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Volume 352:731 February 17, 2005 Number 7
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Pump Priming in Heart Surgery in Infants

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 by Mou, S. S.
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To the Editor: Mou and associates (Oct. 14 issue)1 report that the use of fresh whole blood for pump priming in cardiopulmonary bypass surgery in infants had no advantage over the use of reconstituted whole blood (a combination of red cells and fresh-frozen plasma). Indeed, priming with fresh whole blood was associated with an increased time in the intensive care unit and fluid overload. Since products from two donors were required to prepare reconstituted whole blood, the use of fresh whole blood reduced donor exposure. The authors suggest the extra exposure associated with reconstituted whole blood could be eliminated with . . . [Full Text of this Article]




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