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[Perioperative transfusion strategy].

G Janvier1, H Bricard

  • 1Département d'Anesthésie-Réanimation I, Hôpital Pellegrin-Tripode, Bordeaux.

Annales De Chirurgie
|January 1, 1992
PubMed
Summary
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Blood transfusion strategies have advanced, focusing on safety and risk reduction. Perioperative blood replacement aims to maintain essential blood components, utilizing homologous or autologous methods for optimal patient outcomes.

Area of Science:

  • Hematology
  • Transfusion Medicine

Context:

  • Evolving transfusion practices over the past decade.
  • Legislative guidelines driven by infectious risks and economic factors.
  • Emphasis on safer transfusion with reduced quantities and lower risk.

Purpose:

  • To outline current strategies for perioperative blood replacement.
  • To detail the appropriate use of homologous and autologous transfusion.
  • To guide the selection and application of plasma substitutes and autologous techniques.

Summary:

  • Perioperative blood replacement focuses on maintaining adequate hemoglobin, blood volume, and coagulation factors.
  • Homologous and autologous transfusion are key methods, with fresh frozen plasma reserved for severe bleeding.
  • Plasma substitutes and autologous techniques should be chosen based on procedure, blood loss, and cost.

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Impact:

  • Optimizing autologous blood transfusion through combined techniques.
  • Promoting a collaborative approach among medical professionals in transfusion procedures.
  • Enhancing patient safety and economic efficiency in blood management.