Muhammad Farhan, Bari Khan, Raheel Hussain, Riaz Ishaq Khan.
Transfusion practices for Cardiac Surgical patients at cardiac surgery, CHK.
Pak J Cardiol Jan ;13(3-4):101-4.

It is a well established fact that homologous blood transfusion is a practice that needs to be discouraged as a principal. Due to hazards of transmission of blood related diseases strict criteria were established for use of homologous blood transfusion or blood products. The aim was to have surgery without any transfusion or else minimum possible units. Altogether 63 patients had open-heart surgeries. Pre operative Hb ranged from 10-14 gm/dl average. Blood loss was less than 500 ml. Post operative and pre discharge Hb was 1013 gm /dl: A total of 23 patients were transfused blood from 1-2 units, commonest indication for transfusion was symptomatic patients due to borderline Hb. Altogether 6 units per patient were arranged but on average 5 units or less per patient were used. We feel that preoperative tratment can save more transfusions. We will further discuss the possible suggestions whereby we plan to reduce our transfusion indications further.

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