Management of Blood Products in Orthopedic Surgery

Monsef, Jad Bou; Boettner, Friedrich

doi:10.1007/978-3-030-35570-8_32

Cited by 2 publications

(1 citation statement)

References 299 publications

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“…It was well known that poor perioperative glycemic management were associated with negative outcomes encompassing impaired wound healing, hardware or implant failure, extended threat of surgical site infections, and pseudarthrosis for the duration of orthopedic surgical procedures [3].…”

Section: Introductionmentioning

confidence: 99%

Magnitude and Associated Factors of Intraoperative Hyperglycemia among Orthopedics Surgical Patients. A Cross-Sectional Study

Gebeyehu

2023

JCSR

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Background: Intraoperative hyperglycemia is a common problem among patients undergoing orthopedic surgery. Its incidence varies from country to country and not clearly studied in developing countries. Method: Multi-center cross-sectional study was conducted on eligible adult elective patients who underwent orthopedic surgical procedures. The participants were selected using a systematic random sampling technique. Data was collected on basic characteristics, medical and surgical history. On the arrival of patients to the OR, blood glucose was measured and recorded and repeated after administering anesthesia. The data was analyzed using descriptive statistics and bivariate and multivariate logistic regression. P<0.05 was considered as statistically significant. Results: Intraoperative hyperglycemia was observed in 20.4% of patients. Hypothermia (AOR:2.45;95% CI:0.97-6.27, p=0.05), infused dextrose iv fluids (AOR:2.94;95% CI:1.64-5.16, p=0.05), blood transfusion (AOR:6.64;95% CI:2.92-15.08, p=0.00) and history of hypertension (AOR:2.19;95% CI:1.23-3.71, p=0.01) were factors identified to be associated with intraoperative hyperglycemia. Conclusions: This study showed the magnitude of intraoperative hyperglycemia was high. Anesthetists should identify all risk factors preoperatively and make appropriate adjustments for patient care. Hypertension should be optimized, refrain from routine administering of dextrose IV fluids, and unnecessary transfusions, as well as monitor patients’ body temperature.

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Section: Introductionmentioning

confidence: 99%

Magnitude and Associated Factors of Intraoperative Hyperglycemia among Orthopedics Surgical Patients. A Cross-Sectional Study

Gebeyehu

2023

JCSR

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Magnitude and Associated Factors of intraoperative hyperglycemia among orthopedics surgical patients. A cross-sectional study

Gebeyehu

Leta

Shiferaw

2023

Preprint

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Background: Intraoperative hyperglycemia is a common problem among patients undergoing orthopedic surgery. Its incidence varies from country to country and not clearly studied in developing countries. Method:Multi-center cross-sectional study was conducted on eligible adult elective patients who underwent orthopedic surgical procedures. The participants were selected using a systematic random sampling technique. Data was collected on basic characteristics, medical and surgical history. On the arrival of patients to the OR, blood glucose was measured and recorded and repeated after administering anesthesia. The data was analyzed using descriptive statistics and bivariate and multivariate logistic regression. P<0.05 was considered as statistically significant. Results: Intraoperative hyperglycemia was observed in 20.4% of patients. Hypothermia (AOR:2.45;95% CI:0.97-6.27, p=0.05), infused dextrose iv fluids (AOR:2.94;95% CI:1.64-5.16, p=0.05) , blood transfusion (AOR:6.64;95% CI:2.92-15.08, p=0.00) and history of hypertension (AOR:2.19;95% CI:1.23-3.71, p=0.01) were factors identified to be associated with intraoperative hyperglycemia. Conclusions and recommendations This study showed the magnitude of intraoperative hyperglycemia was high. Anesthetists should identify all risk factors preoperatively and make appropriate adjustments for patient care. Hypertension should be optimized, refrain from routine administering of dextrose IV fluids, and unnecessary transfusions, as well as monitor patients’ body temperature.

show abstract

Management of Blood Products in Orthopedic Surgery

Cited by 2 publications

References 299 publications

Magnitude and Associated Factors of Intraoperative Hyperglycemia among Orthopedics Surgical Patients. A Cross-Sectional Study

Magnitude and Associated Factors of Intraoperative Hyperglycemia among Orthopedics Surgical Patients. A Cross-Sectional Study

Magnitude and Associated Factors of intraoperative hyperglycemia among orthopedics surgical patients. A cross-sectional study

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