Portal de Periódicos da CAPES

Avoiding coagulopathy in vascular surgery

1990; Elsevier BV; Volume: 160; Issue: 2 Linguagem: Inglês

10.1016/s0002-9610(05)80309-5

1879-1883

Roy L. Tawes, Gerald R. Sydorak, Thomas B. Duvall, Robert G. Scribner, John E. Rosenman, John P. Beare, Edmund J. Harris,

Blood transfusion and management

The possibility of coagulopathy can be minimized by attending to certain general perioperative details to avoid hypothermia, hypotension-shock, and multiple transfusions. In this paper, we present our protocol for avoiding coagulopathy in vascular surgery. In the past 1 1/2 years, we have used perioperative plasmapheresis in 204 patients undergoing cardiac or aortic peripheral vascular surgery. Autologous platelet-rich plasma is transfused at the completion of the operation after heparin reversal. Our data show an approximate 50% reduction in homologous blood product requirement. Seventy-five percent of patients having aortic surgery received no homologous blood products during their hospital stay. For those undergoing cardiac surgery, there has been about a 45% reduction in the use of homologous blood products. In our experience, autologous platelet-rich plasma not only decreases the risk of transmittable disease, but promotes hemostasis.