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Blood Management for Elective Orthopaedic Surgery.
The Journal of Bone & Joint Surgery ( IF 4.4 ) Pub Date : 2020-09-02 , DOI: 10.2106/jbjs.19.01417 Antony J R Palmer 1 , Sylvain Gagné 2 , Dean A Fergusson 2 , Michael F Murphy 3 , George Grammatopoulos 2
中文翻译:
选择性骨科手术的血液管理。
更新日期:2020-09-02
The Journal of Bone & Joint Surgery ( IF 4.4 ) Pub Date : 2020-09-02 , DOI: 10.2106/jbjs.19.01417 Antony J R Palmer 1 , Sylvain Gagné 2 , Dean A Fergusson 2 , Michael F Murphy 3 , George Grammatopoulos 2
Affiliation
- » Strategies to conserve blood and reduce exposure to allogeneic blood improve outcomes after orthopaedic surgery.
- » A multidisciplinary team approach, including surgeons, anesthesiologists, hematologists, and other medical specialties, is required to deliver optimal blood management.
- » Key steps are to optimize preoperative hemoglobin levels, administer antifibrinolytics, use cell salvage for procedures with high blood loss, and adhere to restrictive transfusion thresholds.
中文翻译:
选择性骨科手术的血液管理。
- »节约血液并减少同种异体血液暴露的策略可改善整形外科手术后的结局。
- »需要多学科的团队方法,包括外科医生,麻醉师,血液学家和其他医学专业,以提供最佳的血液管理。
- »关键步骤是优化术前血红蛋白水平,施用抗纤维蛋白溶解剂,挽救高失血过程中的细胞,并遵守限制性输血阈值。