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Keywords perioperative transfusion AND ...

perioperative transfusion AND evidence

https://read.qxmd.com/read/38521627/consensus-of-the-brazilian-association-of-hematology-hemotherapy-and-cellular-therapy-on-patient-blood-management-preoperative-clinical-and-laboratory-assessment-of-the-patient
#1
JOURNAL ARTICLE
Roberto Luiz da Silva, Bruno Deltreggia Benites, Flavia Leite, Selma Soriano, Susankerle de Oliveira Costa Alves, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior
The preoperative clinical and laboratory evaluations of the patient is an essential step to ensure the safety and success of any surgical procedure. This assessment aims to identify any underlying medical conditions and risk factors and determine suitability for surgery. With this step, the medical team can adapt the care plan to meet each patient's specific needs, increasing the chances of a successful procedure. Good clinical assessment and comprehensive laboratory testing, when integrated into a Patient Blood Management approach, are invaluable in promoting safety of care, reducing transfusion risks, improving surgical outcomes, and optimizing resource utilization...
March 13, 2024: Hematology, Transfusion and Cell Therapy
https://read.qxmd.com/read/38512371/native-nephrectomy-in-polycystic-kidney-disease-patients-on-transplant-lists-how-and-when
#2
REVIEW
Sidar Copur, Lasin Ozbek, Mustafa Guldan, Ahmet Umur Topcu, Mehmet Kanbay
Autosomal dominant polycystic kidney disease (ADPKD), the most common hereditary kidney disease, accounts for approximately 10% of the patients on kidney transplantation waitlists. High rates of complications including hemorrhage, infections, nephrolithiasis and kidney size-related compressive complaints have been reported among ADPKD patients. Therefore, the need for routine native nephrectomy and timing of such procedure in ADPKD patients being prepared for transplantation are debated. Even though pre-transplant nephrectomy has the potential to provide fewer infectious complications due to lack of immunosuppressive medication use, such procedure has been associated with longer hospital stay, loss of residual kidney function and need for dialysis...
March 21, 2024: Journal of Nephrology
https://read.qxmd.com/read/38489676/a-systematic-review-and-meta-analysis-of-minimally-invasive-versus-conventional-open-proctectomy-for-locally-advanced-colon-cancer
#3
JOURNAL ARTICLE
Zhang Peng, Lu Ya, Zhang Yichi, Lin Dong, Zhang Dechun
BACKGROUND: Locally advanced colon cancer is considered a relative contraindication for minimally invasive proctectomy (MIP), and minimally invasive versus conventional open proctectomy (COP) for locally advanced colon cancer has not been studied. METHODS: We have searched the Embase, Cochrane Library, PubMed, Medline, and Web of Science for articles on minimally invasive (robotic and laparoscopic) and COP. We calculated pooled standard mean difference (SMD), relative risk (RR), and 95% confidence intervals (CIs)...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38473361/short-term-outcomes-of-conventional-laparoscopic-versus-robot-assisted-distal-pancreatectomy-for-malignancy-evidence-from-us-national-inpatient-sample-2005-2018
#4
JOURNAL ARTICLE
Jyun-Ming Huang, Sheng-Hsien Chen, Te-Hung Chen
BACKGROUND: The primary treatment for pancreatic cancer is surgical resection, and laparoscopic resection offers benefits over open surgery. This study aimed to compare the short-term outcomes of robot-assisted vs. conventional laparoscopic distal pancreatectomy. METHODS: Data of adults ≥ 20 years old with pancreatic cancer who underwent conventional laparoscopic or robot-assisted laparoscopic distal pancreatectomy were extracted from the United States (US) Nationwide Inpatient Sample (NIS) 2005-2018 database...
February 29, 2024: Cancers
https://read.qxmd.com/read/38461402/optimised-fast-track-protocols-in-total-knee-arthroplasty-determine-shorter-hospitalisation-time-and-lower-perioperative-postoperative-complications
#5
JOURNAL ARTICLE
Riccardo Compagnoni, Francesco Puglia, Mauro Magnani, Raymond Klumpp, Paolo Ferrua, Filippo Calanna, Carlo Francesco Minoli, Daniele Genco, Alessandra Menon, Pietro Simone Randelli
PURPOSE: This literature review aims to present evidence-based clinical recommendations for the eight most debated topics related to perioperative management in total knee arthroplasty: counselling, prehabilitation, transfusion risk, tranexamic acid, drainage, analgesia, urinary catheter and compression stockings. METHODS: A multidisciplinary team conducted a systematic review on these topics. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for the literature review and result presentation...
