222 476

Cited 0 times in

체외순환 없는 관상동맥우회술을 시행 받는 환자에서 술 전 aspirin이 혈전탄성묘사도 및 술 후 출혈에 미치는 영향

Other Titles
 Effect of Preoperative Aspirin Use on Postoperative Bleeding and Thromboelastography in Off-Pump Coronary Artery Bypass Operations 
Authors
 김승호  ;  곽영란  ;  오영준  ;  신혜란  ;  김신형  ;  홍용우 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.48(3) : 235-240, 2005 
Journal Title
KOREAN JOURNAL OF ANESTHESIOLOGY(대한마취과학회지)
ISSN
 2005-6419 
Issue Date
2005
MeSH
off-pump coronary artery bypass graft surgery ; aspirin ; thromboelastography ; coagulation
Keywords
off-pump coronary artery bypass graft surgery ; aspirin ; thromboelastography ; coagulation
Abstract
BACKGROUND: Aspirin has been shown to effectively increase survival and reduce morbidity in patients with ischemic heart disease. Continued aspirin use during the preoperative period could increase the postoperative blood loss in patients who have on-pump coronary artery bypass grafting. This study aimed to determine the effect of continued aspirin use before off-pump CABG on intraoperative and postoperative bleeding and coagulation profile in thromboelastography.

METHODS: In 43 patients undergoing OPCAB, they were assigned aspirin user (n = 22), who received aspirin until the day of operation or nonaspirin user (n = 21), who discontinued aspirin before 7 days before the surgery. Intraoperative and postoperative bleeding and transfusion requirement were measured. TEG was performed and R, K, α angle, maximum amplitude and TEG index was measured at preinduction and at 24 hours after surgery.

RESULTS: There were no differences in patient characteristics between aspirin users and nonaspirin users. We found no significant difference between postoperative bleeding and blood product requirements for the two groups. Similarly, we found no significant difference in the coagulation profiles.

CONCLUSIONS: The use of aspirin continued preoperatively does not increase intraoperative and postoperative blood loss, and blood product requirement and influence on coagulation profile.
Files in This Item:
T200500032.pdf Download
DOI
OAK-2005-02376
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Young Lan(곽영란) ORCID logo https://orcid.org/0000-0002-2984-9927
Kim, Seung Ho(김승호)
Shin, Hye Ran(신혜란)
Oh, Young Jun(오영준) ORCID logo https://orcid.org/0000-0002-6258-5695
Hong, Yong Woo(홍용우)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147291
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links