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In 1996, Hartford Hospital became the first hospital in Connecticut to implement bloodless medicine and surgery techniques.
Through a multidisciplinary approach to patient care, complex procedures such as cardiac surgery, including off-bypass procedures, aortic aneurysm repair, total joint replacements and kidney transplants are performed by physician’s who specialize in techniques of non-blood management.
Hartford Hospital has adopted the most effective and aggressive techniques to reduce the need for blood replacement in all our patients and meet the needs of the community we serve. These include patients with religious and personal beliefs regarding blood transfusions. Our facility provides care with absolute respect of the patient’s rights of autonomy and self-determination.
Please be sure to discuss your decision to participate in bloodless medicine/surgery with your physician as soon as possible. Our goal is to provide you with the necessary resources and information when making your decision.
Medical and Surgical Techniques
Controlled Hypotension/Hypotensive anesthesia
Intentional and controlled lowering of blood pressure reduces bleeding by decreasing pressure on injured blood vessels and causing less disruption of newly formed clots.
Therapeutic introduction of either mechanical or chemical agents into blood vessels to occlude them. In emergencies, embolization can control active bleeding from a lacerated artery. This intervention may avoid general anesthesia and major surgery (postpartum hemorrhage, uterine fibroids, gastro-intestinal bleeding).
At the start of the surgical procedure some of the patient’s own blood is diverted through a closed circuit while intravenous fluids are given to replace blood volume. This technique dilutes the patient’s blood and reduces the amounts of blood cells and clotting factors lost during surgery.
This is a non-invasive monitoring of the oxygen level of blood.
Minimal volumes of blood samples are obtained for laboratory analysis.
Blood Conservation Devices & Equipment
(Devices which promote clotting)
A probe heated used to cut and coagulate capillary vessels and small arteries during surgical procedures.
A scalpel that uses sound waves to seal tissue as it cuts, used during surgery on vascular organs, such as the spleen or liver.
Argon Beam Coagulator
A device which uses argon gas to coagulate blood vessels to lessen bleeding.
Intraoperative blood salvage (Cell Saver)
The patient’s own blood is recovered, filtered, and returned during surgery.
Minimally Invasive Surgery
(Performed with specialized devices designed to use small incisions, minimizing blood loss; bleeding or other problems can be located, diagnosed, and treated without conventional open surgery).
Using a tube-like device, abdominal structures can be visualized through a small “keyhole” incision.
Using a flexible tube-like device a visual examination of the interior of the stomach, intestines, and other body cavities is possible.
(Stimulate blood cell growth and development)
Also known as PROCRIT, EPOGEN, or “EPO”; this medication stimulates the patient’s own bone marrow to produce red blood cells.
Synthetic Granulocyte-Colony Stimulating Factor
Also known as Neupogen, Filgastrim, or G-CSF; this medication stimulates the bone marrow to produce neutrophils, a specific infection-fighting white blood.
Medical Thrombopoietic agents
Drugs that stimulate the bone marrow to produce blood platelets that are needed for normal clotting.
(Promote clotting; can be given intravenously or applied topically)
Aminocaproic Acid and Tranexamic Acid
Medications given intravenously which slow or stop the breakdown of blood clots.
Intravenous fluids enhance the circulation of the patient’s own blood by maintaining adequate volume.