March 10, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38412110/changes-in-practices-after-implementation-of-a-patient-blood-management-program-in-french-surgical-departments-the-national-multicenter-observational-periopes-study
#6
JOURNAL ARTICLE
Sigismond Lasocki, Anissa Belbachir, Paul-Michel Mertes, Eric Le Pelley, Laetitia Bosch, Clémence Bezault, Samia Belarbia, Xavier Capdevila
BACKGROUND: Patient blood management (PBM) is an evidence-based approach recommended to improve patient outcomes. Change in practices is often challenging. We report here data from French surgical departments before and after a standardized implementation of a PBM program. METHODS: This was a national, multicenter, observational study in surgical centers ("expert" centers with an already established protocol for preoperative anemia or "pilot" centers). Data from consecutive surgical patients of different specialties were retrieved before and after the implementation of a PBM program...
February 27, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38385974/use-of-direct-oral-anticoagulants-among-patients-with-hip-fracture-is-not-an-indication-to-delay-surgical-intervention
#7
JOURNAL ARTICLE
Devon T Brameier, Eric H Tischler, Taylor D Ottesen, Michael F McTague, Paul T Appleton, Mitchel B Harris, Michael J Weaver, Nishant Suneja
OBJECTIVES: To compare outcomes in patients on direct oral anticoagulants (DOACs) treated within 48 hours of last preoperative dose with those with surgical delays >48 hours. DESIGN: Retrospective cohort study. SETTING: Three academic Level 1 trauma centers. PATIENT SELECTION CRITERIA: Patients 65 years of age or older on DOACs before hip fracture treated between 2010 and 2018. Patients were excluded if last DOAC dose was >24 hours before admission, patient suffered from polytrauma, and/or delay to surgery was not attributed to DOAC...
March 1, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38365499/implementation-of-patient-blood-management-in-orthotopic-heart-transplants-a-single-centre-retrospective-observational-review
#8
JOURNAL ARTICLE
Jacob J Rapier, Michael Daley, Susan E Smith, Sean L Goh, Swaroop Margale, Ian Smith, Bruce M Thomson, Peter J Tesar, Bronwyn L Pearse
BACKGROUND: Blood transfusion in the perioperative cardiothoracic setting has accepted risks including deep sternal wound infection, increased intensive care unit length of stay, lung injury, and cost. It has an immunomodulatory effect which may cause allo-immunisation. This may influence long-term survival through immune-mediated factors. Targeting coagulation defects to reduce unnecessary or inappropriate transfusions may reduce these complications. METHODS: In 2012, an institution-wide patient blood management evidence-based algorithmic bleeding management protocol was implemented at The Prince Charles Hospital, Brisbane, Australia...
February 15, 2024: Heart, Lung & Circulation
https://read.qxmd.com/read/38342636/perioperative-blood-transfusion-how-do-i-interpret-the-evidence-concerning-transfusion-triggers
#9
EDITORIAL
Ozan Akca
No abstract text is available yet for this article.
February 10, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38334901/frequency-and-predictors-of-complication-clustering-within-30%C3%A2-days-of-spinal-fusion-surgery-a-study-of-children-with-neuromuscular-scoliosis
#10
REVIEW
Sujay Rajkumar, Rajiv R Iyer, Lauren Stone, Michael P Kelly, Jillian Plonsker, Michael Brandel, David D Gonda, Marcus D Mazur, Daniel S Ikeda, Donald J Lucas, Pamela M Choi, Vijay M Ravindra
PURPOSE: There is limited information on the clustering or co-occurrence of complications after spinal fusion surgery for neuromuscular disease in children. We aimed to identify the frequency and predictive factors of co-occurring perioperative complications in these children. METHODS: In this retrospective database cohort study, we identified children (ages 10-18 years) with neuromuscular scoliosis who underwent elective spinal fusion in 2012-2020 from the National Surgical Quality Improvement Program-Pediatric database...
