Blood Use in Cardiac Surgery:
Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the developmen...
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Weitere Verfasser: | , , |
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Format: | Elektronisch E-Book |
Sprache: | English |
Veröffentlicht: |
Heidelberg
Steinkopff
1991
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Schlagworte: | |
Online-Zugang: | UBR01 Volltext |
Zusammenfassung: | Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood substitution by homologous donor blood. Only 20 years ago, open-heart operations required an average of 8 units of blood preserves. The excessive need of donor blood in those early days was mainly due to premature surgical technique, insecure control of anticoagulation, severe blood trauma by extracorporeal circulation, and the lack of retransfusion technologies that would have allowed the reuse of shed mediastinal blood. The introduction of new technologies, such as normovolemic hemodilution, in traoperative autotransfusion, postoperative return of shed mediastinal blood, and predonation of autologous blood has greatly reduced donor blood requirements. At present the majority of routine coronary artery surgical procedures can be performed without any blood transfusion. Blood loss, however, may be considerable in patients undergoing complex valve surgery or reoperations, as they often require several units of transfused blood. Blood conservation has now become an area of major interest for the cardiac surgeon. This increased concern is caused by infectious complications of blood transfusion, in particular hepatitis and, more recently, AIDS. |
Beschreibung: | 1 Online-Ressource (X, 286 p. 72 illus) |
ISBN: | 9783662061190 |
DOI: | 10.1007/978-3-662-06119-0 |
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520 | |a Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood substitution by homologous donor blood. Only 20 years ago, open-heart operations required an average of 8 units of blood preserves. The excessive need of donor blood in those early days was mainly due to premature surgical technique, insecure control of anticoagulation, severe blood trauma by extracorporeal circulation, and the lack of retransfusion technologies that would have allowed the reuse of shed mediastinal blood. The introduction of new technologies, such as normovolemic hemodilution, in traoperative autotransfusion, postoperative return of shed mediastinal blood, and predonation of autologous blood has greatly reduced donor blood requirements. At present the majority of routine coronary artery surgical procedures can be performed without any blood transfusion. Blood loss, however, may be considerable in patients undergoing complex valve surgery or reoperations, as they often require several units of transfused blood. Blood conservation has now become an area of major interest for the cardiac surgeon. This increased concern is caused by infectious complications of blood transfusion, in particular hepatitis and, more recently, AIDS. | ||
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Datensatz im Suchindex
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any_adam_object | |
author2 | Friedel, N. Hetzer, R. Royston, D. |
author2_role | edt edt edt |
author2_variant | n f nf r h rh d r dr |
author_facet | Friedel, N. Hetzer, R. Royston, D. |
building | Verbundindex |
bvnumber | BV046145988 |
classification_rvk | YI 8039 |
collection | ZDB-2-SME |
ctrlnum | (ZDB-2-SME)978-3-662-06119-0 (OCoLC)1118998498 (DE-599)BVBBV046145988 |
dewey-full | 617.412 |
dewey-hundreds | 600 - Technology (Applied sciences) |
dewey-ones | 617 - Surgery & related medical specialties |
dewey-raw | 617.412 |
dewey-search | 617.412 |
dewey-sort | 3617.412 |
dewey-tens | 610 - Medicine and health |
discipline | Medizin |
doi_str_mv | 10.1007/978-3-662-06119-0 |
format | Electronic eBook |
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genre_facet | Konferenzschrift |
id | DE-604.BV046145988 |
illustrated | Not Illustrated |
indexdate | 2024-07-10T08:36:29Z |
institution | BVB |
isbn | 9783662061190 |
language | English |
oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-031526173 |
