Strategies to prevent blood loss and reduce transfusion in emergency general surgery, WSES-AAST consensus paper

被引：0

作者：

Coccolini, Federico ^{[1
]}

Shander, Aryeh ^{[2
]}

Ceresoli, Marco ^{[3
]}

Moore, Ernest ^{[4
]}

Tian, Brian ^{[5
]}

Parini, Dario ^{[6
]}

Sartelli, Massimo ^{[7
]}

Sakakushev, Boris ^{[8
]}

Doklestich, Krstina ^{[9
]}

Abu-Zidan, Fikri ^{[10
]}

Horer, Tal ^{[11
]}

Shelat, Vishal ^{[12
]}

Hardcastle, Timothy ^{[13
,14
]}

Bignami, Elena ^{[15
]}

Kirkpatrick, Andrew ^{[16
]}

Weber, Dieter ^{[17
]}

Kryvoruchko, Igor ^{[18
]}

Leppaniemi, Ari ^{[19
]}

Tan, Edward ^{[20
]}

Kessel, Boris ^{[21
]}

Isik, Arda ^{[22
]}

Cremonini, Camilla ^{[1
]}

Forfori, Francesco ^{[23
]}

Ghiadoni, Lorenzo ^{[24
]}

Chiarugi, Massimo ^{[1
]}

Ball, Chad ^{[25
]}

Ottolino, Pablo ^{[26
]}

Hecker, Andreas ^{[27
]}

Mariani, Diego ^{[28
]}

Melai, Ettore ^{[23
]}

Malbrain, Manu ^{[29
]}

Agostini, Vanessa ^{[30
]}

Podda, Mauro ^{[31
]}

Picetti, Edoardo ^{[32
]}

Kluger, Yoram ^{[33
]}

Rizoli, Sandro ^{[34
]}

Litvin, Andrey ^{[35
]}

Maier, Ron ^{[36
]}

Beka, Solomon Gurmu ^{[37
]}

De Simone, Belinda ^{[38
]}

Bala, Miklosh ^{[39
]}

Perez, Aleix Martinez ^{[40
]}

Ordonez, Carlos ^{[41
]}

Bodnaruk, Zenon ^{[42
]}

Cui, Yunfeng ^{[43
]}

Calatayud, Augusto Perez ^{[44
]}

de Angelis, Nicola ^{[45
]}

Amico, Francesco ^{[46
]}

Pikoulis, Emmanouil ^{[47
]}

Damaskos, Dimitris ^{[48
]}

机构：

[1] Pisa Univ Hosp, Gen Emergency & Trauma Surg Dept, Via Paradisia, I-56124 Pisa, Italy

[2] Rutgers State Univ, Anesthesiol & Crit Care, Newark, NJ USA

[3] Monza Univ Hosp, Gen Emergency & Trauma Surg Dept, Monza, Italy

[4] Univ Colorado, Ernest E Moore Shock Trauma Ctr, Denver, CO USA

[5] Cesena Hosp, Gen Emergency & Trauma Surg Dept, Cesena, Italy

[6] Rovigo Hosp, Gen Surg Dept, Rovigo, Italy

[7] Macerata Hosp, Gen Surg Dept, Macerata, Italy

[8] Med Univ, Gen Surg Dept, Univ Hosp St George, Plovdiv, Bulgaria

[9] Univ Clin Ctr Serbia, Clin Emergency Surg, Belgrade, Serbia

[10] United Arab Emirates Univ, Coll Med & Hlth Sci, Res Off, Al Ain, U Arab Emirates

[11] Orebro Med Ctr Hosp, Vasc & Trauma Surg, Orebro, Sweden

[12] Tan Tock Seng Hosp, Dept Gen Surg, Singapore, Singapore

[13] Univ KwaZulu Natal, Inkosi Albert Luthuli Cent Hosp, Dept Trauma & Burns, Durban, South Africa

[14] Univ KwaZulu Natal, Dept Surg Sci, Durban, South Africa

[15] Parma Univ Hosp, Anesthesia Dept, Parma, Italy

[16] Foothills Med Ctr, Gen Acute Care Abdominal Wall Reconstruct & Trauma, Calgary, AB, Canada

