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  • Conference proceedings
  • © 1991

Blood Use in Cardiac Surgery

Editors:

  1. N. Friedel

    1. Deutsches Herzzentrum Berlin, Berlin 65, Germany

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  2. R. Hetzer

    1. Deutsches Herzzentrum Berlin, Berlin 65, Germany

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    You can also search for this editor in PubMed   Google Scholar

  3. D. Royston

    1. Harefield Hospital, Harefield, Middlesex, UK

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Table of contents (45 papers)

  1. Front Matter

    Pages I-X
    PDF

  2. Pathomechanism of Defective Hemostasis During and After Extracorporeal Circulation

    1. Front Matter

      Pages 1-1
      PDF

    2. Fibrinolysis

      • F. Bachmann, Fedor Bachmann
      Pages 3-9

    5. Blood-Surface Interactions During Cardiopulmonary Bypass

      • L. Henry Edmunds Jr., R. W. Colman, S. Niewiarowski
      Pages 27-36

    6. A Clinical Study on Platelet Preservation in Coronary Artery Bypass Surgery During Cardiopulmonary Bypass Without Oxygenator

      • Andrzej Bochenek, Z. Religa, J. Wojnar, A. Wnuk-Wojnar, M. Zembala, J. HoÅ‚lowiecki et al.
      Pages 37-40

    7. The Effect of Aprotinin on Platelet Function and Coagulation In Vitro

      • C. P. Ratnatunga, P. Gorog, I. B. Kovacs, G. M. Ress
      Pages 41-43

    8. Clinical Impact of Reduced Blood Cell Deformability During Cardiopulmonary Bypass

      • Najib Al-Khaja, A. Belboul, B. Liu, D. Roberts
      Pages 44-47

    9. Diagnostic Value of Hemostatic Parameters for Prediction of Complications in Patients Undergoing Aorto-Coronary Bypass Grafting

      • H. Teufelsbauer, M. Havel, P. Knöbl, S. Andert, P. Jaksch, M. Müller et al.
      Pages 48-51

  3. Epidemiology — The Size of the Clinical Problem

    1. Front Matter

      Pages 57-57
      PDF

    4. Current Risks of Blood Transfusion

      • Harvey G. Klein
      Pages 69-73

    5. Blood Use in Adult Cardiac Surgery — Extrapolations from the Carola data base

      • R. C. G. Gallandat Huet, A. F. de Geus, H. E. Mungroop, N. G. Borgstein, T. Keane, J. T. M. Pierce et al.
      Pages 74-77

    6. Evolution of Requirements to Replace Blood and Plasma in Cardiac Surgery

      • G. Marggraf, M. Schax, H. Trübenbach, M. Brand, K. R. Flechsenhar, N. Doetsch
      Pages 78-83

  4. Non-Pharmacological Methods for the Reduction of Blood Use in Cardiac Surgery

    1. Front Matter

      Pages 109-109
      PDF
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About this book

Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood substitution by homologous donor blood. Only 20 years ago, open-heart operations required an average of 8 units of blood preserves. The excessive need of donor blood in those early days was mainly due to premature surgical technique, insecure control of anticoagulation, severe blood trauma by extracorporeal circulation, and the lack of retransfusion technologies that would have allowed the reuse of shed mediastinal blood. The introduction of new technologies, such as normovolemic hemodilution, in­ traoperative autotransfusion, postoperative return of shed mediastinal blood, and predonation of autologous blood has greatly reduced donor blood requirements. At present the majority of routine coronary artery surgical procedures can be performed without any blood transfusion. Blood loss, however, may be considerable in patients undergoing complex valve surgery or reoperations, as they often require several units of transfused blood. Blood conservation has now become an area of major interest for the cardiac surgeon. This increased concern is caused by infectious complications of blood transfusion, in particular hepatitis and, more recently, AIDS.
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Keywords

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Editors and Affiliations

  • Deutsches Herzzentrum Berlin, Berlin 65, Germany

    N. Friedel, R. Hetzer

  • Harefield Hospital, Harefield, Middlesex, UK

    D. Royston

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Bibliographic Information

  • Book Title: Blood Use in Cardiac Surgery

  • Editors: N. Friedel, R. Hetzer, D. Royston

  • DOI: https://doi.org/10.1007/978-3-662-06119-0

  • Publisher: Steinkopff Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1991

  • Softcover ISBN: 978-3-662-06121-3Published: 03 October 2013

  • eBook ISBN: 978-3-662-06119-0Published: 29 June 2013

  • Edition Number: 1

  • Number of Pages: X, 286

  • Number of Illustrations: 72 b/w illustrations

  • Additional Information: Jointly published with Springer-Verlag New York: ISBN 0-387-91372-6

  • Topics: Cardiac Surgery, Vascular Surgery

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Buy it now

eBook USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access

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