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A comparison of conservative and aggressive transfusion regimens in the perioperative management of sickle cell disease

Article Abstract:

Moderate blood transfusion of surgical sickle-cell-anemia patients may be as effective as heavy transfusion in preventing surgical complications. Furthermore, moderate transfusion may be less likely to cause transfusion complications. Researchers followed a moderate transfusion protocol with 301 surgical sickle-cell-patients, and heavy transfusion protocol with 303 surgical, sickle-cell-patients. Both transfusion protocols aimed to maintain a hemoglobin level of 10 grams/deciliter, but the heavy protocol also aimed to keep hemoglobin S levels below 30%. The rate of serious surgical complications was 35% in the moderate transfusion group and 31% in the heavy transfusion group. However, the rate of transfusion complications was 7% in the moderate transfusion group and 14% in the heavy transfusion group. Thus, moderate transfusion resulted in half as many transfusion complications as heavy transfusion.

Author: Black, Dennis, Koshy, Mabel, Abboud, Miguel, Pegelow, Charles, Vichinsky, Elliot P., Haberkern, Charles M., Neumayr, Lynne, Earles, Ann Noonan, Ohene-Frempong, Kwaku, Iyer, Rathi V.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1995
Health aspects, Surgery, Blood transfusion

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Pulmonary hypertension as a risk factor for death in patients with sickle cell disease

Article Abstract:

A study was conducted with 82 men and 113 women for a period of 18 months, to understand the prevalence of pulmonary hypertension in adults with sickle cell disease. The developmental mechanism and prognostic significance using Doppler echocardiography therapeutic trials are highlighted along with the results.

Author: Blackwelder, William C., Ognibene, Frederick P., Rodgers, Griffin P., Castro, Oswaldo, Plehn, Jonathan F., Gladwin, Mark T., Sachdev, Vandana, Jison, Maria L., Shizukuda, Yukitaka, Minter, Karin, Brown, Bernice, Coles, Wynona A., Ernst, Inez, Hunter, Lori A., Schecter, Alan N.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2004
Risk factors

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Pulmonary hypertension in sickle cell disease

Article Abstract:

The study revealed that sickle cell disease is complicated by pulmonary hypertension in about one third of adult patients. The two most common causes of death in patients with sickle cell disease are pulmonary hypertension and chronic lung disease.

Author: Vichinsky, Elliot P.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2004
Lung diseases

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Subjects list: Sickle cell anemia, Research, United States, Diagnosis, Pulmonary hypertension
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