Perioperative red blood cell transfusion requirement for various surgical procedures in dogs: 207 cases (2004–2013)

Haley, Adrienne L.; Mann, F. A.; Middleton, J.; Nelson, Courtney A.

doi:10.2460/javma.247.1.85

Cited by 9 publications

(5 citation statements)

References 17 publications

(27 reference statements)

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“…11,12 Evidence from studies conducted on animals undergoing thyroidectomy indicates poor survival rates among BT recipients. 13 Only around 0.11% of patients undergoing thyroidectomy require BT. 14 Due to this rarity, there is paucity of data on BT in thyroidectomy patients, and therefore, risk factors and outcomes of BT in this population remain unknown.…”

Section: Introductionmentioning

confidence: 99%

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A Comprehensive Assessment of Blood Transfusions in Elective Thyroidectomy Based on 180,483 Patients

et al. 2022

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Objectives To assess the incidence, risk factors, and complications of blood transfusions (BTs) in elective thyroidectomy patients. Methods A retrospective cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program. Adult patients who underwent elective thyroidectomy from 2005 to 2019 were divided into two cohorts based on whether they received BT or not. Multivariable binary logistic regression models were used to identify risk factors of BT and its impact on postoperative complications. Results Of 180,483 patients, 0.13% received BT. Risk factors for BT included underweight body mass index (BMI) (adjusted odds ratio [OR] 3.179, 95% confidence interval [CI] 1.444–6.996), bleeding disorders (OR 2.121, 95% CI 1.149–3.913), anemia (OR 4.730, 95% CI 3.472–6.445), preoperative transfusion (OR 7.230, 95% CI 1.454–35.946), American Society of Anesthesiology physical statuses 3–5 (OR 3.103, 95% CI 2.143–4.492), operative time >150 min (OR 4.390, 95% CI 1.996–9.654), and inpatient thyroidectomy (OR 5.791, 95% CI 3.816–8.787). In addition, transfusion was independently associated with any postoperative complication, non‐infectious, cardiac, pulmonary, renal, vascular, or infectious complications, surgical site infection, sepsis, septic shock, wound disruption, pneumonia, unplanned reoperation, prolonged length of stay, and mortality. Conclusion Recognition of risk factors of BT is imperative to identify at‐risk patients and reduce transfusions by controlling modifiable risk factors such as anemia, operative time, and BMI. In cases where transfusions are still indicated, surgeons should optimize care to prevent or adequately manage transfusion‐associated complications. Level of Evidence 3 Laryngoscope, 132:2078–2084, 2022

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Section: Introductionmentioning

confidence: 99%

“…Evidence from studies conducted on animals undergoing thyroidectomy indicates poor survival rates among BT recipients 13 . Only around 0.11% of patients undergoing thyroidectomy require BT 14 .…”

Section: Introductionmentioning

confidence: 99%

A Comprehensive Assessment of Blood Transfusions in Elective Thyroidectomy Based on 180,483 Patients

et al. 2022

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“…Furthermore, our study found that 36.3% (4/11) of dogs that received a blood product transfusion (two FFP, one WB and one pRBC) and 20% (1/5) of cats (pRBC) died, which may be consistent with the previous literature. Haley et al (2015) found blood product transfusion to be a negative prognostic indicator and Hanson et al (2017) showed that the mortality rate was significantly higher in dogs requiring a blood transfusion. Future large, multi-institutional prospective studies looking at transfusion types, indications, and outcomes in dogs and cats undergoing pancreatic surgery are necessary to help determine the true significance of transfusions.…”

Section: Discussionmentioning

confidence: 99%

“…Haley et al . (2015) found blood product transfusion to be a negative prognostic indicator and Hanson et al . (2017) showed that the mortality rate was significantly higher in dogs requiring a blood transfusion.…”

Section: Discussionmentioning

confidence: 99%

Perioperative outcomes in dogs and cats undergoing pancreatic surgery: 81 cases (2008‐2019)

