Contemporary practice and perception of autologous blood salvage in hepato-pancreatico-biliary operations: an international survey.
HPB (Oxford)
; 25(8): 898-906, 2023 08.
Article
em En
| MEDLINE
| ID: mdl-37117066
ABSTRACT
BACKGROUND:
This study aimed to assess contemporary knowledge, attitudes and behaviors around transfusion of intraoperative salvaged blood (sRBCt) during hepato-pancreatico-biliary (HPB) operations. Findings are meant to inform the design of future studies that address provider concerns to change behaviors and improve patient outcomes.METHODS:
A survey was designed and assessed for relevance, readability and content, and distributed to an international audience of surgeons performing HPB operations.RESULTS:
The 237 respondents were predominantly distributed across North America (37.55%), Europe (27.43%) and Asia (19.83%). Roughly one-half (52.74%) of respondents had used sRBCt in HPB surgery before. Transplantation surgeons were more likely than HPB surgeons to have previously used sRBCt [odds ratio = 5.18 (95% CI 1.89-14.20)]. More respondents believed sRBCt was safe for non-cancer versus cancer operations (68.57% vs. 24.17%, p < 0.0001). Less than half (45.71%) of respondents believed that sRBCt was safe in clean-contaminated fields. Most did not utilize preoperative strategies to avoid donor transfusion.CONCLUSION:
Practices related to sRBCt in HPB operations vary widely and there is no consensus on its use. Concerns seem primarily related to cancer-specific and infectious outcomes. While further studies are pursued, surgeons may increase their utilization of preoperative strategies to boost hemoglobin levels for at risk patients.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos do Sistema Digestório
/
Procedimentos Cirúrgicos do Sistema Biliar
/
Cirurgiões
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article