[17] Royal Perth Hosp, Dept Gen Surg, Perth, Australia

[18] Kharkiv Natl Med Univ, Dept Surg 2, Kharkiv, Ukraine

[19] Melahiti Hosp, Gen Surg Dept, Helsinki, Finland

[20] Radboud Med Ctr, Emergency Surg Dept, Nijmegen, Netherlands

[21] Rappaport Med Sch, Hillel Yaffe Med Ctr, Haifa, Israel

[22] Istanbul Medeniyet Univ, Sch Med, Div Gen Surg, Kadikoy, Istanbul, Turkiye

[23] Pisa Univ Hosp, ICU Dept, Pisa, Italy

[24] Pisa Univ Hosp, Emergency Med Dept, Pisa, Italy

[25] Foothills Med Ctr, Trauma & Acute Care Surg, Calgary, AB, Canada

[26] Hosp Dr Sotero del Rio, Unidad Trauma & Urgencias, Santiago, Chile

[27] Univ Hosp Giessen, Dept Gen Thorac & Transplant Surg, Giessen, Germany

[28] Legnano Gen Hosp, Gen Surg Dept, Legnano, Italy

[29] Med Univ Lublin, Dept Anesthesiol & Intens Therapy 1, Lublin, Poland

[30] IRCCS Osped Policlin San Martino, Med Trasfus, Genoa, Italy

[31] Univ Cagliari, Dept Surg Sci, Cagliari, Italy

[32] Parma Univ Hosp, Dept Anesthesia & Intens Care, Parma, Italy

[33] Rambam Med Ctr, Gen Emergency & Trauma Surg Dept, Tel Aviv, Israel

[34] Hamad Gen Hosp, Trauma Surg, Doha, Qatar

[35] Gomel State Med Univ, Univ Clin, Dept Surg Dis 3, Gomel, BELARUS

[36] Univ Washington, Harborview Med Ctr, Seattle, WA USA

[37] Ethiopian Air Force, Emergency Surg, Bishoftu, Ethiopia

[38] Infermi Hosp, Dept Digest & Emergency Surg, Rimini, Italy

[39] Hadassah Med Ctr, Trauma & Acute Care Surg Unit, Dept Gen Surg, Jerusalem, Israel

[40] Valencian Int Univ VIU, Fac Hlth Sci, Valencia, Spain

[41] Fdn Valle Lili, Dept Surg, Div Trauma & Acute Care Surg, Cali, Colombia

[42] Hosp Informat Serv Jehovahs Witnesses, Tuxedo Pk, NY USA

[43] Tianjin Med Univ, Tianjin Nankai Hosp, Nankai Clin Sch Med, Dept Surg, Tianjin, Peoples R China

[44] Hosp Gen Mexico Dr Eduardo Liceaga, Crit Care Div, Mexico City, Mexico

[45] Ferrara Univ Hosp, Gen Surg Dept, Ferrara, Italy

[46] Univ Newcastle, Discipline Surg, Newcastle, Australia

[47] Natl & Kapodistrian Univ Athens NKUA, Attikon Gen Hosp, Dept Surg 3, Athens, Greece

[48] Edinburgh Hosp, Gen Surg Dept, Edinburgh, Scotland

[49] Riverside Univ, Hlth Syst Med Ctr, Gen Surg Dept, Loma Linda, CA USA

[50] Grenoble Univ Hosp, Gen Surg Dept, Grenoble, France

来源：

WORLD JOURNAL OF EMERGENCY SURGERY | 2024年 / 19卷 / 01期

关键词：

Blood management; Mortality; Morbidity; Policy; Management; Jehovah's witnesses; Religion; Refusal; Optimization; DAMAGE CONTROL RESUSCITATION; MILD PERIOPERATIVE HYPOTHERMIA; TOTAL KNEE ARTHROPLASTY; VON-WILLEBRAND DISEASE; TRANEXAMIC ACID; CELL SALVAGE; TOTAL HIP; DELIBERATE HYPOTENSION; ORTHOPEDIC-SURGERY; TRAUMA PATIENTS;

D O I：

10.1186/s13017-024-00554-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页数：18

共 25 条

[21] Early Intraoperative Blood Conservation Strategies Can Reduce Rates of Off-Pump Red Blood Cell (RBC) Transfusion in On-Pump Coronary Artery Bypass Graft Surgery
Wilcox, T.
Lin, D. M.
Tran, M.
TRANSFUSION, 2013, 53 : 56A - 57A
[22] The effect of tranexamic acid to reduce blood loss and transfusion on off-pump coronary artery bypass surgery: A systematic review and cumulative meta-analysis
Dai, Zhao
Chu, Haichen
Wang, Shiduan
Liang, Yongxin
JOURNAL OF CLINICAL ANESTHESIA, 2018, 44 : 23 - 31
[23] Does a thrombin-based topical haemostatic agent reduce blood loss and transfusion requirements after total knee revision surgery? A randomized, controlled trial
Romano, Carlo L.
Monti, Lorenzo
Logoluso, Nicola
Romano, Delia
Drago, Lorenzo
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2015, 23 (11) : 3337 - 3342
[24] Does a thrombin-based topical haemostatic agent reduce blood loss and transfusion requirements after total knee revision surgery? A randomized, controlled trial
Carlo L. Romanò
Lorenzo Monti
Nicola Logoluso
Delia Romanò
Lorenzo Drago
Knee Surgery, Sports Traumatology, Arthroscopy, 2015, 23 : 3337 - 3342
[25] Explaining the excess morbidity of emergency general surgery: packed red blood cell and fresh frozen plasma transfusion practices are associated with major complications in nonmassively transfused patients
Havens, Joaquim M.
Do, Woo S.
Kaafarani, Haytham
Mesar, Tomaz
Reznor, Gally
Cooper, Zara
Askari, Reza
Kelly, Edward
Columbus, Alexandra B.
Gates, Jonathan D.
Haider, Adil H.
Salim, Ali
AMERICAN JOURNAL OF SURGERY, 2016, 211 (04): : 656 - U219

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