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physical | 1 Online-Ressource (X, 286 p. 72 illus) |
psigel | ZDB-2-SME ZDB-2-SME_1990/2004 ZDB-2-SME ZDB-2-SME_1990/2004 |
publishDate | 1991 |
publishDateSearch | 1991 |
publishDateSort | 1991 |
publisher | Steinkopff |
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spelling | Blood Use in Cardiac Surgery edited by N. Friedel, R. Hetzer, D. Royston Heidelberg Steinkopff 1991 1 Online-Ressource (X, 286 p. 72 illus) txt rdacontent c rdamedia cr rdacarrier Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood substitution by homologous donor blood. Only 20 years ago, open-heart operations required an average of 8 units of blood preserves. The excessive need of donor blood in those early days was mainly due to premature surgical technique, insecure control of anticoagulation, severe blood trauma by extracorporeal circulation, and the lack of retransfusion technologies that would have allowed the reuse of shed mediastinal blood. The introduction of new technologies, such as normovolemic hemodilution, in traoperative autotransfusion, postoperative return of shed mediastinal blood, and predonation of autologous blood has greatly reduced donor blood requirements. At present the majority of routine coronary artery surgical procedures can be performed without any blood transfusion. Blood loss, however, may be considerable in patients undergoing complex valve surgery or reoperations, as they often require several units of transfused blood. Blood conservation has now become an area of major interest for the cardiac surgeon. This increased concern is caused by infectious complications of blood transfusion, in particular hepatitis and, more recently, AIDS. Cardiac Surgery Vascular Surgery Heart / Surgery Herzchirurgie (DE-588)4024641-3 gnd rswk-swf Infektionskrankheit (DE-588)4026879-2 gnd rswk-swf Reduktion (DE-588)4177306-8 gnd rswk-swf Bluttransfusion (DE-588)4007293-9 gnd rswk-swf Risikofaktor (DE-588)4050131-0 gnd rswk-swf Blutverlust (DE-588)4222202-3 gnd rswk-swf Plasmaersatz (DE-588)4076160-5 gnd rswk-swf (DE-588)1071861417 Konferenzschrift gnd-content Herzchirurgie (DE-588)4024641-3 s Infektionskrankheit (DE-588)4026879-2 s Bluttransfusion (DE-588)4007293-9 s Risikofaktor (DE-588)4050131-0 s DE-604 Blutverlust (DE-588)4222202-3 s Reduktion (DE-588)4177306-8 s Plasmaersatz (DE-588)4076160-5 s Friedel, N. edt Hetzer, R. edt Royston, D. edt Erscheint auch als Druck-Ausgabe 9783662061213 Erscheint auch als Druck-Ausgabe 9783662061206 Erscheint auch als Druck-Ausgabe 9783798508415 https://doi.org/10.1007/978-3-662-06119-0 Verlag URL des Erstveröffentlichers Volltext |
spellingShingle | Blood Use in Cardiac Surgery Cardiac Surgery Vascular Surgery Heart / Surgery Herzchirurgie (DE-588)4024641-3 gnd Infektionskrankheit (DE-588)4026879-2 gnd Reduktion (DE-588)4177306-8 gnd Bluttransfusion (DE-588)4007293-9 gnd Risikofaktor (DE-588)4050131-0 gnd Blutverlust (DE-588)4222202-3 gnd Plasmaersatz (DE-588)4076160-5 gnd |
subject_GND | (DE-588)4024641-3 (DE-588)4026879-2 (DE-588)4177306-8 (DE-588)4007293-9 (DE-588)4050131-0 (DE-588)4222202-3 (DE-588)4076160-5 (DE-588)1071861417 |
title | Blood Use in Cardiac Surgery |
title_auth | Blood Use in Cardiac Surgery |
title_exact_search | Blood Use in Cardiac Surgery |
title_full | Blood Use in Cardiac Surgery edited by N. Friedel, R. Hetzer, D. Royston |
title_fullStr | Blood Use in Cardiac Surgery edited by N. Friedel, R. Hetzer, D. Royston |
title_full_unstemmed | Blood Use in Cardiac Surgery edited by N. Friedel, R. Hetzer, D. Royston |
title_short | Blood Use in Cardiac Surgery |
title_sort | blood use in cardiac surgery |
topic | Cardiac Surgery Vascular Surgery Heart / Surgery Herzchirurgie (DE-588)4024641-3 gnd Infektionskrankheit (DE-588)4026879-2 gnd Reduktion (DE-588)4177306-8 gnd Bluttransfusion (DE-588)4007293-9 gnd Risikofaktor (DE-588)4050131-0 gnd Blutverlust (DE-588)4222202-3 gnd Plasmaersatz (DE-588)4076160-5 gnd |
topic_facet | Cardiac Surgery Vascular Surgery Heart / Surgery Herzchirurgie Infektionskrankheit Reduktion Bluttransfusion Risikofaktor Blutverlust Plasmaersatz Konferenzschrift |
url | https://doi.org/10.1007/978-3-662-06119-0 |
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