Wolfe

Moore

Jeyakumar

2022

J of Small Animal Practice

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Objectives To identify and describe the type and frequency of perioperative factors in dogs and cats undergoing pancreatic surgery under referral care. Methods Medical records from a small animal surgical referral practice were retrospectively reviewed to identify dogs and cats that underwent pancreatic surgery between 2008 and 2019. Inclusion criteria included complete medical record, histopathology results and follow‐up of at least 14 days postoperatively or until death. Variables collected included signalment, history, presenting complaint, preoperative diagnostic results, intraoperative complications, surgical findings/procedures, postoperative complications and histopathology results. Cases were excluded if pertinent information or a histopathology report was missing from the medical record. The frequency of these variables was reported. Results There were 81 client‐owned animals identified that met the inclusion criteria (57 dogs and 24 cats). The most common pancreatic procedure performed in dogs was partial pancreatectomy 63.2% (36/57) and in cats was pancreatic biopsy 62.5% (15/24). The most common histologic diagnosis in dogs was pancreatic islet cell carcinoma 50.9% (29/57) and in cats was pancreatitis 41.7% (10/24). The overall mortality rate was 13.6% (11/81), with a 10.5% (6/57) mortality rate in dogs and a 20.8% (5/24) mortality rate in cats. Clinical Significance In this series of dogs and cats, pancreatic surgery under referral care carried a low to moderate mortality rate.

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“…That is, as an adjunct to direct suction intraoperatively to maximize recovery. Haley et al found that dogs undergoing liver lobectomy and splenectomy are statistically more likely to require transfusion perioperatively 22 . In these situations, autotransfusion following cell salvage would be particularly valuable intraoperatively and would avoid the challenges of logistics and availability of allogeneic blood products.…”

Section: Discussionmentioning

confidence: 99%

Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

et al. 2022

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Objective To determine the ability of a cell salvage device to recover canine erythrocytes by direct aspiration of diluted packed red blood cells (pRBC) and saline rinse from blood‐soaked surgical swabs. Study design Experimental study. Sample population Twelve recently expired units of canine pRBC. Methods pRBC units donated from a pet blood bank (after quality analysis) were diluted with anticoagulant, divided into two equal aliquots, and subsequently harvested by direct suction (Su), or soaked into swabs, saline‐rinsed and suctioned (Sw). The volume of product, manual packed cell volume (PCV), and red blood cell mass (rbcM) were measured and compared before and after salvaging. The rbcM recovery was recorded as percentage ([rbcM post salvage]/[rbcM presalvage]x100). Statistical analysis of all measured values was performed (significance p < .05). Results No difference was detected between pre‐ and post‐salvage PCV or mean rise of PCV for either group. The volume of salvaged blood was 143 ml (SD ± 2.89 ml; Su) and 139.83 ml (SD ± 3.30 ml; Sw), p < .001. The average rbcM recovered was 88.43% (Su) and 84.74%. (Sw) averaged 84.74% (p = .015). Blood type and order of processing did not influence recovery. Conclusion The tested cell saver device reliably salvages canine blood in this ex vivo setting. Cell salvage via direct suction produces higher volumes of salvaged blood than rinsing blood‐soaked swabs and salvaging the flush. Clinical significance Washing blood‐saturated surgical swabs results in a high harvest of red blood cells. The authors recommend it as an adjunct to direct suction to maximize erythrocyte recovery.

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Perioperative red blood cell transfusion requirement for various surgical procedures in dogs: 207 cases (2004–2013)

Abstract: Results indicated that dogs undergoing splenectomy and liver lobectomy may require RBC transfusion perioperatively. Veterinarians who perform these procedures should plan accordingly and have packed RBCs or whole blood donors readily available.

Cited by 9 publications

References 17 publications

A Comprehensive Assessment of Blood Transfusions in Elective Thyroidectomy Based on 180,483 Patients

A Comprehensive Assessment of Blood Transfusions in Elective Thyroidectomy Based on 180,483 Patients

Perioperative outcomes in dogs and cats undergoing pancreatic surgery: 81 cases (2008‐2019)

Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes

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