Journal article
Society of Cardiovascular Anesthesiologists Clinical Practice Improvement Advisory for Management of Perioperative Bleeding and Hemostasis in Cardiac Surgery Patients
Anesthesia and analgesia, Vol.129(5), pp.1209-1221
11/01/2019
DOI: 10.1213/ANE.0000000000004355
PMID: 31613811
Abstract
Bleeding after cardiac surgery is a common and serious complication leading to transfusion of multiple blood products and resulting in increased morbidity and mortality. Despite the publication of numerous guidelines and consensus statements for patient blood management in cardiac surgery, research has revealed that adherence to these guidelines is poor, and as a result, a significant variability in patient transfusion practices among practitioners still remains. In addition, although utilization of point-of-care (POC) coagulation monitors and the use of novel therapeutic strategies for perioperative hemostasis, such as the use of coagulation factor concentrates, have increased significantly over the last decade, they are still not widely available in every institution. Therefore, despite continuous efforts, blood transfusion in cardiac surgery has only modestly declined over the last decade, remaining at >= 50% in high-risk patients. Given these limitations, and in response to new regulatory and legislature requirements, the Society of Cardiovascular Anesthesiologists (SCA) has formed the Blood Conservation in Cardiac Surgery Working Group to organize, summarize, and disseminate the available best-practice knowledge in patient blood management in cardiac surgery. The current publication includes the summary statements and algorithms designed by the working group, after collection and review of the existing guidelines, consensus statements, and recommendations for patient blood management practices in cardiac surgery patients. The overall goal is creating a dynamic resource of easily accessible educational material that will help to increase and improve compliance with the existing evidence-based best practices of patient blood management by cardiac surgery care teams.
Details
- Title: Subtitle
- Society of Cardiovascular Anesthesiologists Clinical Practice Improvement Advisory for Management of Perioperative Bleeding and Hemostasis in Cardiac Surgery Patients
- Creators
- Jacob Raphael - University of VirginiaC. David Mazer - University of TorontoSudhakar Subramani - University of Iowa, AnesthesiaAndrew Schroeder - University of Wisconsin–MadisonMohamed Abdalla - Cleveland ClinicRenata Ferreira - University of WashingtonPhilip E. Roman - St. Anthony HospitalNichlesh Patel - Univ Calif San Francisco, San Francisco, CA 94143 USAIan Welsby - Duke University HospitalPhilip E. Greilich - Southwestern Medical CenterReed Harvey - University of California, Los AngelesMarco Ranucci - IRCCS Policlinico San DonatoLori B. Heller - Swedish Medical CenterChrista Boer - Vrije Universiteit AmsterdamAndrew Wilkey - Abbott Northwestern HospitalSteven E. Hill - Southwestern Medical CenterGregory A. Nuttall - Mayo Clin, Rochester, MN USARaja R. Palvadi - Baylor UniversityPrakash A. Patel - University of PennsylvaniaBarbara Wilkey - University of DenverBrantley Gaitan - Mayo Clin, Phoenix, AZ USAShanna S. Hill - Cornell UniversityJenny Kwak - Loyola University ChicagoJohn Klick - Case Western Reserve UniversityBruce A. BollenLinda Shore-Lesserson - Hofstra UniversityJames Abernathy - Johns Hopkins Med Ctr, Baltimore, MD USANanette Schwann - Univ S Florida, Morsani Coll Med, Lehigh Valley Hlth Network, Tampa, FL USAW. Travis Lau - Pacific Anesthesia, Honolulu, HI USA
- Resource Type
- Journal article
- Publication Details
- Anesthesia and analgesia, Vol.129(5), pp.1209-1221
- DOI
- 10.1213/ANE.0000000000004355
- PMID
- 31613811
- NLM abbreviation
- Anesth Analg
- ISSN
- 0003-2999
- eISSN
- 1526-7598
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 13
- Language
- English
- Date published
- 11/01/2019
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296859102771
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