Autotransfusion with cell saver for off-pump coronary artery bypass surgery: a randomized trial

Authors: Damgaard, Sune; Steinbrüchel, Daniel

Source: Scandinavian Cardiovascular Journal, Volume 40, Number 3, June 2006 , pp. 194-198(5)

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Abstract:

Objectives. Off-pump coronary surgery reduces transfusions, however, many patients still receive blood. This trial aims to clarify the effect of using a cell saver intraoperatively. Design. In 60 patients shed blood was collected in the cell saver reservoir intraoperatively; randomization and processing or discharge were performed immediately after surgery. Primary outcome measures: proportion of patients receiving allogeneic blood, and average number of units per patient. Secondary outcome measures: blood loss, hemoglobin levels, complications, and costs . Results. Cell saver group versus control group; received transfusions: 17/30 vs. 14/29 (p = 0.28), allogeneic units: median 1 (interquartile range 0 - 2) vs. 2 (IQR 0 - 7) (p = 0.06), intraoperative net blood loss: median 300 ml (IQR 193 - 403) vs. 610 ml (IQR 450 - 928) (p

Document Type: Research article

DOI: http://dx.doi.org/10.1080/14017430600628292

Affiliations: 1: Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen University Hospital, Denmark

Publication date: 2006-06-01

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