Blood-loss Management in Spine Surgery
Substantial blood loss during spine surgery can result in increased patient morbidity and mortality. Proper preoperative planning and communication with the patient, anesthesia team, and operating room staff can lessen perioperative blood loss. Advances in intraoperative antifibrinolytic agents and...
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| Veröffentlicht in: | Journal of the American Academy of Orthopaedic Surgeons 2018-01, Vol.26 (2), p.35-44 |
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| container_end_page | 44 |
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| container_issue | 2 |
| container_start_page | 35 |
| container_title | Journal of the American Academy of Orthopaedic Surgeons |
| container_volume | 26 |
| creator | Bible, Jesse E. Mirza, Muhammad Knaub, Mark A. |
| description | Substantial blood loss during spine surgery can result in increased patient morbidity and mortality. Proper preoperative planning and communication with the patient, anesthesia team, and operating room staff can lessen perioperative blood loss. Advances in intraoperative antifibrinolytic agents and modified anesthesia techniques have shown promising results in safely reducing blood loss. The surgeon’s attention to intraoperative hemostasis and the concurrent use of local hemostatic agents also can lessen intraoperative bleeding. Conversely, the use of intraoperative blood salvage has come into question, both for its potential inability to reduce the need for allogeneic transfusions as well as its cost-effectiveness. Allogeneic blood transfusion is associated with elevated risks, including surgical site infection. Thus, desirable transfusion thresholds should remain restrictive. |
| doi_str_mv | 10.5435/JAAOS-D-16-00184 |
| format | Article |
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Proper preoperative planning and communication with the patient, anesthesia team, and operating room staff can lessen perioperative blood loss. Advances in intraoperative antifibrinolytic agents and modified anesthesia techniques have shown promising results in safely reducing blood loss. The surgeon’s attention to intraoperative hemostasis and the concurrent use of local hemostatic agents also can lessen intraoperative bleeding. Conversely, the use of intraoperative blood salvage has come into question, both for its potential inability to reduce the need for allogeneic transfusions as well as its cost-effectiveness. Allogeneic blood transfusion is associated with elevated risks, including surgical site infection. 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Proper preoperative planning and communication with the patient, anesthesia team, and operating room staff can lessen perioperative blood loss. Advances in intraoperative antifibrinolytic agents and modified anesthesia techniques have shown promising results in safely reducing blood loss. The surgeon’s attention to intraoperative hemostasis and the concurrent use of local hemostatic agents also can lessen intraoperative bleeding. Conversely, the use of intraoperative blood salvage has come into question, both for its potential inability to reduce the need for allogeneic transfusions as well as its cost-effectiveness. Allogeneic blood transfusion is associated with elevated risks, including surgical site infection. 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| fulltext | fulltext |
| identifier | ISSN: 1067-151X |
| ispartof | Journal of the American Academy of Orthopaedic Surgeons, 2018-01, Vol.26 (2), p.35-44 |
| issn | 1067-151X 1940-5480 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1989537558 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Blood Loss, Surgical - prevention & control Hemostasis, Surgical - methods Humans Orthopedic Procedures Perioperative Care - methods Spine - surgery |
| title | Blood-loss Management in Spine Surgery |
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