Patient Blood Management: Obstetrician, Gynecologist's Perspectives / 한양의대학술지
Hanyang Medical Reviews
; : 62-66, 2018.
Article
in En
| WPRIM
| ID: wpr-713729
Responsible library:
WPRO
ABSTRACT
Obstetricians and gynecologists frequently deal with hemorrhage so they should be familiar with management of patient blood management (PBM). We will review to summarize the alternative measures and interventions used in bloodless surgery in the field of obstetrics and gynecology. In the obstetric field, PBM has been developed as an evolving evidence-based approach with a number of key goals (i) to identify, evaluate, and manage anemia; (ii) reduce iatrogenic blood loss; (iii) optimize hemostasis; and (iv) establish decision thresholds for transfusion. Transfusion, mechanical method including balloon tamponade and uterine artery embolization, and intraoperative cell salvage were introduced for PBM. In the gynecologic field, PBM is not significantly different from that in the obstetric field. Preoperative managements include iron supplement, erythropoietin administration, autologous blood donation, and uterine artery embolization. Meticulous hemostasis, short operative time, hypotensive anesthetic techniques, hemodilution during operation, blood salvage and pharmacological agents were introduced to intraoperative management. Postoperative measures include meticulous postoperative monitoring of the patient, early detection of blood loss, reduction of blood sampling, appropriate use of hemopoiesis, normalization of cardio-pulmonary function and minimization of oxygen consumption. In conclusion, each obstetrician and gynecologist should be aware about the appropriate method for blood conservation and use in practice. A comprehensive approach to coordinating all members of the bloodless agent and surgical team is essential.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Oxygen Consumption
/
Blood Donors
/
Erythropoietin
/
Balloon Occlusion
/
Uterine Artery Embolization
/
Bloodless Medical and Surgical Procedures
/
Operative Time
/
Gynecology
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Hemodilution
/
Hemorrhage
Type of study:
Screening_studies
Limits:
Humans
Language:
En
Journal:
Hanyang Medical Reviews
Year:
2018
Type:
Article