February 9, 2024: Spine Deformity
https://read.qxmd.com/read/38299559/contemporary-trends-of-holmium-laser-enucleation-of-the-prostate-holep-utilization-in-the-united-states-a-comprehensive-analysis-using-the-national-surgical-quality-improvement-program-nsqip-database-2011-2020
#11
JOURNAL ARTICLE
Ahmad Abdelaziz, Mukund Bhandari, Ahmed Elshabrawy, Shaun Trecarten, Emad Eddin Dalla, Kamel A Samara, Fadi Alsayegh, Michael Liss, Ahmed Mansour
INTRODUCTION: The most recent American Urological Association Guidelines (AUA) advocated the utilization of laser enucleation of the prostate (LEP) as a size-independent surgical option for benign prostatic hyperplasia (BPH). Despite its endorsement by (AUA) and the growing body of evidence supporting its safety and efficacy, the utilization of LEP remains limited in the United States. This study aimed to evaluate the utilization trends and perioperative outcomes of LEP compared to other surgical procedures used for BPH management...
February 1, 2024: Journal of Endourology
https://read.qxmd.com/read/38295782/impact-of-frailty-on-short-term-outcomes-of-hepatic-lobectomy-in-patients-with-intrahepatic-cholangiocarcinoma-evidence-from-the-us-nationwide-inpatient-sample-2005-2018
#12
JOURNAL ARTICLE
Li Xu, Zhuo Shao, Hanchun Huang, Duo Li, Tianxiao Wang, Manar Atyah, Wenying Zhou, Zhiying Yang
INTRODUCTION: This study aimed to evaluate associations between frailty and outcomes in patients with ICC undergoing hepatic lobectomy using a large, nationally representative sample. METHODS: This population-based, retrospective observational study extracted the data of adults ≥ 20 years old with ICC undergoing hepatic lobectomy from the US Nationwide Inpatient Sample (NIS) database between 2005 and 2018. Frailty was assessed by the validated Hospital Frailty Risk Score (HFRS)...
January 31, 2024: Digestive Surgery
https://read.qxmd.com/read/38286086/development-and-validation-of-a-machine-learning-prediction-model-for-perioperative-red-blood-cell-transfusions-in-cardiac-surgery
#13
JOURNAL ARTICLE
Qian Li, Hong Lv, Yuye Chen, Jingjia Shen, Jia Shi, Chenghui Zhou, Fuxia Yan
OBJECTIVE: Several machine learning (ML) models have been used in perioperative red blood cell (RBC) transfusion risk for cardiac surgery with limited generalizability and no external validation. Hence, we sought to develop and comprehensively externally validate a ML model in a large dataset to estimate RBC transfusion in cardiac surgery with cardiopulmonary bypass (CPB). DESIGN: A retrospective analysis of a multicenter clinical trial (NCT03782350). PATIENTS: The study patients who underwent cardiac surgery with CPB came from four cardiac centers in China and Medical Information Mart for Intensive Cared (MIMIC-IV) dataset...
January 26, 2024: International Journal of Medical Informatics
https://read.qxmd.com/read/38263259/desmopressin-to-reduce-periprocedural-bleeding-and-transfusion-a-systematic-review-and-meta-analysis
#14
REVIEW
Carol Wang, Victoria Lebedeva, Jeffy Yang, Joshua Anih, Lily J Park, Freeman Paczkowski, Pavel S Roshanov
We systematically reviewed the literature to investigate the effects of peri-procedural desmopressin in patients without known inherited bleeding disorders undergoing surgery or other invasive procedures. We included 63 randomized trials (4163 participants) published up to February 1, 2023. Seven trials were published after a 2017 Cochrane systematic review on this topic. There were 38 trials in cardiac surgery, 22 in noncardiac surgery, and 3 in non-surgical procedures. Meta-analyses demonstrated that desmopressin likely does not reduce the risk of receiving a red blood cell transfusion (25 trials, risk ratio [RR] 0...
January 23, 2024: Perioperative Medicine
https://read.qxmd.com/read/38229019/effects-of-albumin-and-crystalloid-priming-strategies-on-red-blood-cell-transfusions-in-on-pump-cardiac-surgery-a-network-meta-analysis
#15
Tianlong Wang, Jing Wang, Mingru Zhang, Han Zhang, Qiaoni Zhang, Gang Liu, Wenhao Dong, Yuefu Wang, Bingyang Ji
BACKGROUND: In on-pump cardiac surgery, the albumin priming strategy could maintain colloid osmotic pressure better than crystalloid solutions and reduce excessive perioperative fluid balance. However, a high-quality meta-analysis is required to compare the safety of these approaches in perioperative red blood cell (RBC) transfusions. Owing to limited direct evidence, we conducted a network meta-analysis (NMA) to increase the pool of studies and provide indirect evidence. METHODS: The pre-defined primary outcomes were intraoperative and the first 24 h postoperative RBC transfusion volume in units...
