The Editorial by Bruce Spiess enthusiastically supports the work of Engoren et al. on the effects of blood transfusions on long-term survival after coronary artery bypass surgery while recognizing that databased research suffers several limitations. The author mentions that other databased studies, including ours, have examined outcomes and lowest hematocrit, found bad outcomes associated with […]
Retrograde autologous priming of the cardiopulmonary bypass circuit reduces blood transfusion after coronary artery surgery.
This article confirms previous studies showing that a reduction of the bypass circuit priming volume can be associated with a reduction in allogeneic blood use. This beneficial effect is related to a lower degree of hemodilution reached during and immediately after the cardiopulmonary bypass. – P. Van der Linden