Soonchunhyang Med Sci.  2014 Jun;20(1):14-17.

A Single-Center Experience of Transfusion Free Surgical Treatment over 13 Years in Korea

• Yoo JH
• Cho AN
• Lee SJ
• Youm W

Abstract

OBJECTIVE
Patient' desire of transfusion free surgery has been increasing due to blood transfusion risks. We analyzed the perioperative parameters and perioperative management of transfusion free surgical treatment in Soonchunhyang University Seoul Hospital.
METHODS
Operation quantity and blood unstoring count from blood bank between 2000 and 2012 were collected from chronological records. Perioperative parameters including preoperative hemoglobin level, postoperative hemoglobin level, and lowest hemoglobin level were collected from medical records. Perioperative blood management such as acute normovolemic hemodilution, intraoperative blood cell salvage, or hematinic agents and complication were assessed.
RESULTS
A total of 3,088 patients underwent transfusion free surgery at Soonchunhyang University Seoul Hospital between 2000 and 2012. Postoperative hemoglobin level <5.0 g/dL were 33 patients. Four patients expired at postoperative period with serious perioperative complications. Average of expired patient's hemoglobin was 3.22 g/dL and overall mortality was 0.12%. Operation was increased as years go by. The amount of blood use bank wasn't increased in general patients with transfusion.
CONCLUSION
Careful perioperative blood management for transfusion free surgical treatment was responsible for safety and results in good clinical outcomes. Overall transfusion rate was decreased in spite of increasing operation quantity.

Keyword

Blood; Bloodless medical and surgical procedures; Hemoglobins; Perioperative care

MeSH Terms

Blood Banks
Blood Transfusion
Bloodless Medical and Surgical Procedures
Hemin
Hemodilution
Humans
Korea
Medical Records
Mortality
Operative Blood Salvage
Perioperative Care
Postoperative Period
Seoul
Hemin