Blood loss minimization and blood salvage techniques for complex spinal surgery.
Several techniques to limit blood loss and salvage lost blood are available to surgeons, physicians, and personnel who treat complex spinal disorders. These techniques include red blood cell augmentation, intraoperative antifibrinolytic administration, use of topical hemostatic agents, and intraoperative blood salvage and postoperative blood salvage. A substantial amount of research has been directed toward reducing perioperative blood loss in spinal surgery. More efforts need to be directed toward effective perioperative blood management in complex spinal surgery.
Bess
R Shay
RS
Department of Orthopaedic Surgery, University of Utah Hospitals and Clinics, University Orthopaedic Center, 590 Wakara Way, Salt Lake City, UT 84106, USA. shay.bess@hsc.utah.edu
Lenke
Lawrence G
LG
D000933:Antifibrinolytic Agents / Q000008:administration & dosage; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001804:Blood Transfusion, Autologous; D006397:Hematinics / Q000008:administration & dosage; D006488:Hemostasis, Surgical / Q000379:methods*; D006490:Hemostatics / Q000008:administration & dosage; D006801:Humans; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D013131:Spine / Q000601:surgery*
D000933:Antifibrinolytic Agents; D006397:Hematinics; D006490:Hemostatics