In this series of videos, an expert panel discusses blood utilization in adult cardiac surgery. Robert Lee of Vanderbilt University Medical Center presents the case history of a 74-year-old male patient who experienced coagulopathy after cardiopulmonary bypass. Victor Ferraris of the University of Kentucky College of Medicine and Alan Speir of Fairfax Hospital weigh in on the case, overall trends in blood utilization, and implementing a blood administration protocol for patients at risk for coagulopathy.
These presentations were originally given at the Southern Thoracic Surgical Association 61st Annual Meeting with the following learning objectives:
- Identify current strategies for minimizing blood utilization during and after cardiac operations.
- Develop treatment plans for patients at high risk for bleeding due to coagulopathy.
- Explain the role of the team in cardiac surgery blood conservation.
Case Presentation, Robert B. Lee
Panel Discussion, Victor A. Ferraris
Panel Discussion, Alan M. Speir
These educational presentations were originally given during the Postgraduate Program at the Southern Thoracic Surgical Association 61st Annual Meeting. This content is published with the permission of the STSA. For more information on the STSA and its upcoming meeting, please click here.
Platelet function testing: What would be the position of Professor Ferraris on timing the revascularisation surgery by point of care testing of platelets in addition to the other work up?
Kindest Regards
Blood transfusion is associated with reduction of immunity and has serious effects on the immediate and long term results after Coronary Artery Bypass surgery particularly in low risk patents. In urgent cases who are on Plavix, it could be useful to do platelet testing to determine the timing of surgery.