[Current strategies to minimize of blood loss during radical prostatectomy].
Prostate cancer is a frequently diagnosed cancer in men with a high incidence. Despite enhancements of surgical techniques in prostatectomyperioperative blood loss is still the most frequent complication. Controlled hypotension (MAP 60-70mmHg) consisting of thoracal epidural anaesthesia und restrictive fluid management is a safe method to minimize blood loss. 25 degrees Trendelenburg position supports the multimodal treatment of controlled hypotension. Tranexamic acid is a safe drug to treat hyperfibrinolysis during prostate resection.
Klinikfür Anaesthesiologie und Intensivtherapie der Universität Magdeburg. Christof.Strang@med.ovgu.de
Christof M
CM
Strang
Thomas
T
Hachenberg
D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural; D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005342:Fibrinolysis / Q000187:drug effects; D005440:Fluid Therapy; D018475:Head-Down Tilt; D006801:Humans; D007023:Hypotension, Controlled; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery; D014148:Tranexamic Acid / Q000627:therapeutic use
D000933:Antifibrinolytic Agents; D014148:Tranexamic Acid