Acute Normovolemic Red Cell Exchange for Cardiopulmonary Bypass in Sickle Cell Disease
A patient with sickle cell disease (hematocrit, 28.5%; hemoglobin S fraction, 79%), required mitral valve repair. Partial red cell removal and blood component sequestration with an autotransfusion device before cardiopulmonary bypass initially decreased the sickle red cell mass. This was followed by...
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Veröffentlicht in: | The Annals of thoracic surgery 1998-05, Vol.65 (5), p.1444-1446 |
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container_title | The Annals of thoracic surgery |
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creator | Shulman, Gerald McQuitty, Christopher Vertrees, Roger A Conti, Vincent R |
description | A patient with sickle cell disease (hematocrit, 28.5%; hemoglobin S fraction, 79%), required mitral valve repair. Partial red cell removal and blood component sequestration with an autotransfusion device before cardiopulmonary bypass initially decreased the sickle red cell mass. This was followed by an acute one-volume whole blood exchange transfusion performed upon the initiation of cardiopulmonary bypass, resulting in a further reduction. Both techniques yielded fresh autologous plasma for use; sequestration yielded a plateletpheresis product. Adequate postbypass hemostasis was demonstrated. |
doi_str_mv | 10.1016/S0003-4975(98)00038-1 |
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Partial red cell removal and blood component sequestration with an autotransfusion device before cardiopulmonary bypass initially decreased the sickle red cell mass. This was followed by an acute one-volume whole blood exchange transfusion performed upon the initiation of cardiopulmonary bypass, resulting in a further reduction. Both techniques yielded fresh autologous plasma for use; sequestration yielded a plateletpheresis product. Adequate postbypass hemostasis was demonstrated.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(98)00038-1</identifier><identifier>PMID: 9594885</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Anemia, Sickle Cell - blood ; Anemia, Sickle Cell - prevention & control ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Transfusion, Autologous ; Blood Volume ; Cardiopulmonary Bypass ; Cytapheresis ; Erythrocyte Volume ; Erythrocytes - pathology ; Exchange Transfusion, Whole Blood ; Heart Valve Prosthesis Implantation ; Hematocrit ; Hemoglobin, Sickle - analysis ; Hemostasis ; Humans ; Male ; Medical sciences ; Mitral Valve - surgery ; Plasma ; Plateletpheresis ; Thoracic and cardiovascular surgery. Cardiopulmonary bypass</subject><ispartof>The Annals of thoracic surgery, 1998-05, Vol.65 (5), p.1444-1446</ispartof><rights>1998 The Society of Thoracic Surgeons</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-e950e468e3346447141430695fcb00d8ed39690549e8d300e1b0106726aa42b3</citedby><cites>FETCH-LOGICAL-c472t-e950e468e3346447141430695fcb00d8ed39690549e8d300e1b0106726aa42b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0003-4975(98)00038-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2253729$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9594885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shulman, Gerald</creatorcontrib><creatorcontrib>McQuitty, Christopher</creatorcontrib><creatorcontrib>Vertrees, Roger A</creatorcontrib><creatorcontrib>Conti, Vincent R</creatorcontrib><title>Acute Normovolemic Red Cell Exchange for Cardiopulmonary Bypass in Sickle Cell Disease</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>A patient with sickle cell disease (hematocrit, 28.5%; hemoglobin S fraction, 79%), required mitral valve repair. Partial red cell removal and blood component sequestration with an autotransfusion device before cardiopulmonary bypass initially decreased the sickle red cell mass. This was followed by an acute one-volume whole blood exchange transfusion performed upon the initiation of cardiopulmonary bypass, resulting in a further reduction. Both techniques yielded fresh autologous plasma for use; sequestration yielded a plateletpheresis product. Adequate postbypass hemostasis was demonstrated.