Management of severe perioperative bleeding guidelines from the European Society of Anaesthesiology First update 2016 /

The management of perioperative bleeding involves multiple assessments and strategies to ensure appropriate patient care. Initially, it is important to identify those patients with an increased risk of perioperative bleeding. Next, strategies should be employed to correct preoperative anaemia and to...

Full description

Saved in:
Bibliographic Details
Main Authors: Kozek-Langenecker Sibylle
Ahmed Aamer B.
Afshari Arash
Albaladejo Pierre
Aldecoa Cesar
Barauskas Guidrius
De Robertis Edoardo
Faraoni David
Filipescu Daniela C.
Fries Dietmar
Haas Thorsten
Jacob Matthias
Lancé Marcus D.
Pitarch Juan V.L
Molnár Zsolt
Format: Article
Published: 2017
Series:EUROPEAN JOURNAL OF ANAESTHESIOLOGY 34 No. 6
doi:10.1097/EJA.0000000000000630

mtmt:3239681
Online Access:http://publicatio.bibl.u-szeged.hu/12476
Description
Summary:The management of perioperative bleeding involves multiple assessments and strategies to ensure appropriate patient care. Initially, it is important to identify those patients with an increased risk of perioperative bleeding. Next, strategies should be employed to correct preoperative anaemia and to stabilise macrocirculation and microcirculation to optimise the patient's tolerance to bleeding. Finally, targeted interventions should be used to reduce intraoperative and postoperative bleeding, and so prevent subsequent morbidity and mortality. The objective of these updated guidelines is to provide healthcare professionals with an overview of the most recent evidence to help ensure improved clinical management of patients. For this update, electronic databases were searched without language restrictions from 2011 or 2012 (depending on the search) until 2015. These searches produced 18 334 articles. All articles were assessed and the existing 2013 guidelines were revised to take account of new evidence. This update includes revisions to existing recommendations with respect to the wording, or changes in the grade of recommendation, and also the addition of new recommendations. The final draft guideline was posted on the European Society of Anaesthesiology website for four weeks for review. All comments were collated and the guidelines were amended as appropriate. This publication reflects the output of this work.
Physical Description:332-395
ISSN:0265-0215