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Hematologic problems in the preoperative patient.

F Fellin, S Murphy

    The Medical Clinics of North America
    |May 1, 1987
    PubMed
    Summary
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    Preoperative hematologic issues require evaluation and treatment before surgery. Minimize blood product transfusions due to potential risks, exploring alternative therapies when possible.

    Area of Science:

    • Hematology
    • Preoperative Medicine
    • Transfusion Medicine

    Background:

    • Hematologic abnormalities can significantly increase patient morbidity.
    • Preoperative assessment is crucial for identifying and managing these risks.
    • Blood product transfusion, while sometimes necessary, carries inherent risks.

    Purpose of the Study:

    • To review key hematologic problems in preoperative patients.
    • To emphasize the importance of timely evaluation and treatment.
    • To highlight the risks associated with blood transfusions and advocate for alternatives.

    Main Methods:

    • Review of literature concerning preoperative hematologic issues.
    • Discussion of diagnostic approaches including history, physical examination, and laboratory tests.

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  • Analysis of risks and benefits of blood product transfusion.

    • Main Results:

    • Most preoperative hematologic problems are identifiable through basic clinical and laboratory assessments.
    • Untreated hematologic abnormalities can lead to significant surgical complications.
    • Blood transfusions are associated with frequent immediate and delayed adverse effects.

    Conclusions:

    • Preoperative hematologic conditions necessitate thorough evaluation and management before elective procedures.
    • Clinicians should prioritize alternative treatments over blood transfusions to mitigate transfusion-related risks.
    • Minimizing exposure to blood products is essential for patient safety in surgical settings.