min(-1). Anesthesiology 92:407-413, 2000
33. Irish CL, Murkin JM, Cleland A, et al: Neuromuscular blockade significantly decreases systemic oxygen consumption during hypothermic cardiopulmonary bypass. J Cardiothorac Vasc Anesth 5:132-134, 1991
34. Harris DN, Oatridge A, Dob D, et al: Cerebral swelling after normothermic cardiopulmonary bypass. Anesthesiology 88:340-345, 1998
35. 2. Anesth Analg 66:825-832, 1987
36. Sungurtekin H, Cook DJ, Orszulak TA, et al: Cerebral response to hemodilution during hypothermic cardiopulmonary bypass in adults. Anesth Analg 89:1078-1083, 1999
37. Longhi L, Valeriani V, Rossi S, et al: Effects of hyperoxia on brain tissue oxygen tension in cerebral focal lesions. Acta Neurochir Suppl 81:315-317, 2002
38. Flynn EP, Auer RN: Eubaric hyperoxemia and experimental cerebral infarction. Ann Neurol 52:566-572, 2002
39. Singhal AB, Dijkhuizen RM, Rosen BR, et al: Normobaric hyperoxia reduces MR1 diffusion abnormalities and infarct size in experimental stroke. Neurology 58:945-952, 2002
40. Agardh CD, Zhang H, Smith ML, et al: Free radical production and ischemic brain damage: Influence of postischemic oxygen tension. Int J Dev Neurosci 9:127-138, 1991
41. Nollert G, Nagashima M, Bucerius J, et al: Oxygenation strategy and neurologic damage after deep hypothermic circulatory arrest. 11. hypoxic versus free radical injury. J Thorac Cardiovasc Surg 117:1172-1179, 1999
42. Rucker J, Tesler J, Fedorko L, et al: Normocapnia improves cerebral oxygen delivery during conventional oxygen therapy in carbon monoxide-exposed research subjects. Ann Emerg Med 40:611-618, 2002
43. Iglesias I, Murkin JM, Bainbridge D, et al: Monitoring cerebral oxygenation saturation significantly decreases postoperative length of stay: A prospective randomized blinded study. Heart Surg Forum 6:204, 2003 (abstr)
44. Bracey AW, Radovancevic R, Riggs SA, et al: Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures: Effect on patient outcome. Transfusion 39:1070-1077, 1999