"5"^^ . . "Po\u017Eadavky na krevn\u00ED transfuzi v kardiochirurgii jsou z historick\u00E9ho hlediska prom\u011Bnliv\u00E9, ale obecn\u011B vysok\u00E9. Za 50 let rozvoje srde\u010Dn\u00ED chirurgie pr\u016Fm\u011Brn\u00E1 spot\u0159eba krevn\u00EDch p\u0159\u00EDpravk\u016F v\u00FDznamn\u011B klesla, ale v posledn\u00ED dek\u00E1d\u011B byla zaznamen\u00E1na ur\u010Dit\u00E1 tendence k vzestupu. P\u0159\u00ED\u010Dinou je hlavn\u011B nar\u016Fstaj\u00EDc\u00ED po\u010Det reoperac\u00ED plus operac\u00ED u velmi star\u00FDch, polymorbidn\u00EDch pacient\u016F s krv\u00E1civ\u00FDmi komplikacemi. N\u00E1\u0161 p\u0159\u00EDstup obsahuje multimod\u00E1ln\u00ED strategii z\u00E1chrtany pacientovy krve, kter\u00E1 sah\u00E1 od p\u0159edopera\u010Dn\u00ED p\u0159\u00EDpravy p\u0159es chirurgick\u00E9 a atotransfuzn\u00ED techniky, farmakologickou intervenci a\u017E po udr\u017Een\u00ED homeost\u00E1zy. Pod\u00E1n\u00ED krevn\u00ED transfuze z\u016Fst\u00E1v\u00E1 \u017Eivot zachra\u0148uj\u00EDc\u00EDm opat\u0159en\u00EDm navzdory \u0159ad\u011B \u00FAskal\u00ED. Na\u0161e sou\u010Dasn\u00E9 postupy umo\u017E\u0148uj\u00ED prov\u00E9st srde\u010Dn\u00ED operaci bez pod\u00E1n\u00ED ciz\u00ED krevn\u00ED transfuze (bezkrevn\u00ED operaci) u 60% pacient\u016F a v tomto sm\u011Bru lze p\u0159edpokl\u00E1dat dal\u0161\u00ED pozitivn\u00ED v\u00FDvoj." . "5-6" . "In cardiac surgery, demand for blood transfusion, while historically variable, has been generally high. During the 50 years of evolution of cardiac surgery, average use of transfusion has decreased significantly, but there has been a trend toward a rise in the last decade. The causes are mainly the increasing number of reoperations and procedures in elderly, polymorbid patients with bleeding complications. Our approach involves a multimodal policy of patient\u00B4s blood salvation extending from preoperative preparation, through surgery and recuperation procedures up to homeostasis maintenance. Despite numerous problems, blood bank transfusion remains a life saving step. Our current blood conservation policy allows for cardiac surgery without blood bank transfusion (bloodless procedure) in 60% patients and further improvement can be expected."@en . "267353" . . "Po\u017Eadavky na krevn\u00ED transfuzi v kardiochirurgii jsou z historick\u00E9ho hlediska prom\u011Bnliv\u00E9, ale obecn\u011B vysok\u00E9. Za 50 let rozvoje srde\u010Dn\u00ED chirurgie pr\u016Fm\u011Brn\u00E1 spot\u0159eba krevn\u00EDch p\u0159\u00EDpravk\u016F v\u00FDznamn\u011B klesla, ale v posledn\u00ED dek\u00E1d\u011B byla zaznamen\u00E1na ur\u010Dit\u00E1 tendence k vzestupu. P\u0159\u00ED\u010Dinou je hlavn\u011B nar\u016Fstaj\u00EDc\u00ED po\u010Det reoperac\u00ED plus operac\u00ED u velmi star\u00FDch, polymorbidn\u00EDch pacient\u016F s krv\u00E1civ\u00FDmi komplikacemi. N\u00E1\u0161 p\u0159\u00EDstup obsahuje multimod\u00E1ln\u00ED strategii z\u00E1chrtany pacientovy krve, kter\u00E1 sah\u00E1 od p\u0159edopera\u010Dn\u00ED p\u0159\u00EDpravy p\u0159es chirurgick\u00E9 a atotransfuzn\u00ED techniky, farmakologickou intervenci a\u017E po udr\u017Een\u00ED homeost\u00E1zy. Pod\u00E1n\u00ED krevn\u00ED transfuze z\u016Fst\u00E1v\u00E1 \u017Eivot zachra\u0148uj\u00EDc\u00EDm opat\u0159en\u00EDm navzdory \u0159ad\u011B \u00FAskal\u00ED. Na\u0161e sou\u010Dasn\u00E9 postupy umo\u017E\u0148uj\u00ED prov\u00E9st srde\u010Dn\u00ED operaci bez pod\u00E1n\u00ED ciz\u00ED krevn\u00ED transfuze (bezkrevn\u00ED operaci) u 60% pacient\u016F a v tomto sm\u011Bru lze p\u0159edpokl\u00E1dat dal\u0161\u00ED pozitivn\u00ED v\u00FDvoj."@cs . "0010-8650" . "Krevn\u00ED transfuze a z\u00E1chrana krve v kardiochirurgii"@cs . . "blood bank transfusion; blood conservation; recuperation; bloodless operation"@en . . . . . . . . "RIV/00209775:_____/10:#0000131!RIV11-MZ0-00209775" . . "Wagner, Robert" . . . "[F72F98870E63]" . "CZ - \u010Cesk\u00E1 republika" . "Blood bank transfusion and blood salvation in cardiac surgery"@en . "Cor et Vasa" . "Blood bank transfusion and blood salvation in cardiac surgery"@en . "RIV/00209775:_____/10:#0000131" . "Krevn\u00ED transfuze a z\u00E1chrana krve v kardiochirurgii" . "56" . . "V" . "Krevn\u00ED transfuze a z\u00E1chrana krve v kardiochirurgii" . "1"^^ . "Krevn\u00ED transfuze a z\u00E1chrana krve v kardiochirurgii"@cs . . "1"^^ .