PERIOPERATIVE USE OF BLOOD COMPONENTS DURING HEART, LUNG AND PANCREAS-KIDNEY TRANSPLANTATION FROM BRAIN-DEAD DONORS

Perioperative blood use for 15 organ transplantations from brain-dead donors performed at Osaka University Hospital during 1999 and 2002 was reviewed. Seven heart transplantations were performed with a median blood component use of 105 units, which consisted of 32 (range, 14-41) units of red cell component (MAP), 34 (range, 10-56) units of fresh-frozen plasma (FFP), and 39 (range, 0-95) units of platelet concentrates (PC). Five lung transplantations were done with a median blood component use of 51 units, which consisted of 18 (range, 4-41) units of MAP, 17 (range, 0-44) units of FFP, and 16 (range, 0-35) units of PC, and 3 pancreas-kidney transplantations were done with a median use of 8 units, which consisted of 5 (range, 4-8) units of MAP and 3 units of FFP. As far as possible, CMV-negative blood components were supplied irrespective of CMV status of donor or recipient. These data should be useful in the planning of perioperative blood order schedules for organ transplantation from brain-dead donors.