Perioperative anemia and patient blood management in some open heart surgeries

When analyzing 171 medical records of patients of the Pirogov Center who underwent open heart surgery (coronary artery bypass grafting, valve replacement) in 2023-2024, it was found that during treatment (the average hospitalization period in a surgical hospital is 10.9±0.6 days), the average hemoglobin concentration decreases to 91.8±2.2 g/l in women and 100.9±2.5 g/l in men. The need for blood transfusion developed in 73.8% of women and 31.8% of men. 28.7% of patients received hardware reinfusion of autologous red blood cells, which in 53% of cases allowed to avoid allogeneic transfusion. 96.5% of patients received tranexamic acid and 22.2% - iron preparations. It is advisable to include the use of blood components, blood salvage and other patient blood management technologies in clinical guidelines and the standard of medical care for adult cardiac surgery patients.