</description><subject>Adolescent</subject><subject>Anemia, Sickle Cell - blood</subject><subject>Anemia, Sickle Cell - prevention & control</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Transfusion, Autologous</subject><subject>Blood Volume</subject><subject>Cardiopulmonary Bypass</subject><subject>Cytapheresis</subject><subject>Erythrocyte Volume</subject><subject>Erythrocytes - pathology</subject><subject>Exchange Transfusion, Whole Blood</subject><subject>Heart Valve Prosthesis Implantation</subject><subject>Hematocrit</subject><subject>Hemoglobin, Sickle - analysis</subject><subject>Hemostasis</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mitral Valve - surgery</subject><subject>Plasma</subject><subject>Plateletpheresis</subject><subject>Thoracic and cardiovascular surgery. Cardiopulmonary bypass</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1OGzEURi1EFULKIyB5gVBZTPHvjL1CaZq2SBGVCurWcjx3qMvMOLUzEXn7OiTKlpV19Z3Pvj4IXVLymRJa3j4SQnghdCU_aXWzG1RBT9CYSsmKkkl9isZH5Aydp_Q3jyzHIzTSUgul5Bj9nrphDfghxC5sQgudd_gX1HgGbYvnr-6P7Z8BNyHimY21D6uh7UJv4xZ_2a5sStj3-NG7lxb2la8-gU3wEX1obJvg4nBO0NO3-dPsR7H4-f1-Nl0UTlRsXYCWBESpgHNRClFRQQUnpZaNWxJSK6i5LjWRQoOqOSFAl4SSsmKltYIt-QRd769dxfBvgLQ2nU8u72F7CEMylVaKKcIzKPegiyGlCI1ZRd_lbxhKzE6nedNpdq6MVuZNp6G5d3l4YFh2UB9bB385vzrkNjnbNtH2zqcjxpjkFdMZu9tjkF1sPESTnIfeQe0juLWpg39nkf-7NY9a</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>Shulman, Gerald</creator><creator>McQuitty, Christopher</creator><creator>Vertrees, Roger A</creator><creator>Conti, Vincent R</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980501</creationdate><title>Acute Normovolemic Red Cell Exchange for Cardiopulmonary Bypass in Sickle Cell Disease</title><author>Shulman, Gerald ; McQuitty, Christopher ; Vertrees, Roger A ; Conti, Vincent R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-e950e468e3346447141430695fcb00d8ed39690549e8d300e1b0106726aa42b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Anemia, Sickle Cell - blood</topic><topic>Anemia, Sickle Cell - prevention & control</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Transfusion, Autologous</topic><topic>Blood Volume</topic><topic>Cardiopulmonary Bypass</topic><topic>Cytapheresis</topic><topic>Erythrocyte Volume</topic><topic>Erythrocytes - pathology</topic><topic>Exchange Transfusion, Whole Blood</topic><topic>Heart Valve Prosthesis Implantation</topic><topic>Hematocrit</topic><topic>Hemoglobin, Sickle - analysis</topic><topic>Hemostasis</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mitral Valve - surgery</topic><topic>Plasma</topic><topic>Plateletpheresis</topic><topic>Thoracic and cardiovascular surgery. Cardiopulmonary bypass</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shulman, Gerald</creatorcontrib><creatorcontrib>McQuitty, Christopher</creatorcontrib><creatorcontrib>Vertrees, Roger A</creatorcontrib><creatorcontrib>Conti, Vincent R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shulman, Gerald</au><au>McQuitty, Christopher</au><au>Vertrees, Roger A</au><au>Conti, Vincent R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Normovolemic Red Cell Exchange for Cardiopulmonary Bypass in Sickle Cell Disease</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1998-05-01</date><risdate>1998</risdate><volume>65</volume><issue>5</issue><spage>1444</spage><epage>1446</epage><pages>1444-1446</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>A patient with sickle cell disease (hematocrit, 28.5%; hemoglobin S fraction, 79%), required mitral valve repair. Partial red cell removal and blood component sequestration with an autotransfusion device before cardiopulmonary bypass initially decreased the sickle red cell mass. This was followed by an acute one-volume whole blood exchange transfusion performed upon the initiation of cardiopulmonary bypass, resulting in a further reduction. Both techniques yielded fresh autologous plasma for use; sequestration yielded a plateletpheresis product. Adequate postbypass hemostasis was demonstrated.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9594885</pmid><doi>10.1016/S0003-4975(98)00038-1</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ScienceDirect Journals (5 years ago - present); Alma/SFX Local Collection |
subjects | Adolescent Anemia, Sickle Cell - blood Anemia, Sickle Cell - prevention & control Anesthesia Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Transfusion, Autologous Blood Volume Cardiopulmonary Bypass Cytapheresis Erythrocyte Volume Erythrocytes - pathology Exchange Transfusion, Whole Blood Heart Valve Prosthesis Implantation Hematocrit Hemoglobin, Sickle - analysis Hemostasis Humans Male Medical sciences Mitral Valve - surgery Plasma Plateletpheresis Thoracic and cardiovascular surgery. Cardiopulmonary bypass |
title | Acute Normovolemic Red Cell Exchange for Cardiopulmonary Bypass in Sickle Cell Disease |
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