Abstract
Background: The indiscriminate use of blood transfusion in surgery has been associated with increased risk of infection and increased length of hospital stay. Objective: To identify the average amount of bleeding and rates of transfusion of blood products in the postoperative period of patients undergoing cardiac surgery in a cardiology center. Methods: Medical records of patients who underwent myocardial revascularization surgery and/or heart valve replacement with use of cardiopulmonary bypass (CPB) were analyzed. Perioperative data such as CPB time, [...]
Highlights
Patients undergoing cardiac surgery are prone to excessive postoperative bleeding
It is known that the passage of blood through the cardiopulmonary bypass (CPB) circuit triggers the release of inflammatory mediators, resulting in a series of changes in hemostasis
The indiscriminate use of blood products in cardiac surgery has been associated with increased risk of infection, increased need for mechanical ventilation, increased organ failure, longer length of hospital stay, and higher mortality rates. 3-6
Summary
It is known that the passage of blood through the cardiopulmonary bypass (CPB) circuit triggers the release of inflammatory mediators, resulting in a series of changes in hemostasis. Other situations such as thrombocytopenia, disseminated intravascular coagulation, and liver failure may influence the occurrence of acute anemia, which should be corrected immediately.[1,2]. The indiscriminate use of blood products in cardiac surgery has been associated with increased risk of infection, increased need for mechanical ventilation, increased organ failure, longer length of hospital stay, and higher mortality rates. The indiscriminate use of blood transfusion in surgery has been associated with increased risk of infection and increased length of hospital stay
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