Cardiothoracic & vascular anesthesia

Effect of using smaller blood volume tubes and closed blood collection devices on total blood loss in patients undergoing major cardiac and vascular surgery

Can J AnaesthPublished Observational cohort study

Authors' conclusion

Diagnostic laboratory tests are associated with significant patient blood loss, but are a modifiable risk factor. The use of small-volume tubes and closed blood collection devices decreases the volume of patient blood drawn for analysis and prevents blood waste.

Study context

Population
Consecutive adults (≥ 18 yr) undergoing major cardiac or vascular surgery
Participants
400 adults
Exposure
Cardiac surgery vs Vascular surgery
Outcome
Daily phlebotomy volume (total blood loss due to phlebotomy)
Follow-up
During hospitalization
Methodological detailsconsecutive patients, estimation of blood saved with small-volume tubes and closed blood collection devices
  • Consecutive patients
  • Estimation of blood saved with small-volume tubes and closed blood collection devices

Main finding

As reported in the abstract

Mean total phlebotomy blood loss, standard-volume tubes, by hospital length of stay (LOS)

Observational data: associations, not effects.

Further findings

Mean phlebotomy blood loss by ICU stay

Blood loss reduction with closed blood collection device and small-volume tubes (serum, ethylenediaminetetraacetic acid (EDTA), sodium citrate coagulation (SCC), arterial blood gas (ABG))

Reduction, ICU stay of 2 days
82.8 mL
Reduction, ICU stay of ≥ 11 days
up to 824.0 mL
  • Estimated

Original publication

Effect of using smaller blood volume tubes and closed blood collection devices on total blood loss in patients undergoing major cardiac and vascular surgery. Can J Anaesth. Published 8 January 2024. doi:10.1007/s12630-023-02643-8

Composed by AI from the published abstract and checked against it. How Briefs are made →

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