Article

Preoperative exchange transfusion for sickle cell disease patients undergoing open-heart surgery: an exception to the rule.

Royal Hospital, Muscat, Sultanate of Oman.
Journal of Cardiac Surgery (impact factor: 0.87). 11/2010; 25(6):691-3. DOI:10.1111/j.1540-8191.2010.01102.x pp.691-3
Source: PubMed

ABSTRACT Preoperative exchange transfusion is a routine practice in patients with sickle cell disease having elevated sickle cell hemoglobin levels (>40%) undergoing open-heart surgery on cardiopulmonary bypass. A new approach toward acceptance and management of sickle cell disease patients with high sickle cell hemoglobin levels for open-heart surgery without preoperative exchange transfusion of blood is presented.

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Keywords

cardiopulmonary bypass
 
open-heart surgery
 
Preoperative exchange transfusion
 
sickle cell disease
 
sickle cell disease patients
 
sickle cell hemoglobin levels
 

Ravindra K Adhikari