Estratégias para redução do uso de hemoderivados em cirurgia cardiovascular

Drenagem venosa assistida a vácuo na circulação extracorpórea e necessidade de hemotransfusão: experiência de serviço

“…In an attempt to reduce the deleterious effects of hemodilution, several strategies implemented during the perfusion have been raised, which have been examined for their efficacy [2][3][4]. The most recent is the vacuum assisted venous drainage (VAVD), which is being used during cardiac surgery with CPB, aiming to optimize the venous drainage, as well as reduce the use of crystalloids in order to obtain higher values †of hematocrit [ 5].…”

Uso tópico de agente antifibrinolítico na redução do sangramento após revascularização cirúrgica do miocárdio

“…Amongst the three main available drugs, the aprotinine was the most used and tested [8][9][10]. In 2007, Ferraris et al published a recommendation based on the evidences available in the literature as class I (evidence level A): 1.…”

Influência do ácido épsilon aminocapróico no sangramento e na hemotransfusão pós-operatória em cirurgia valvar mitral

“…With the decrease of blood products it can be reduced the risk of infection and transfusion reactions, further supporting the need for the use of EACA. Efficacy of epsilon-aminocaproic acid, among the current options for use of antifibrinolytic agents in relation to the reduction of postoperative bleeding and the need for blood transfusions is questioned and conflicting in many studies literature [19][20][21].…”