Bloodless cardiac surgery: Not just possible, but preferable

Critical Care Nursing Quarterly

Volumn 30, Issue 3, 2007, Pages 263-270

  Putney, Leeann J ^a,b  

^a SARASOTA MEMORIAL HOSPITAL   (United States)

^b NONE   (United States)

Author keywords

Blood conservation; Blood management; Bloodless surgery; Cardiac surgery; Transfusion

Indexed keywords

AMINOCAPROIC ACID; APROTININ; DESMOPRESSIN; POLYMERIZED HEMOGLOBIN;

BLEEDING; BLOOD CONSERVATION; BLOOD TRANSFUSION; DIAGNOSTIC TEST; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEART SURGERY; HUMAN; REVIEW; SURGICAL TECHNIQUE;

BLOOD LOSS, SURGICAL; BLOOD SUBSTITUTES; BLOOD TRANSFUSION; BLOOD TRANSFUSION, AUTOLOGOUS; CARDIAC SURGICAL PROCEDURES; HUMANS; INFECTION CONTROL; INFORMATION SERVICES; INTERNET; JEHOVAH'S WITNESSES; MALE; NURSING ASSESSMENT; PATIENT SELECTION; PERIOPERATIVE CARE; RESPIRATORY DISTRESS SYNDROME, ADULT; RISK ASSESSMENT; UNITED STATES;

EID: 34648813937     PISSN: 08879303     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CNQ.0000278927.44691.8c     Document Type: Review

References (25)

1. Stover EP, Siegel LC, Parks R, et al. Variability in transfusion practice for coronary artery bypass graft surgery persists despite national consensus guidelines: a 24-institution study. Institutes of the Multicenter Study of Perioperative Ischemia Research Group. Anesthesiology. 1998;88(2):327-333.
2. Hebert PC, Schweitzer I, Calder L, Blajchman M, Giulivi A. Review of the clinical practice literature on allogeneic red blood cell transfusion. Can Med Assoc J. 1997;156:S9-S26.
3. Taylor RW, Manganaro L, O'Brien J, Trottier SJ, Parkar N, Veremakis C. Impact of allogenic packed red blood cell transfusion on nosocomial infection rates in the critically ill patient. Crit Care Med. 2002;30:2249-2254.
4. Ott DA, Cooley DA. Cardiovascular surgery in Jehovah's Witnesses. Report of 542 operations without blood transfusion. JAMA. 1977;232:1256-1258.
5. Society for the Advancement of Blood Management. Blood Management Program database. Available at: http://www.sabm.org/hospitals/. Accessed October 4, 2006.
6. Pomper GJ, Wu Y, Snyder EL. Risks of transfusion-transmitted infections: 2003. Curr Opin Hematol. 2003;10(6):412-418.
7. Llewelyn CA, Hewitt PE, Knight RS, et al. Possible transmission of variant Creutzfeldt-Jacob disease by blood transfusion. Lancet. 2004;363:417-421.
8. Peden AH, Head MW, Ritchie DL, Bell JE, Iron-side JW. Preclinical vCJD after blood transfusion in a PRNP codon 129 heterozygous patient. Lancet. 2004;364:527-529.
9. Klein HG, Lipton KS. Association Bulletin #01-4. American Association of Blood Banks. Available at: http://www.aabb.org/Content/Members Area/Association Bulletins/ab01-4.htm. Accessed October 2, 2006.
10. Linden JV, Wagner K, Voytovich AE, Sheehan J. Transfusion errors in New York State: an analysis of ten years' experience. Transfusion. 2000;40:1207-1213.
11. Pagliaro P, Rebulla P. Review: transfusion recipient identification. Vox Sang. 2006;91:97-101.
12. Hebert PC, Wells G, Blajchman MA, et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. N Engl J Med. 1999;340:409-417.
13. Rana R, Fernandez-Perez ER, Khan SA, et al. Transfusion-related acute lung injury and pulmonary edema in critically ill patients: a retrospective study. Transfusion. 2006;46:1478-1483.
14. Blumberg N, Heal JM. Effects of transfusion on immune function. Cancer recurrence and infection. Arch Pathol Lab Med. 1994;118:371-379.
15. Morgan TO. Cost, quality, and risk: measuring and stopping the hidden costs of coronary artery bypass graft surgery. Am J Health Syst Pharm. 2005;62(suppl 4):S2-S5.
16. Ford P, Mastoris J, Badani K, Columbus M. Profitability of medical procedures without the use of transfusion support. Blood. 2004;104:5316.
17. Engoren MC, Habib RH, Zacharias A, Schwann TA, Riordan CJ, Durham SJ. Effect of blood transfusion on long-term survival after cardiac operation. Ann Thorac Surg. 2002;74:1180-1186.
18. Koch CG, Li L, Duncan AI, et al. Transfusion in coronary artery bypass grafting is associated with reduced long-termsurvival. Ann Thorac Surg. 2006;81:1650-1657.
19. deCastro RM. Bloodless surgery: establishment of a program for the special medical needs of the Jehovah's Witness community - the gynecologic surgery experience at a community hospital. Am J Obstet Gynecol. 1999;180:1491-1498.
20. United Blood Services. Available at: http://www. unitedbloodservices.org/ special-collections.asp#PAD. Accessed November 24, 2006.
21. Department of Health and Human Services, Food and Drug Administration. FDA Public Health Advisory - aprotinin injection (marketed as Trasylol). Available at: http://www.fda.gov/CDER/DRUG/advisory/aprotinin20060929.htm. Accessed October 3, 2006.
22. Northfield Labs. PolyHeme® product description. Available at: http://www.northfieldlabs.com/polyheme. html. Accessed October 4, 2006.
23. Henry M, Gamer W, Fabri P. Iatrogenic anemia? Am J Surg. 1986;151:362-363.
24. Dech ZF, Szaflarski NL. Nursing strategies to minimize blood loss associated with phlebotomy. AACN Clin Issues. 1996;7(2):277-287.
25. McFarland JG. Perioperative blood transfusions. Indications and options. Chest. 1999;115:113S-121S.