Session Information
AABB SAMs Courses 2011
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Surgical Hypothermia SABM/AABB Joint Program
Track : Courses
Program Code: 9409-S-PBM
Date: Tuesday, October 25, 2011
Time: 10:30 AM to 12:00 PM  EST
Location: 29 A/B
SPEAKER (S):
Aryeh Shander, MD, FCCM, FCCP, Chief, Dept of Anesthesiology, Critical Care & Hyperbaric Medicine Englewood Hospital and Medical Center, Clinical Prof of Anes, Medicine & Surgery Mount Sinai School of Medicine, Mount Sinai Hospital, New York, Englewood Hospital & Medical Center
Arthur Bracey, MD, Medical Director Transfusion Services, St. Luke's Episocopal Hospital/Texas Heart Institu
David Spielvogel, MD, Program Director, Westchester Medical Center
Dr. Ian Welsby, MD, Associate Professor, Duke University Medical Center
Description
Blood component therapy in cardiovascular surgery accounts for a significant fraction of national blood use. Studies show ongoing variation in blood use for cardiac surgery between institutions. The Society of Thoracic Surgeons and The Society for Cardiovascular Anesthesia generated a practice guideline in 2007 that endorses the use of blood conservation measures. This session will address two techniques aimed at conserving transfusion requirements: deep hypothermic arrest and harvest of plasma and platelet for subsequent use in the operating theater.
Hypothermic arrest affords protection of coagulation factors and platelets from activation since activation is based on thermodynamic principles. Harvest of blood prior to exposure to the bypass circuit also protects against activation. These interventions while directed by anesthesiologists should be familiar to staff involved with patient blood management programs.


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