Yüksel BEŞİR, Levent YILIK, Orhan GÖKALP, Mert KESTELLİ, Haydar YAŞA, Ali GÜRBÜZ, Ufuk YETKİN, İsmail YÜREKLİ

Kalp cerrahisinde taze donmuş plazma kullanımının ameliyat sonrası kan kreatinin değerleri üzerine etkisi

Amaç: Bu çalışmada taze donmuş plazma kullanımının ameliyat sonrası kan kreatininin değerleri üzerine etkisi incelendi. Çalışma planı: Ekim 2006 ile Mart 2009 tarihleri arasında koroner arter bypass ameliyatı (88 pompasız ve 72 pompalı) uygulanan toplam 160 hasta (49 kadın, 111 erkek; ort. yaş 61.5±10.7 yıl; dağılım 41-82 yıl) değerlendirildi. Bu hastalara gereksinime göre tam kan ya da taze donmuş plazma verildi. Bunun ardından, ameliyat öncesi ve sonrası serum kreatinin değerleri karşılaştırıldı. Bulgular: Sadece tam kan verilen pompasız hasta grubunda ameliyat sonrası serum kreatinin değerleri anlamlı olarak yükseldi. Tam kan ve taze donmuş plazma verilen pompasız grupta serum kreatinin değerleri anlamlı bir değişiklik göstermedi. Tam kan ve taze donmuş plazma verilen pompalı grupta ameliyat sonrası kreatinin değerleri anlamlı şekilde azaldı. Sonuç: Kalp cerrahisinde kullanılan taze donmuş plazma tam kana göre böbrek fonksiyonlarını bozmaz.

Effect of the use of fresh frozen plasma in cardiac surgery on the postoperative serum creatinine values

Background: In this study, we evaluated the effect of fresh frozen plasma use on postoperative serum creatinine values. Methods: A total number of 160 patients (49 females, 111 males; mean age 61.5±10.7 years; range 41 to 82 years) that underwent coronary artery bypass surgery (88 off-pump and 72 on-pump cases) between October 2006 and March 2009 were evaluated. Fresh frozen plasma or whole blood was administered to these patients as necessary. The preoperative and postoperative serum creatinine values were then compared. Results: The postoperative serum creatinine values were significantly increased in the off-pump patient group that received only whole blood. The postoperative serum creatinine values did not change significantly in the off-pump group that received both whole blood and fresh frozen plasma. In the on-pump group receiving whole blood and fresh frozen plasma, the postoperative creatinine values dropped significantly. Conclusion: In cardiac surgery, fresh frozen plasma does not impair renal functions when compared with whole blood.

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