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PowerPoint Presentation (PDF) - Perfusion.com

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Conflicting Evidence<br />

• Bleeding study<br />

• Hypothermia<br />

induces platelet<br />

inhibition.<br />

• Platelet function<br />

normal when<br />

restored to 37°C.<br />

• Fundamental Paper<br />

for normothermic<br />

practice today<br />

Valeri CR, Feingold H, Cassidy G, Ragno G, Khuri<br />

S, Altschule MD. Hypothermia-induced reversible<br />

platelet dysfunction. Ann Surg 1987;205:175-181.<br />

• Separated from CPB<br />

• as low as 34°C<br />

• no differences in<br />

blood loss<br />

• blood product use<br />

was similar between<br />

the groups<br />

Nathan HJ, Wells GA, Munson JL, Wozny D.<br />

Neuroprotective effect of mild hypothermia in<br />

patients undergoing coronary artery surgery with<br />

cardiopulmonary bypass: a randomized trial. 6<br />

Circulation 2001;104:I85-91.

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