Akademik Veri Yönetim Sistemi
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.17, sa.4, ss.81-90, 2011 (Scopus)
Purpose: However experimental studies show that blood cardioplegia has a superiority than crystalloid cardioplegia in myocardial protection, clinical data is undetermined yet. There is no consensus on the selection of the cardioplegia type in open heart surgery nowadays. Materials and Methods: 107 patients which operated by on pump in 17 monthly period assessed retrospectively. Patients were divided in two group that using blood cardioplegia (Group1, n=72) and crystalloid cardioplegia (Group 2, n=35). At preoperative demographic distribution at operated patients; patients number, mean of age, EF (Ejection Fraction), male sex in group 1, Diabetes Mellitus (DM) and female sex group 2 found more expressive. Because of risk equilibrium is not maintained this situation can be seen the weak point of retrospective study. Results: In the end of the study postoperative bleeding volume (1077 mL), the revision rate due to bleeding (9 patients) and extubation time (345 min) in intensive, care unit were significantly higher in Group I (p<0.05), while the urine volume in postoperative day 1 (1831 mL) and the inotrop use (20%) were significantly higher in Group II (p<0.05). Conclusion: In open heart surgery, the crystalloid use cardioplegia were better than blood cardioplegia.