[The use of selective cytopheresis following cardioplegia during open heart surgery].

Autor: Shilov VV, Skorik VI, Cherkas DD, Kazakov SP
Jazyk: ruština
Zdroj: Anesteziologiia i reanimatologiia [Anesteziol Reanimatol] 1991 May-Jun (3), pp. 29-32.
Abstrakt: The analysis of 20 operations on the open heart performed with selective cytopheresis (apparatus PK-0.5) or without it has demonstrated that in pharmacological and ice-chip cardioplegia the technique to a great extent prevents the loss of the patient's own blood removed with cardioplegic solution and makes it possible to reduce donor blood consumption by 27%. The course of the postoperative period improves considerably: blood loss is reduced, the recovery of blood cellular composition becomes more intensive. Cardioplegia performed in combination with selective cytopheresis does not exclude certain protein loss (up to 15 g/l during one session), which confirms the necessity of adequate homeostasis correction with protein blood preparations.
Databáze: MEDLINE