[Blood transfusion via the cardiopulmonary bypass circuit: the anesthesiologist point of view]

M Durand; M Rossi-Blancher; C Poquet

doi:10.1016/j.annfar.2014.01.017

[Blood transfusion via the cardiopulmonary bypass circuit: the anesthesiologist point of view]

Ann Fr Anesth Reanim. 2014 Apr:33 Suppl 1:S10-3. doi: 10.1016/j.annfar.2014.01.017. Epub 2014 Mar 6.

[Article in French]

Authors

M Durand¹, M Rossi-Blancher², C Poquet²

Affiliations

¹ Département d'anesthésie-réanimation II, pole d'anesthésie-réanimation, hôpital Michallon, CHU de Grenoble, BP 217, CS10217, 38043 Grenoble cedex, France. Electronic address: [email protected].
² Département d'anesthésie-réanimation II, pole d'anesthésie-réanimation, hôpital Michallon, CHU de Grenoble, BP 217, CS10217, 38043 Grenoble cedex, France.

PMID: 24613767
DOI: 10.1016/j.annfar.2014.01.017

Abstract

Cardiac surgery frequently requires blood transfusion. The use of transfusion should be restricted due to side effects. Blood transfusion via the cardiopulmonary bypass (CPB) circuit is easy and allows a fast transfusion. The administration of packed red cells is relatively frequent because of the CPB-induced hemodilution and of the higher rate of postoperative complications when the haematocrit during CPB decreases below 20%. This transfusion of packed red cells does not seem to be associated with complications during CPB. Platelet transfusion during bypass is illogical because of the destruction of platelets during CPB and must be avoided. Fresh frozen plasma transfusion during CPB is seldom indicated but is possible. It could reverse heparin resistance.

Keywords: Blood transfusion; Cardiac surgery; Cardiopulmonary bypass; Chirurgie cardiaque; Circulation extracorporelle; Transfusion.

Publication types

English Abstract
Review

MeSH terms

Anesthesiology / methods*
Blood Transfusion / methods*
Cardiac Surgical Procedures / methods
Cardiopulmonary Bypass / instrumentation*
Cardiopulmonary Bypass / methods*
Humans
Physicians