Strategies to prevent blood loss and reduce transfusion in emergency general surgery, WSES-AAST consensus paper.
World J Emerg Surg
; 19(1): 26, 2024 Jul 16.
Article
en En
| MEDLINE
| ID: mdl-39010099
ABSTRACT
Emergency general surgeons often provide care to severely ill patients requiring surgical interventions and intensive support. One of the primary drivers of morbidity and mortality is perioperative bleeding. In general, when addressing life threatening haemorrhage, blood transfusion can become an essential part of overall resuscitation. However, under all circumstances, indications for blood transfusion must be accurately evaluated. When patients decline blood transfusions, regardless of the reason, surgeons should aim to provide optimal care and respect and accommodate each patient's values and target the best outcome possible given the patient's desires and his/her clinical condition. The aim of this position paper was to perform a review of the existing literature and to provide comprehensive recommendations on organizational, surgical, anaesthetic, and haemostatic strategies that can be used to provide optimal peri-operative blood management, reduce, or avoid blood transfusions and ultimately improve patient outcomes.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Transfusión Sanguínea
/
Consenso
Límite:
Humans
Idioma:
En
Revista:
World J Emerg Surg
/
World j. emerg. surg
/
World journal of emergency surgery
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia