Dergiler / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2021 / Cilt: 27 - Sayı: 4

Kalp Cerrahisinde Perioperatif Viskoelastik Test Uygulamasının Kan Ürünü Kullanımına ve Sonuca Etkisi; Bölgesel Kalp Cerrahisi Merkezi Deneyimi

The Impact of Perioperative Viscoelastic Test Application on Blood Product Usage and Outcome in Cardiac Surgery; Regional Cardiac Surgery Center Experience

Sayfa
233–240
Yayın Tarihi
2022-10-18
DOI
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Results: Use of Fresh Frozen Plasma (FFP) at the after CPB in the TEG group was statistically significantly lower than that of the control group FFP (p

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: Thromboelastography (TEG) is a diagnostic modality that gives information about coagulation.
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Temel Bulgular & Veri:Methods: Two hundred patients between 18-70 years old who underwent open heart surgery were included in the study.
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Sonuç & Katkı:Results: Use of Fresh Frozen Plasma (FFP) at the after CPB in the TEG group was statistically significantly lower than that of the control group FFP (p
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: Thromboelastography (TEG) is a diagnostic modality that gives information about coagulation. Despite all blood-preserving precautions in open heart surgery there are blood losses and the use of blood and blood products becomes inevitable. TEG is mostly not available in every center and habits, trends and clinical experience in blood use create the possibility of causing unnecessary use of blood and blood products. In this study, it was aimed to determine the effect of the use of thromboelastography on the use of blood and blood products in cardiac surgery. Methods: Two hundred patients between 18-70 years old who underwent open heart surgery were included in the study. After the cardiopulmonary bypass (CPB), the cases were confirmed to have an Activated Clotting Time (ACT) value in the range of 120-150 sec after protamine administration. In 100 patients in the TEG group, the coagulation status was evaluated with TEG and it was decided how to apply blood and blood product use. Blood and blood product use was applied to 100 patients in the control group based on clinical experience and foresight. The total amount of blood and blood product used, fluid balance, need for inotropics, mechanical ventilator time, complications, duration of intensive care and discharge times were recorded. Results: Use of Fresh Frozen Plasma (FFP) at the after CPB in the TEG group was statistically significantly lower than that of the control group FFP (p

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Bu Makaleye Atıf Yap

AKSUN, S., GİRGİN, S., AKSUN, M., COŞAR, M. A., NEZİROĞLU, E., KARAHAN, N., GÜRBÜZ, A., BALIKOĞLU, E. (2022). Kalp Cerrahisinde Perioperatif Viskoelastik Test Uygulamasının Kan Ürünü Kullanımına ve Sonuca Etkisi; Bölgesel Kalp Cerrahisi Merkezi Deneyimi. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 27 - Sayı: 4, 233–240. https://ajindex.com/articles/525969

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Kaynakça (12)

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