The Results of Cardiac Surgery in Terms of Patient Blood Management in Our Hospital [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. 2019; 47(5): 402-406 | DOI: 10.5152/TJAR.2019.02058  

The Results of Cardiac Surgery in Terms of Patient Blood Management in Our Hospital

Gökçe Selçuk Sert1, Mine Çavuş3, Perihan Kemerci1, Şerife Bektaş3, Zeliha Aslı Demir1, Ayşegül Özgök1, Doğan Sert2, Ümit Karadeniz1
1Clinic of Anaesthesiology and Reanimation, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
2Clinic of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
3Clinic of Intensive Care, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey

Objective: Clinic of Anaesthesiology and Reanimation, Türkiye Yüksek İhtisas Training and Research Hospital, beginning in 2014, the patient blood management (PBM) protocol is individualised based on patients’ comorbidities, and the threshold for transfusion is 7 g dL-1 of haemoglobin for patients without comorbidities and 8-9 g dL-1 for patients with comorbidities. In this study, our aim was to compare patient outcomes, requirement for transfusion and the cost of transfusion between two different periods with and without PBM protocol.
Methods: 229 and 283 patients who underwent open-heart surgery using cardiopulmonary bypass during the first 4 months of 2012 and the first 4 months of 2017, respectively, were included in this retrospective, cross-sectional study.
Results: There were no differences between the groups in preoperative data. Blood and blood product usage was observed to be significantly lower at the time of the PBM protocol. The use of packed red blood cells decreased from 2 units to 0and that of fresh frozen plasma decreased from 2 units to 0. In terms of postoperative mortality, there were no differences between the groups.
Conclusion: According to the results of this study, the transfusion of unnecessary blood and blood products was reduced and the cost decreased with PBM protocol. Blood product usage did not affect 30-day mortality. It will be possible to achieve more valuable results if more patients are assessed, PBM protocol is implemented and postoperative results are evaluated in detail.

Keywords: Cardiac anaesthesia, cardiopulmonary bypass, haemoglobin threshold value, packed red blood cells, patient blood management, perioperative bleeding


Gökçe Selçuk Sert, Mine Çavuş, Perihan Kemerci, Şerife Bektaş, Zeliha Aslı Demir, Ayşegül Özgök, Doğan Sert, Ümit Karadeniz. The Results of Cardiac Surgery in Terms of Patient Blood Management in Our Hospital. Turk J Anaesthesiol Reanim. 2019; 47(5): 402-406

Corresponding Author: Gökçe Selçuk Sert, Türkiye


TOOLS
Full Text PDF
English Full Text
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar