NoBlood

I thought you might be interested in this case, We had a patient with whom we used the Hemobag, last week. We reinfused 900mls of Concentrated Autologous Whole Blood from the CPB circuit with the following: Hct = 57%, Platelets = 364K, Fibrinogen = 740mg , Albumin of 6.6g/dl and a Total protein of 11.7g/dl.
This was an over 80y/o female pt., AVR case. Post OP bleeding was 300ml. and left the ICU on Post-op Day #1. No blood products given. This was a new Fibrinogen record for the Hemobag at our institution and it was done in 12 minutes, while still keeping the extracorporeal circuit viable ready to go back emergently.

Scott R. Beckmann, C.C.P.

Thanks for sharing this experience. Great example of what can be done with the latest technology in blood conservation techniques!

Hemobag Continued Success

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Colleagues,

I was compelled to share yet another great success with our use of the Hemobag which allows for the concentration of autologous whole blood. We performed a CABG x 3 procedure on a 60 y/o male, which was an aborted OPCAB attempt. The results were as follows for the Hemobag autologous whole blood infusion end product of 1150ml.
Platelet count: 430K/mm3
Fibrinogen: 972mg/dl
HCT: 56%
Total Protein: 13.6G/dl
Albumin: 5.7G/dl
Factor VII Assay: 223%
These results were verified by the lab, which had never experienced Fibrinogen levels such as this! Of particular note was the 300% increase in Factor 7 Assay activity level. The patient was transferred out of ICU on post-op day #1, and was discharged without receiving any bank blood products. Our facility’s blood transfusion threshold protocol are being revised due to the continue success of now almost 40 cases. We truly believe that the term “Whole Blood Salvage� is being redefined.

Sincerely,

Scott R. Beckmann, C.C.P.
Cardiovascular Perfusionist
Salem, OR
503.371.4044