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DC Field | Value | Language |
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dc.contributor.author | Manche, Alexander | |
dc.contributor.author | Casha, Aaron | |
dc.date.accessioned | 2016-03-04T12:22:10Z | |
dc.date.available | 2016-03-04T12:22:10Z | |
dc.date.issued | 2011 | |
dc.identifier.citation | Manche, A., & Casha, A. R. (2011). Transfusion requirements of patients undergoing routine cardiac surgery. Symposia Melitensia, 7, 85-88. | en_GB |
dc.identifier.issn | 1812-7509 | |
dc.identifier.uri | https://www.um.edu.mt/library/oar//handle/123456789/8696 | |
dc.description.abstract | Background: Several factors contribute to the need for blood transfusion after cardiac surgery. These include perioperative blood loss, haemodilution on cardiopulmonary bypass, and pre-operative anaemia. Blood and blood products are at a premium and it is advantageous to decrease the burden on transfusion services by requesting fewer blood units to cover routine surgery. It has been customary in the past to cross-match 6 units of whole blood but this figure has been reduced over the years to 4 units and more recently to 2 units. Methods: A retrospective study of the transfusion requirements of our patients over a one-year period (2005-2006) was performed. Transfusions were classified as urgent (i.e. those required in the immediate post-operative period to replace losses and maintain haemodynamic stability) or non-urgent (i .e. those required after the first 24 hours in order to correct a residual anaemia). Results: 1431286 patients (50%) patients were transfused. A total of298 units, average 2.1 units per patient, were transfused. 58 patients received 1 unit of blood, 56 patients received 2 units of blood, 10 patients received 3 units of blood, 7 patients received 4 units of blood, and 12 patients received over 4 units of blood. Sixteen transfusion episodes were urgent, but no undue delay was experienced in administering treatment. Conclusion: The practice of reserving 2 units of packed cells for cardiac surgery has proved safe and adequate. Further studies should be performed in our unit to determine the rate of unnecessary transfusions. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | University of Malta. Junior College | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Heart -- Surgery | en_GB |
dc.subject | Blood -- Transfusion | en_GB |
dc.title | Transfusion requirements of patients undergoing routine cardiac surgery | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
Appears in Collections: | Scholarly Works - FacM&SAna SymMel, 2011, Volume 7 SymMel, 2011, Volume 7 |
Files in This Item:
File | Description | Size | Format | |
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Transfusion requirements of patients.pdf | 4.69 MB | Adobe PDF | View/Open |
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