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http://dx.doi.org/10.1097/00000542-200211000-00044DOI Listing

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  • The study investigates the incidence of blood transfusions in patients undergoing coronary artery bypass grafting (CABG) using acute normovolemic haemodilution (ANH) over six months.
  • In a cohort of 50 patients, 44% required allogeneic blood transfusions perioperatively, with notable intraoperative and ICU transfusion rates associated with lower haemoglobin levels during surgery and longer surgical times.
  • The findings suggest that managing intraoperative conditions effectively may help reduce the need for blood transfusions and minimize potential postoperative complications.
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Aim: One of the philosophies of minimally invasive mitral surgery is to enhance recovery after surgery (ERAS). Beyond surgical applications, ERAS applications provide a complementary approach to optimize postoperative course and discharge. In this report, we aim to present institutional protocol for ERAS and its results in patients who underwent totally endoscopic mitral valve surgery (TEMVS).

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  • Myomectomy for Jehovah's Witnesses poses challenges due to their refusal of blood transfusions, requiring careful surgical planning.
  • A patient's successful procedure involved a multidisciplinary effort to conserve blood, utilizing acute normovolemic hemodilution (ANH) and precise surgical techniques.
  • The case emphasizes the need for healthcare providers to respect patients' beliefs while demonstrating ANH as an effective strategy for managing blood loss in complex surgeries.
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Traumatic brain injury (TBI) is a significant public health issue characterized by high mortality rates and long-term complications. This commentary examines the controversial role of the use of albumin in the fluid management of patients with severe TBI. Despite its physiological benefits, the clinical use of albumin remains controversial due to the fact that various studies have yielded mixed results.

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