Introduction: Extracorporeal circulation (EC) is very important in cardiac surgery but causes significant damage to the blood, including hemolysis.Objective: To quantify the rate of hemolysis at different times during EC in elective coronary artery bypass grafting.Methods: We measured rates of hemolysis of 22 patients at 6 different times during myocardial revascularization during EC: T0 -before the start of EC, T1 -five minutes after of the EC initiation, T2 -30 minutes of EC, T3 -immediately before the aortic unclamping, T4 -immediately before passage of the residual volume to the patient and T5 -five minutes after the passage of the residual volume to the patient. Rates of hemolysis were calculated between the intervals of time: T0-T1; T1-T2; T2-T3; T3-T4 and T4-T5.Results: The first 5 minutes after the EC showed the highest rate of hemolysis (P = 0.0003) compared to the others calculated rates, representing 29% of the total haemolysis until T4 (Immediately before passage of the residual volume to the patient).Conclusion: There were no significant changes in the rate of hemolysis during the suction in the aortic root (P > 0.38), nor with the procedure used for the passage of the residual volume of blood in the circuit to the patient.Keywords: Extracorporeal circulation. Hemolysis. Blood.
ResumoIntrodução: A circulação extracorpórea (CEC) é indispensável para a maioria das operações cardíacas, mas causa danos significantes ao sangue, dentre eles a hemólise.Objetivo: Quantificar as taxas de hemólise em diferentes tempos nas operações para revascularização do miocárdio com uso de CEC.
536Rev Bras Cir Cardiovasc 2012;27(4) Resultados: Os primeiros 5 minutos após a CEC demonstraram maior taxa de hemólise (P = 0,0003) em comparação às outras taxas calculadas, representando 29% da hemólise total até T4 (imediatamente antes da passagem do volume residual para o paciente).Conclusão: Não foram observadas variações significantes nas taxas de hemólise durante a aspiração na raiz da aorta (P > 0,38) nem com o procedimento utilizado para a passagem do volume residual de sangue no circuito para os pacientes.