IL RISPARMIO DI SANGUE IN CHIRURGIA TORACICA: ATTUABILITA E LIMITI

Translated title of the contribution: Feasibility and limiting factors of a blood conservation program for thoracic surgery

P. Zannini, A. Carretta, G. Melloni, G. Chiesa, A. Puglisi, A. Grossi

Research output: Contribution to journalArticle

Abstract

The transfusion of homologous blood carries risks associated with reactions to transfusion and the transmission of diseases. Minimizing surgery-related blood use is therefore of utmost importance. However, the application of blood-saving methods in surgery is restricted by a number of factors. Thoracic surgery poses particular problems in this regard due to the type of diseases treated, patients' general status and the use of neoadjuvant chemotherapy protocols. The aim of this study was to analyse the feasibility of a blood conservation program for thoracic surgery. A detailed analysis of blood-sparing techniques was carried out and the factors influencing blood consumption were evaluated in the preoperative, intraoperative and postoperative periods. Although pre-operative autologus blood donation is an extremely important factor, its effect is limited in thoracic surgery since only a few patients are suitable candidates for such a procedure. Our personal experience confirms the difficulty of applying a blood sparing program to thoracic surgery. Nevertheless the risks associated to transfusions, expecially those related to the use of homologous blood, can be reduced by optimizing existing blood sparing techniques or developing new hemostatic agents.

Translated title of the contributionFeasibility and limiting factors of a blood conservation program for thoracic surgery
Original languageItalian
Pages (from-to)1049-1055
Number of pages7
JournalMinerva Chirurgica
Volume50
Issue number12
Publication statusPublished - 1995

ASJC Scopus subject areas

  • Surgery

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    Zannini, P., Carretta, A., Melloni, G., Chiesa, G., Puglisi, A., & Grossi, A. (1995). IL RISPARMIO DI SANGUE IN CHIRURGIA TORACICA: ATTUABILITA E LIMITI. Minerva Chirurgica, 50(12), 1049-1055.