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Original Article
Online Published: 01 Feb 2017
 


Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi.


Cited By: 1

Abstract
Autologous blood withdrawal before instituting cardiopulmonary bypass (CPB) protects the platelets, preserve red cell mass and reduce allogeneic transfusion requirements. Ideal condition for autologous blood donation is elective cardiac surgery where there is a high probability of blood transfusion. The purpose of this study was to assess the role of preoperative autologous blood donation in cardiac surgeries. Out of 150 patients registered, 50 cases were excluded on the basis of hemoglobin content (<11 gm/dl) and age group (pediatric group); therefore, the study was conducted on 100 cardiac surgery patients. We collected 13% to 15% of patient’s estimated blood volume in bags containing either heparin or citrate phosphate dextrose (CPD) and stored at room temperature. This was later returned to the patient through a peripheral vein after the bypass. In most of the cases 1-2 units (1 unit=450 ml) were withdrawn and re-administered to the patients. This study showed that there was 10% decrease in banked blood requirements. We conclude that autologous pre-donation is a promising alternative in reducing the harmful effects of allogeneic blood transfusion in elective cardiac surgery. It improves the recovery profile and decreases the transfusion related morbidity.

Key words: Acute normovolemic hemodilution (ANH), allogeneic transfusion, cardiothoracic surgery, preoperative autologous donation (PAD)


 
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How to Cite this Article
Pubmed Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi. Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal. J Med Allied Sci. 2017; 7(1): 48-54. doi:10.5455/jmas.246306

Web Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi. Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal. https://jmas.in/?mno=246306 [Access: September 12, 2024]. doi:10.5455/jmas.246306

AMA (American Medical Association) Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi. Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal. J Med Allied Sci. 2017; 7(1): 48-54. doi:10.5455/jmas.246306


Vancouver/ICMJE Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi. Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal. J Med Allied Sci. (2017), [cited September 12, 2024]; 7(1): 48-54. doi:10.5455/jmas.246306


Harvard Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi (2017) Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal. J Med Allied Sci, 7 (1), 48-54. doi:10.5455/jmas.246306


Turabian Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi. 2017. Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal. Journal of Medical and Allied Sciences, 7 (1), 48-54. doi:10.5455/jmas.246306


Chicago Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi. "Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal." Journal of Medical and Allied Sciences 7 (2017), 48-54. doi:10.5455/jmas.246306


MLA (The Modern Language Association) Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi. "Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal." Journal of Medical and Allied Sciences 7.1 (2017), 48-54. Print. doi:10.5455/jmas.246306


APA (American Psychological Association) Style

B. Sartaj Hussain, S. Vengal Reddy, L. N. Prasad, G. Madhavi (2017) Autologous blood transfusion in open heart surgeries under cardio-pulmonary bypass - Clinical appraisal. Journal of Medical and Allied Sciences, 7 (1), 48-54. doi:10.5455/jmas.246306


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