Blood conservation in cardiac surgery.

摘要: This article aims at reviewing the currently available evidence about blood conservation strategies in cardiac surgery. Pre-operative anaemia and perioperative allogeneic transfusions are associated with worse outcomes after In addition, a scarce costly resource. As surgery accounts for significant proportion of all products transfused, efforts should be made to decrease risk transfusion. focus on detection treatment anaemia. The management haematological abnormalities, most frequently functional iron deficiency, is matter debate. However, supplementation therapy increasingly commonly administered. Intra-operatively, antifibrinolytics routinely used, whereas cardiopulmonary bypass strategy adapted minimise haemodilution secondary circuit priming. There less recommend minimally invasive Cell salvage point-of-care tests also part routine care. Post-operatively, any unnecessary iatrogenic loss avoided.