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KMID : 0356919930260010079
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Korean Journal of Anesthesiology
1993 Volume.26 No. 1 p.79 ~ p.85
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Intraoperative Salvage in Open Heart Surgery
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Abstract
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For autologous transfusion, intraoperative salvage technique with Cell Saver Apparatus was used in open heart surgery. Seventy-eight patients were involved in this study and divided into two groups. They were group of salvage(n=58) and
non-salvage(n=20). In each group, they were also divided into four groups of CHD(who underwent surgery of congenital heart disease), UNDO(who underwent first-valvular surgery or repair of dissecting aneurysm), REDO(who underwent redo-valvular
surgery)and CABG(who underwent coronary artery bypass surgery) according to the degree of blood loss during surgery. Amount of blood obtained from Cell Saver Apparatus was 811(273(mean(std) ml. Hematologic profile of blood from this apparatus was
as
follows; 1) Hemoglobin: 1.82(2.0(g/dl), 2) Hematocrit: 52.8(5.6(%), 3) Platelet: 35K(21K(mm³). The bank blood utility ratio(No. of patients who used bank blood((No.of patients who used bank blood+who didn't use bank blood)(100(%)( tended to
increase in
non-salvage group and statistically significant(P<0.05) only in CHD group(non-salvage group vs. salvage group=63% vs. 17%). And the amount of bank blood transfused tended to be higher in non-salvage group than salvage group and statistically
significant(P<0.05) only in CHD group.
This study suggested that intraoperative salvage technique with Cell saver Apparatus could decrease the use of bank blood in open heart surgery.
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KEYWORD
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