During the first 5 years (1981)(1982)(1983)(1984)(1985) of the liver transplantation program in Pittsburgh, a total (preoperative, intraoperative, and postoperative) of 18,668 packed red cell units, 23,627 fresh-frozen plasma units, 20,590 platelet units, and 4241 cryoprecipitate units was transfused for the procedures. This represents 3 to 9 percent of the total of blood products supplied by the Central Blood Bank to its 32 member hospitals. Six hundred thirty-six (636) transplants were performed on 485 patients in two hospitals: the Presbyterian University Hospital (564 beds) and Children's Hospital of Pittsburgh (236 beds). All of the blood components used in the operations were procured and released by the Central Blood Bank. This report describes some of these findings.The Development of liver transplantation (LTx) programs in recent years has put new demands on blood banks and transfusion services, which must devise means of coping with this new challenge. The Central Blood Bank of Pittsburgh (CBB) provides blood product support for 32 member hospitals. Two of these hospitals, Presbyterian University Hospital (PUH, 564 beds) and Children's Hospital of Pittsburgh (CHP, 236 beds) began doing liver transplants in 1981. The results of this experiment are reported here. Study ResultsFigure 1 divides the numbers of operations done in Pittsburgh by 1) the year of transplantation, 2) the hospital, and 3) the number of transplantations per patient. The numbers increased almost exponentially. Table 1 shows that, during the first 5 years, 290 adults and 195 children underwent 626 LTx. Of these, 61 adults and 54 children received two livers, and 15 adults and 11 children received three livers. Table 2 shows the components used preoperatively, intraoperatively, and postoperatively. Most packed red cells (RBCs) (64%) and cryoprecipitate (86%) were used intraoperatively. Slightly more than one-half of the fresh-frozen plasma (FFP) and less than one-half of the platelets were used in the operating room. Table 2 also compares the total number of components used for © J. B. Lippincott Co.
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