Impact of Blood Product Administration in Cardiovascular Surgery Patients: Center Experience

Objective: Blood transfusion is a frequent intervention in cardiovascular surgeries.However, the timing of transfusion-whether during surgery or postoperatively in the intensive care unit (ICU)-may have distinct implications for patient outcomes.This study investigates how the timing of blood product administration affects extubation time, ICU length of stay, postoperative drainage volume, cardiac and renal parameters, hemodynamic support requirements, and ICU rhythm disturbances.Method: This retrospective cohort study included adult patients who underwent coronary artery bypass grafting or valve surgery.Patients were grouped based on whether they received blood products intraoperatively or during ICU follow-up.Statistical analyses included t-tests, chi-square tests, and descriptive comparisons.Results: Intraoperative transfusions were associated with shorter extubation times but longer ICU stays and higher drainage volumes.In contrast, ICU transfusions correlated with delayed extubation, higher mortality, more frequent non-sinus rhythms, and increased need for hemodynamic support.These findings highlight a clear temporal distinction in risk profiles associated with transfusion timing. Conclusion:The timing of blood product administration significantly affects postoperative outcomes.Intraoperative transfusions may address Ama: Kardiyovaskler cerrahilerde sk uygulanan kan transfzyonlarnn, uygulama zamanna gre [(intraoperatif vs. youn bakm nitesi (YB)] klinik sonular zerindeki etkileri farkllk gsterebilir.Bu almada, transfzyon zamanlamasnn ekstbasyon sresi, YB'de kal sresi, postoperatif drenaj hacmi, kardiyak ve renal parametreler, hemodinamik destek ihtiyac ve YB ritim deiiklikleri zerindeki etkileri aratrlmtr.Yntem: Bu retrospektif kohort almaya, koroner arter bypass greftleme veya kalp kapa cerrahisi geiren erikin hastalar dahil edildi