Call For Paper - Upcoming Conferences

Research Article | Open Access
Volume 5 | Issue 8 | Year 2018 | Article Id. IJMS-V5I8P104 | DOI : https://doi.org/10.14445/23939117/IJMS-V5I8P104

Blood Conservative Strategies during Surgery

Dr.Sharmila Borkar, Dr.Roopesh Sureshan, Dr.Vilas Gowler and Dr.Abhinav Pai

Citation :

Dr.Sharmila Borkar, Dr.Roopesh Sureshan, Dr.Vilas Gowler and Dr.Abhinav Pai, "Blood Conservative Strategies during Surgery," International Journal of Medical Science, vol. 5, no. 8, pp. 18-22, 2018. Crossref, https://doi.org/10.14445/23939117/IJMS-V5I8P104

Abstract

Objectives : Perioperative blood conservation . Methods : Different methods mentioned in the article are Autologus blood transfusion , perioperative blood salvage , Acute normovolaemic haemodilution , Acute hypervolaemic haemodilution . Drugs like Tranexemic acid , Desmopressin , Aprotinin , Lysine analogues ,Erythropoetin and hypotensive anaesthesia . Conclusion : We can avoid unnecessary blood transfusion during perioperative period by following the above mentioned methods after evaluating benefits against the risk of the patients .

Keywords

  Blood conservation,autologous blood transfusion

References

[1] Finch CA, Cook JD, Labbe RF, Cullala M, Effect of blood donation on iron stores as evaluated by serum ferritin level. 
[2] Brown CV, Foulkrod KH, Sadler HT, Richards EK, Biggan DP, Czysz C, Manuel T. Autologous blood transfusion during emergency trauma operations. Arch Surg. 2010 Jul;145(7):690-4. PubMed PMID: 20644133 
[3] McVay PA, Hoag RW, Hoag MS, Toy PT. Safety of Autologous blood donation. 1989; 160: 1479-86. 
[4] Coyle D, Lee KM, Fergusson DA, et al. Cost effectiveness of potion –alfa to augment preoperative autologous blood donation in selected cardiac surgeries. Pharmacoeconomics 2000;18:161-71(ISI) 
[5] Ronald D Miller-- Anesthesia 3rd, 5th &7thEdition 
[6] Thomas.MJ, Gillon J and Desmand MJ Preoperative Autologous donation. Transfusion 1996:36:633 
[7] Mehta SP, Divekar, lal Manohar, Pai Mahendra, Bhargava—intraoperative Hemodilution & auto transfusion in major cancer surgical procedures MAJF 1 1991 
[8] American association of blood banks .Standards for blood banks and transfusion services. 
[9] Quinnan GV. Disposition of blood products intended for autologous use. FDA September 11, 1991. 
[10] American association of blood banks .Guidelines for blood salvage and reinfusion in surgeries. 1999 
[11] Mortalmans Y, Van aken H. A balanced view on intra and post operative blood salvage 
[12] Malde Anita, Mehta Anand, JagtapSheetal, Pantvaidya SP—Acute Hypervolemic Hemodilution using 3.5% polymer of gelatin IJA-April 2005 
[13] Robert A. Fowler Lauralynn A. McIntyre ,Effect of intravenous tranexamic acid administration on blood loss during and after cesarean delivery. Int J Gynaecol Obstet. 2011 Aug 26. 
[14] Anesth Analg. 1997 Nov;85(5):963-70. Brown RS, Thwaites BK, Mongan PD. Tranexamic acid is effective in decreasing postoperative bleeding and transfusions in primary coronary artery bypass operations: a double-blind, randomized, placebo-controlled trial. 
[15] Rocha E, Hidalgo F, Llorens R, Melero JM, Arroyo JL, Páramo JA. Randomized study of aprotinin and DDAVP to reduce postoperative bleeding after cardiopulmonary bypass surgery. Circulation. 1994 Aug;90(2):921-7 
[16] J.Ahonen, R.Joketa Recombinant factor VIIa for life-threatening post-partum haemorrhage Br. J. Anaesth. (May 2005) 94 (5) 
[17] Mankad PS, Codispoti M. Am J Surg. 2001 Aug;182 The role of fibrin sealants in hemostasis 
[18] BJA -2001, vol 87 erythropoietin therapy & preoperative ABT in children undergoing open heart surgery 
[19] Corwin HL. The role of erythropoietin therapy in the critically ill. Transfus Med Rev. 2006 Jan;20(1):27-33