SABM James D. Ferguson, Keith A. Samolyk, Victor Carcioppolo ...

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• It’s time for Perfusion and the Cardiac Surgery arena to clearly define the term “SHED BLOOD”: • I propose the following definitions: • “Cardiotomy Blood” - is the franc whole blood that accumulates inside the pericardium coming directly from a great vessel or the open heart itself and should be returned via the cardiotomy suction (Pump Sucker) • “Shed Blood” – is the blood that has accumulated OUTSIDE the pericardium including chest tube drainage or blood lost from other wound sites and is collected until the patient stops bleeding and should be returned via a Cell Washer
We are at a conundrum in cardiac surgery about dealing with blood lost outside of the patient Current mind set is that everything goes to a cell washer instead of trying to save the whole blood We have swung the pendulum in the other direction so far with Dr. Stump’s work dealing with blood salvaging and we are still giving a plethora of blood products We need to swing back to the middle and find a way to preserve the whole blood and all it’s components
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SABM James D. Ferguson, Keith A. Sa
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• It’s time for Perfusion and t
Page 8 and 9: Mortality & Morbidity TRALI (Tx Re
Page 10: • Are there components found in s
Page 16 and 17: • -Proinflammatory mediators •
Page 18: Should we discard cardiotomy suctio
Page 21 and 22: More Cardiotomy Blood Concerns •
Page 23 and 24: “The risk of stroke postoperative
Page 25: • Dr Stump’s s research on card
Page 28 and 29: Approved by the Wake Forest Univers
Page 30: Number of Cerebral Lipid Microembol
Page 33 and 34: • A national survey conducted Jus
Page 35 and 36: • Methods - 71 patients were enro
Page 37 and 38: The study showed Shed Mediastinal B
Page 39 and 40: The Meta-Analysis contained 31 rand
Page 41 and 42: Abstract Objective: During cardiopu
Page 43 and 44: Munir Boodhwani, Howard J. Nathan,
Page 45 and 46: Conclusions from Study Contrary to
Page 47 and 48: So what can we determine from all o
Page 49 and 50: Abstract: Cell salvage devices are
Page 51 and 52: Autotransfusion Pitfalls The potent
Page 53 and 54: Remove 70-90% of soluble contaminan
Page 55: Quality improves by process change:
Page 59 and 60: 1. Belway, D., Rubens, F., Wonzy, D
Page 61: 13. Shann, K. G., Likosky, D. S., M
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SABM James D. Ferguson, Keith A. Samolyk, Victor Carcioppolo ...

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