Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Патогенетическое обоснование гемотрансфузионной терапии у кардиохирургических пациентов с ишемической болезнью сердца

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Link: Clinical Physiology of Blood Circulaiton. 2010; (): -

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Abstract

A pattern of pathogenetically justified perioperative transfusion therapy based on personal hypoxic susceptibility was proposed for cardiosurgical patients with ischemic heart disease (IHD). Total preoperative hypoxic test in 92 IHD (FC I-IV) patients allowed us to reveal cohorts of patients with various hypoxic tolerance - high, moderate, low and hypoxic intolerance. We determined the quantity of autoblood prepared and blood transfusion criteria for every tolerance class. The pattern proposed made it possible to reduce the number of allotransfusions during cardiosurgical procedure.

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