Abstract
Many patients require a blood transfusion after cardiac surgery. Dilution of the patient's blood with the pump prime may contribute to this need. Retrograde autologous priming (RAP) of the cardiopulmonary bypass (CPB) circuit reduces CPB prime volume, and hence haemodilution [1]. The purpose of the present study was to compare RAP of the CPB circuit with normal priming in reducing both the percentage of patients requiring homologous blood and the volume of blood transfused. The incidence of complications was noted.
Highlights
A follow up after discharge from intensive care unit (ICU) [1] revealed that vivid ‘dreams’ occur in 32% of patients
Sepsis and midazolam usage were more common in group D
Jones C, Griffiths RD, MacMillan RR, Palmer TEA: Psychological problems occurring after intensive care
Summary
A follow up after discharge from intensive care unit (ICU) [1] revealed that vivid ‘dreams’ occur in 32% of patients. The aim of the present study was to observe perioperative melatonin secretion in patients undergoing coronary artery bypass graft surgery. Many patients require a blood transfusion after cardiac surgery. The purpose of the present study was to compare RAP of the CPB circuit with normal priming in reducing both the percentage of patients requiring homologous blood and the volume of blood transfused. This is with a probable increase in demand because of waiting lists and no concurrent increase in donations. The present study evaluates the pulse contour cardiac output (PiCCO) monitor in measuring haemodynamic changes during off-pump coronary artery bypass graft (CABG) surgery.
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