Approaches on the Major Predictors of Blood Transfusion in Cardiovascular Surgery: A Systematic Review

• 作者: Bethina Canaroli Sbardellini Cibele Olegário Vianna Queiroz Domingo Marcolino Braile Eliana Migliorini Mustafa Giovanni Braile Sternieri Idiberto José Zotarelli Filho Lúcia Angélica Buffulin de Faria Maria Christiane Valéria Braga Braile-Sternieri Sofia Braile Sabino Victor Rodrigues Ribeiro Ferreira
• 来源期刊: 健康(英文)
• 学科: 医学
• 关键词: CARDIOVASCULAR Surgery POLYTRAUMA TRANSFUSION Blood Components Survival EPIDEMIOLOGIC Data Time to HEMOSTASIS Derivatives Volume
• 年，卷（期）: jkyw_2019,（4）
• 页码范围: 371-379
• 页数: 9页
• 分类号: R73

摘要

Introduction: Experimental Clinical studies have shown that loss of up to 77.0% of red cell mass can be tolerated as long as it kept the blood volume. However, the blood volume loss of about 34.0% is fatal. The initial attention in patients with bleeding should be given to maintaining blood volume and oxygen transport. Thus, transfusions of allogeneic blood products are associated with an increased risk of morbidity and mortality in cardiac surgery. Some transfusion risk scores have been proposed for cardiac surgery patients. Objective: To review and discuss literature blood transfusion (blood components gradient) in cardiovascular surgery versus polytrauma, gastrointestinal bleeding, and neoplastic diseases. Methods: The model followed for the review was PRISMA. We used the databases as Scielo, Lilacs, Google Scholar, PubMed articles and works of scientific and doctoral theses master. Results: According to the discussion in the literature, the acute bleeding of large volumes is challenging to emergency services. Accordingly, the need to support hemotherapeutics led to the development of protocols for more rational utilization of the monitored blood components. Conclusion: Hemotherapy services have adopted a very dynamic approach to the clinical condition presented by patients, the need for four or more red blood cell units.