Evaluation of blood products utilization in abdominal aortic aneurysm repair patients’ elective surgery in ShohadaTajrish Hospital
Authors
Abstract:
Abstract Background and Objectives Aortic aneurysm repair surgery (AAAs) is associated with massive bleeding that causes coagulation disorders during and after surgery. Considering that blood consumption in these patients has been studied in a few articles, we decided to investigate more. Materials and Methods In a cross-sectional study, patients with abdominal aortic aneurysms requiring surgical repair from January 2018 to August 2020 were evaluated at Shohada-e-Tajrish Hospital. The blood component utilization was evaluated. Graph Pad prism 9.0.0 (121) software was used for statistical analysis (p < 0.05 was considered significant). Results Of 20 patients with aortic aneurysm repair, 16 (80%) were male and 4 (20%) were female. Seven cases (35%) of them received Fresh frozen plasma (FFP) in addition to packed red blood cells (PRBCs). The mean of FFP utilization was 3.7 ± 1.5 units and in 13 patients (65%) only PRBcs were transfused. Platelets was not transfused in any of the patients. The relationship between red blood cells transfusion with the hemoglobin level before surgery and patient age was evaluated. Also, the relationship between INR before surgery and FFP transfusion was assessed, none of which was statistically significant. Conclusions Despite extensive aortic artery surgery and massive bleeding, in 65% of patients only packed red blood cells were transfused. In 35% of patients, in addition to PRBC, FFP was transfused, but no platelets was administered.
similar resources
The pharmacokinetics of cefazolin in patients undergoing elective & semi-elective abdominal aortic aneurysm open repair surgery
BACKGROUND Surgical site infections are common, so effective antibiotic concentrations at the sites of infection are required. Surgery can lead to physiological changes influencing the pharmacokinetics of antibiotics. The aim of the study is to evaluate contemporary peri-operative prophylactic dosing of cefazolin by determining plasma and subcutaneous interstitial fluid concentrations in patien...
full textInpatient Mortality Following Repair of Abdominal Aortic Aneurysm in a Tertiary Hospital in Tehran
This study was conducted to monitor the rate of inpatient mortality and its associated factors following open reconstruction of abdominal aortic aneurysm (AAA) in a tertiary hospital in Tehran, Iran. This retrospective study was a chart review of 112 patients undergoing open in­frarenal abdominal aortic aneurysm surgery in one of the main tertiary hospitals in Tehran, Iran. Baseline data (d...
full textcomplications of elective abdominal aortic aneurysm surgery
because of significant reduction of rupture rate and increase in the patient’s life expectancy, elective surgical treatment in patients with abdominal aortic aneurysm has been widely accepted. the present article aims at assessing the postoperative complications and mortality rate in patients who had been submitted to elective surgery for abdominal aortic aneurysms. this is a retrospective stud...
full textFrequency of Complications Following Endovascular Repair of Abdominal Aortic Aneurysm in Tehran Sina Hospital, 2011-2019
Background and purpose: Abdominal aortic aneurysms (AAA) is a localized enlargement of infrarenal abdominal aorta. Endovascular aneurysm repair (EVAR) is a surgical method introduced for AAA repair. This study, for the first time in Iran, investigated the complications and mortality rate associated with EVAR. Materials and methods: In this cross-sectional study, medical records were reviewed...
full textComparable mid-term survival in patients undergoing elective fenestrated endovascular aneurysm repair and endovascular aneurysm repair for abdominal aortic aneurysm
OBJECTIVE To evaluate mid-term survival in patients undergoing elective fenestrated endovascular aneurysm repair and standard endovascular aneurysm repair for abdominal aortic aneurysm. METHODS Consecutive patients treated from 2007 to 2011 with elective fenestrated endovascular aneurysm repair (n = 81) and endovascular aneurysm repair (n = 201) were evaluated concerning age, cardiovascular m...
full textElective open abdominal aortic aneurysm repair: a seven-year experience
INTRODUCTION The seven-year experience of elective abdominal aortic aneurysm (AAA) repair of a vascular surgical unit in a teaching hospital was reviewed to determine the factors associated with in-hospital mortality. METHODS All patients who underwent elective open repair of an AAA between July 1, 1991, and June 30, 1998, were identified using International Classification of Diseases Ninth R...
full textMy Resources
Journal title
volume 19 issue 2
pages 99- 107
publication date 2022-07
By following a journal you will be notified via email when a new issue of this journal is published.
No Keywords
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023