The Cardiotomy Trial
Author(s) -
Fraser D. Rubens,
Munir Boodhwani,
Thierry Mesana,
Denise Wozny,
George Wells,
Howard J. Nathan
Publication year - 2007
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.106.678987
Subject(s) - medicine , blood product , surgery , cardiopulmonary bypass , anesthesia , autotransfusion , cardiac surgery , blood transfusion , postoperative cognitive dysfunction , fresh frozen plasma , partial thromboplastin time , platelet , cognition , psychiatry
Reinfusion of unprocessed cardiotomy blood during cardiac surgery can introduce particulate material into the cardiopulmonary bypass circuit, which may contribute to postoperative cognitive dysfunction. On the other hand, processing of this blood by centrifugation and filtration removes coagulation factors and may potentially contribute to coagulopathy. We sought to evaluate the effects of cardiotomy blood processing on blood product use and neurocognitive functioning after cardiac surgery.
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