The impact of a multidisciplinary blood conservation protocol on patient outcomes and cost after cardiac surgery.

Ad N, Holmes SD, Patel J, et al.
J Thorac Cardiovasc Surg 2017;153:597-605.
NATA Rating :
Review by : P. Van der Linden
NATA Review

This before-and-after study confirms that a standardised intraoperative blood conservation programme including expanded use of cell salvage, extensive adoption of acute isovolemic haemodilution and routine use of retrograde autologous priming is associated with a reduction in blood product transfusion and improved outcome. It is unfortunate that this programme did not include the detection and the management of preoperative anaemia, which is quite common in this high-risk surgical population.

– Philippe Van der Linden

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