Bloodless (liver) surgery? The anesthetist's view
| Autor: | C. Pieter Henny, Jan Hofland |
|---|---|
| Přispěvatelé: | Anesthesiology, Amsterdam Cardiovascular Sciences, Other Research |
| Rok vydání: | 2007 |
| Předmět: |
Liver surgery
medicine.medical_specialty PubMed MEDLINE Blood Loss Surgical Perioperative Care Surgical methods Blood loss Medicine Hepatectomy Humans Anesthesia Intensive care medicine Postoperative Care Hemodilution Blood conservation business.industry Gastroenterology Transfusion Reaction Surgical procedures Hemostasis Surgical Hemostasis Surgical Procedures Operative Practice Guidelines as Topic Surgery Isotonic Solutions business Autotransfusion |
| Zdroj: | Digestive surgery, 24(4), 265-273. S. Karger AG |
| ISSN: | 0253-4886 |
| Popis: | Background/Aims: An increasing amount of literature concerning blood conservation, restrictive transfusion strategies, pharmacological manipulation of the hemostatic and fibrinolytic systems, minimal invasive surgery, local hemostatic agents and guidelines for blood transfusion, is being published each year. Is ‘bloodless (liver) surgery’ or rather minimization of perioperative blood loss and transfusion requirement necessary? Methods: To answer this question, we studied key articles and checked cross-references with the support of PubMed and the Cochrane Database of systematic reviews. Results: At present there is still a need to reduce the use of blood. Pre-donation, set of transfusion triggers, (non-)pharmacological approaches to decrease surgical blood loss, hemodilution techniques, peri- and postoperative cell salvage and postoperative re-transfusion can contribute to the success of a bloodless (liver) surgery program. Conclusion: We conclude that a multidisciplinary effort has to be made through the entire chain, from the outpatient clinic through discharge from the hospital, with the utmost exertion of all team members in which surgeons play a key role in the adaptation of a bloodless (liver) surgery program to the specific needs of patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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