Patient Blood Management en artroplastia primaria de cadera y rodilla. Encuesta entre los investigadores del estudio POWER.2

Abad‐Motos, Ane; Ripollés‐Melchor, Javier; Jericó, Carlos Rilova; Basora, M.; Aldecoa, César; Cabellos-Olivares, Mercedes; Navarro-Pérez, R.; Bisbe, E.; García-Erce, José Antonio

doi:10.1016/j.redar.2020.01.013

Cited by 6 publications

(2 citation statements)

References 39 publications

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“…Anemia is frequent among patients undergoing hip replacement, and its prevalence has been estimated to be up to 25% in patients undergoing hip surgery and markedly increased in the postoperative [25,26]. The main causes of preoperative anemia are summarized in Table 3.…”

Section: Patient Blood Management and Preoperative Blood Conservation...mentioning

confidence: 99%

“…It has been suggested that preoperative anemia and increased blood transfusion rates were independently associated with an increased risk of perioperative adverse outcomes, such as increased postoperative infections, increased hospital length of stay, and increased mortality [27]. Large variability in clinical practice in patient blood management in major orthopedic surgery has been described despite orthopedic surgery is one of the field with the greatest tradition in these programs [26]. Moreover, among patients with anemia, the currently available evidence does not support the use of liberal red blood cell transfusion thresholds based on a 10 g/dL hemoglobin trigger in preference to more restrictive transfusion thresholds based on lower hemoglobin levels or symptoms of anemia in patients undergoing hip fracture surgery [28].…”

Section: Patient Blood Management and Preoperative Blood Conservation...mentioning

confidence: 99%

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Anesthesia for Hip Replacement

Montomoli¹,

Mitri²,

Gamberini³

2022

Hip Replacement

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The improvement of surgical and anesthesia techniques has markedly extended the range of patients undergoing hip replacement both in terms of age and comorbidity. Hence, the risk of perioperative complications has increased ranging from hemorrhages, postoperative delirium, incomplete pain control, hypotension, and others. In this regard, a personalized approach from the preoperative evaluation to the choice of the type of anesthesia and the pain control strategy is preferred in order to minimize the risk of complications and accelerate patient’s recovering time. In this chapter, we aim to describe different options and propose different possible approaches for the possible scenarios in the light of the existing evidence in the field.

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Section: Patient Blood Management and Preoperative Blood Conservation...mentioning

confidence: 99%