Autologous blood transfusion in off-pump coronary artery bypass surgery.docVIP

 PAGE \* MERGEFORMAT 11 Autologous blood transfusion in off-pump coronary artery bypass surgery Author: Zhou Yonghua Sun Jianliang Lu Yaping Zhou Xu-Yan Tu Hai Yuan Xiaozhong Keywords: autologous blood transfusion-pump coronary artery bypass grafting Off-pump coronary artery bypass grafting (OPCABG) is commonly used in recent years, surgical treatment of coronary heart disease. Surgery frequently need to enter a large number of homologous banked blood. Autologous blood transfusion safer blood transfusion as a method of increasing attention [1,2]. From March 2005 to December 2007, undergraduate applications made Kyong -2.0 thousand autologous blood recovery machines on 21 cases of OPCABG surgery patients with intraoperative autologous blood recovery and reinfusion, are reported as follows. 1 Data and methods 1.1 General Information Court implementation of OPCABG surgery in 21 cases, male 18 cases, 3 females; mean age (66.5 ± 8.2) years of age. Ⅱ ~ Ⅳ grade cardiac function, ejection fraction (EF) ≥ 45%. Of which nine cases of unstable angina pectoris, 12 patients with stable angina pectoris; 7 cases of diabetes, hypertension, 16 cases; ASA Ⅲ ~ Ⅳ grade. 1.2 Anesthesia All patients had opted for general anesthesia combined with controlled hypotension anesthesia. Given after the oxygen masks into the operating room to monitor the electrocardiogram (EKG) and pulse oxygen saturation (SpO2), an open upper vein, radial artery puncture under local anesthesia downward pressure measurement and deep vein puncture. Of nitroglycerin before induction pump with 0.1 ~ 0.3μg / (kg * min), according to mean arterial pressure (MAP) and timely adjustment of dosage. Inducing medication for midazolam 0.03mg/kg, etomidate 0.2mg/kg, fentanyl 3 ~ 5μg/kg, rocuronium 0.6mg/kg, intubation followed by mechanical ventilation to maintain the partial pressure of carbon dioxide (PaCO2) in 40 ~ 45mmHg. Surgery with remifentanil and propofol intra