Blood transfusion in the surgical treatment of adolescent idiopathic scoliosis-a single-center experience of patient blood management in 210 cases
| Autor: | Pär I. Johansson, Naeem Bukhari, Jakob Stensballe, Casper Dragsted, Benny Dahl, Jesper Dirks, Martin Gehrchen, Søren Ohrt-Nissen |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Resuscitation
medicine.medical_specialty Blood management Blood transfusion Anemia business.industry medicine.medical_treatment Immunology Hematology Perioperative Odds ratio medicine.disease Surgery Permissive hypotension 03 medical and health sciences 0302 clinical medicine medicine Immunology and Allergy 030212 general & internal medicine business 030217 neurology & neurosurgery Tranexamic acid medicine.drug |
| Zdroj: | Transfusion. 57:1808-1817 |
| ISSN: | 0041-1132 |
| DOI: | 10.1111/trf.14137 |
| Popis: | BACKGROUND The surgical treatment of adolescent idiopathic scoliosis can be associated with substantial blood loss, requiring allogeneic red blood cell (RBC) transfusion. This study describes the use of RBC and the effect of a standardized perioperative patient blood management program. STUDY DESIGN AND METHODS Patients treated with posterior instrumented fusion were consecutively enrolled over a 6-year period. Patient blood management strategies were implemented in 2011, including prophylactic tranexamic acid, intraoperative permissive hypotension, restrictive fluid therapy (including avoidance of synthetic colloids), restrictive RBC trigger according to institutional standardized protocol, the use of cell savage, and goal-directed therapy according to thrombelastography. RESULTS In total, 210 patients were included. 64 patients (31%) received RBC transfusions. A decline in the intraoperative rate of RBC transfusion was observed, from 77% in 2011 to 13% in 2016 (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text