January 16, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38222754/prevalence-of-and-risk-factors-for-surgical-site-infections-after-pancreaticoduodenectomy-a-systematic-review-and-meta-analysis
#16
REVIEW
Hongfei Hu, Ting Zhou, Yijin Qiu, Yuxin Li, Wei Liu, Rui Meng, Xueke Zhang, Aixia Ma, Hongchao Li
BACKGROUND: Surgical site infections (SSIs) are one of the most common complications after pancreaticoduodenectomy (PD); however, the global prevalence and risk factors for SSIs after PD remain unknown. OBJECTIVES: To investigate the prevalence of and risk factors for SSIs after PD. METHODS: The PubMed, Embase, Cochrane Library, Web of Science, and Science Direct databases were systematically searched from inception to 1 December 2022. Observational studies reporting adjusted odds ratios (ORs) and 95% confidence intervals (CIs) of risk factors for SSIs in patients undergoing PD were included...
January 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38213855/risk-factors-for-blood-transfusions-in-elective-single-level-anterior-lumbar-interbody-fusion-for-degenerative-conditions
#17
JOURNAL ARTICLE
Danny Lee, Ryan Lee, Safa C Fassihi, Pradip Ramamurti, Jessica H Heyer, Uchechi Iweala, Jeffrey Weinreb, Joseph O'Brien
BACKGROUND: ALIF (anterior lumbar interbody fusion) and other spinal fusion surgeries are among the most common orthopaedic procedures requiring blood transfusions. However, blood transfusions have been associated with various complications, including adverse reactions and infections. The present study aims to identify independent risk factors for blood transfusions in patients undergoing single-level ALIF specifically to better identify high risk patients and optimize perioperative management...
December 2023: Iowa Orthopaedic Journal
https://read.qxmd.com/read/38206759/early-acetabular-fracture-repair-through-an-anterior-approach-is-associated-with-increased-blood-loss
#18
JOURNAL ARTICLE
Michael Ambrose, Jeff E Schulman, Christopher Kuenze, Robert A Hymes, Michael Holzman, A Stephen Malekzadeh, Mohamed Ray-Zack, Greg E Gaski
OBJECTIVES: To determine whether the timing of acetabular fracture fixation through an anterior approach influences estimated and calculated perioperative blood loss. DESIGN: Retrospective cohort study. SETTING: Level 1 trauma center from 2013 to 2021. PATIENT SELECTION CRITERIA: Patients age >18 treated with acetabular fracture fixation through an anterior-based approach. OUTCOME MEASURES AND COMPARISONS: The primary outcome was calculated blood loss (CBL)...
January 9, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/38174389/perioperative-oxygenation-impairment-related-to-type-a-aortic-dissection
#19
REVIEW
Qindong Liu, Yulong Guan, Xiaofang Yang, Yu Jiang, Feilong Hei
Type A aortic dissection (TAAD) is a life-threatening disease with high mortality and poor prognosis, usually treated by surgery. There are many complications in its perioperative period, one of which is oxygenation impairment (OI). As a common complication of TAAD, OI usually occurs throughout the perioperative period of TAAD and requires prolonged mechanical ventilation (MV) and other supportive measures. The purpose of this article is to review the risk factors, mechanisms, and treatments of type A aortic dissection-related oxygenation impairment (TAAD-OI) so as to improve clinicians' knowledge about it...
January 4, 2024: Perfusion
https://read.qxmd.com/read/38167004/reported-outcomes-in-patients-with-iron-deficiency-or-iron-deficiency-anemia-undergoing-major-surgery-a-systematic-review-of-outcomes
#20
JOURNAL ARTICLE
Stephanie Stangl, Maria Popp, Stefanie Reis, Magdalena Sitter, Lena Saal-Bauernschubert, Selina Schießer, Peter Kranke, Suma Choorapoikayil, Stephanie Weibel, Patrick Meybohm
BACKGROUND: Iron deficiency (ID) is the leading cause of anemia worldwide. The prevalence of preoperative ID ranges from 23 to 33%. Preoperative anemia is associated with worse outcomes, making it important to diagnose and treat ID before elective surgery. Several studies indicated the effectiveness of intravenous iron supplementation in iron deficiency with or without anemia (ID(A)). However, it remains challenging to establish reliable evidence due to heterogeneity in utilized study outcomes...
January 2, 2024: Systematic Reviews
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