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• W1981508938 abstract "Objective: To show if blood salvage is indicated in all patients submitted to cardiovascular surgery with cardiopulmonary bypass. Methods: We studied 77 consecutive patients submitted to cardiac surgery with use of blood salvage and cardiopulmonary bypass from November 2010 to June 2012. The sample was divided in three groups, depending on the time of cardiopulmonary bypass. In group A, the time of cardiopulmonary bypass was smaller than 45, in group B from 45 to 90 and in group C greater than 90 minutes. We analyzed the volume of red cells recovered and infused, the pre, intra and post-operative hemoglobin, the number of packed red cells units which were transfused and hematocrit and hemoglobin blood infused. Results: The average group age was 60.44±12.09 years old, of whom 71.43% were males. The group A was formed by 5.19% of the patients, B by 81.82% and C by 12.99%. The volume of erythrocytes recovered and infused was respectively 1,360.50±511.37 ml and 339.75±87.71 ml in group A, 1,436.63±516.06 ml and 518.83±183.0 ml in B and 2,137.00±925.04 ml and 526.20±227.15 ml in C. About packed red cells transfusions, in group A 1,00±2,00 packed red cells were transfused, in B 1.27±1.85 packed red cells and in C 2.56±2.01 packed red cells. The infused blood had a hematocrit of 50.97±12.06% and hemoglobin of 19.57±8.35 g/dl. Conclusion: That blood salvage can be used in patients submitted to cardiovascular surgery with cardiopulmonary bypass. However, it is only cost-effective in surgeries in which the time of cardiopulmonary bypass is greater than 45 minutes. Descriptors: Operative Blood Salvage. Cardiovascular Surgical Procedures. Cardiopulmonary Bypass. Resumo Objetivo: Avaliar se o uso de recuperadores de hemacias esta indicado nos pacientes submetidos a cirurgia cardiovascular com o uso de circulacao extracorporea. Metodos: Foram estudados 77 pacientes submetidos a cirurgias cardiacas com uso de recuperadores de hemacias e circulacao extracorporea de novembro de 2010 a junho de 2012. A amostra foi subdividida em tres grupos, conforme o tempo de circulacao extracorporea. No grupo A , o tempo de circulacao extracorporea foi menor que 45, no grupo B, de 45 a 90 e, no grupo C, maior que 90 minutos. Analisou-se o volume recuperado e infundido de hemacias, a hemoglobina de pre, trans e pos-operatorio, numero de unidades de concentrado de hemacias transfundidas, volume globular e hemoglobina do sangue infundido. Resultados: A idade media, dos pacientes, foi de 60,44±12,09 anos, sendo 71,43% do sexo masculino. O grupo A e formado por 5,19%, o B por 81,82% e o C por 12,99% dos pacientes. O volume recuperado e infundido foi, respectivamente, de 1.360,50±511,37 ml e 339,75±87,71 ml no grupo A, 1.436,63±516,06 ml e 518,83±183,0 ml no B e 2.137,00±925,04 ml e 526,20±227,15 ml no C. Em relacao as transfusoes de concentrado de hemacias, no grupo A foram transfundidas 1,00±2,00 concentrado de hemacias, no B 1,27±1,85 concentrado de hemacias e no C 2,56±2,01 concentrado de hemacias. O sangue infundido tinha um volume globular de 50,97±12,06% e hemoglobina de 19,57±8,35 g/dl. Conclusao: O recuperadores de hemacias podem ser usados em pacientes submetidos a cirurgia cardiovascular com circulacao extracorporea, mas somente em cirurgias com tempo de circulacao extracorporea acima de 45 minutos o reaproveitamento de sangue e custo/efetivo. Descritores: Recuperacao de Sangue Operatorio. Procedimentos Cirurgicos Cardiovasculares. Ponte Cardiopulmonar." @default.
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• W1981508938 date "2013-09-01" @default.
• W1981508938 modified "2023-10-13" @default.
• W1981508938 title "Benefits from using recycling red blood cells in cardiovascular surgery" @default.
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• W1981508938 doi "https://doi.org/10.1186/1749-8090-8-s1-o160" @default.
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