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

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Mortality & Morbidity TRALI (Tx Related Acute Lung Injury) LOS – infection, CA Immunomodulation : the immune system is “Hyperactivated” Increased # & length of ICU stays, ventilator times Poor wound healing Rehabilitation times & Readmissions “Patients who receive multiple transfusions are at risk for iron toxicity when the iron-carrying capacity of the blood is exceeded” -Aryeh Shander, MD Director of Care, Englewood Hospital & Medical Center
• In cardiac surgery some patients require blood transfusions to compensate for the large blood loss (Shed Blood) that occurs during the procedure • 2 common techniques exist to limit the amount of “shed blood”: 1. The use of a pump sucker that returns the blood back to the cardiopulmonary bypass (heart lung machine) pump for quick return to general or systemic circulation 2. The alternative technique is the use of a “cell salvaging” device that collects, washes and reinfuses RBC’s to the patient also known as a Autotransfusion system (ATS)
Page 1 and 2: SABM James D. Ferguson, Keith A. Sa
Page 3: • It’s time for Perfusion and t
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 and 56: Quality improves by process change:
Page 57 and 58:
We are at a conundrum in cardiac su
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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