Blood transfusion practices in cardiac anaesthesia
The primary reasons for blood transfusion in cardiac surgery are to correct anaemia and to improve tissue oxygen delivery. However, there is a considerable debate regarding the actual transfusion trigger at which the benefits of transfusion overweight the risk. The association between extreme haemod...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2014-01-01
|
Series: | Indian Journal of Anaesthesia |
Subjects: | |
Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=5;spage=616;epage=621;aulast=Mangu |
id |
doaj-58c5dcffdf6e49b7aba26c718cf0b960 |
---|---|
record_format |
Article |
spelling |
doaj-58c5dcffdf6e49b7aba26c718cf0b9602020-11-24T23:48:00ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492014-01-0158561662110.4103/0019-5049.144669Blood transfusion practices in cardiac anaesthesiaHanumantha Rao ManguAloka SamantarayMuralidhar AnakapalliThe primary reasons for blood transfusion in cardiac surgery are to correct anaemia and to improve tissue oxygen delivery. However, there is a considerable debate regarding the actual transfusion trigger at which the benefits of transfusion overweight the risk. The association between extreme haemodilution, transfusion and adverse outcome after cardio pulmonary bypass (CPB) is not clear and the current available literature is not sufficient to provide a strong recommendation regarding the safe haematocrit range during CPB. There is no quality evidence to support use of fresh red blood cell except during massive transfusion or exchange transfusion in neonate. Overall concern regarding the safety of allogeneic blood transfusion resulted in the search for autologous blood transfusion and perioperative blood salvage. The aim of this review is to provide cardiac surgery specific clinically useful guidelines pertaining to transfusion triggers, optimal haemodilution during CPB, autologous blood transfusion and role of perioperative blood salvage based on available evidence.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=5;spage=616;epage=621;aulast=ManguBlood transfusioncardiac surgerycardiopulmonary bypass |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hanumantha Rao Mangu Aloka Samantaray Muralidhar Anakapalli |
spellingShingle |
Hanumantha Rao Mangu Aloka Samantaray Muralidhar Anakapalli Blood transfusion practices in cardiac anaesthesia Indian Journal of Anaesthesia Blood transfusion cardiac surgery cardiopulmonary bypass |
author_facet |
Hanumantha Rao Mangu Aloka Samantaray Muralidhar Anakapalli |
author_sort |
Hanumantha Rao Mangu |
title |
Blood transfusion practices in cardiac anaesthesia |
title_short |
Blood transfusion practices in cardiac anaesthesia |
title_full |
Blood transfusion practices in cardiac anaesthesia |
title_fullStr |
Blood transfusion practices in cardiac anaesthesia |
title_full_unstemmed |
Blood transfusion practices in cardiac anaesthesia |
title_sort |
blood transfusion practices in cardiac anaesthesia |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Anaesthesia |
issn |
0019-5049 |
publishDate |
2014-01-01 |
description |
The primary reasons for blood transfusion in cardiac surgery are to correct anaemia and to improve tissue oxygen delivery. However, there is a considerable debate regarding the actual transfusion trigger at which the benefits of transfusion overweight the risk. The association between extreme haemodilution, transfusion and adverse outcome after cardio pulmonary bypass (CPB) is not clear and the current available literature is not sufficient to provide a strong recommendation regarding the safe haematocrit range during CPB. There is no quality evidence to support use of fresh red blood cell except during massive transfusion or exchange transfusion in neonate. Overall concern regarding the safety of allogeneic blood transfusion resulted in the search for autologous blood transfusion and perioperative blood salvage. The aim of this review is to provide cardiac surgery specific clinically useful guidelines pertaining to transfusion triggers, optimal haemodilution during CPB, autologous blood transfusion and role of perioperative blood salvage based on available evidence. |
topic |
Blood transfusion cardiac surgery cardiopulmonary bypass |
url |
http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=5;spage=616;epage=621;aulast=Mangu |
work_keys_str_mv |
AT hanumantharaomangu bloodtransfusionpracticesincardiacanaesthesia AT alokasamantaray bloodtransfusionpracticesincardiacanaesthesia AT muralidharanakapalli bloodtransfusionpracticesincardiacanaesthesia |
_version_ |
1725487670326460416 |