Red Blood Cell Disorders: Perioperative Considerations for Patients Undergoing Cardiac Surgery

Autor: James A. Nelson, David W. Barbara, Mark M. Smith, J. Ross Renew
Rok vydání: 2019
Předmět:
Zdroj: Journal of Cardiothoracic and Vascular Anesthesia. 33:1393-1406
ISSN: 1053-0770
DOI: 10.1053/j.jvca.2018.08.001
Popis: Disorders affecting red blood cells (RBCs) are uncommon yet have many important physiologic considerations for patients undergoing cardiac surgery. RBC disorders can be categorized by those that are congenital or acquired, and further by disorders affecting the RBC membrane, hemoglobin, intracellular enzymes, or excessive RBC production. A foundational understanding of the physiologic derangement for these disorders is critical when considering perioperative implications and optimization, strategies for cardiopulmonary bypass, and the rapid recognition and treatment if complications occur. This review systematically outlines the RBC disorders of frequency and relevance with an emphasis on how the disorder affects normal physiologic processes, a review of the literature related to the disorder, and the implications and recommendations for patients undergoing cardiac surgery.
Databáze: OpenAIRE