In bloodless surgery a series of measures has to be implemented to reduce the perioperative need for transfusion of whole blood or its components. Jehovah's Witness are the most representative group of patients opting for bloodless surgery as their faith follows strict believes that prohibits receiving blood. Geriatric patients requiring bloodless surgery are even more delicate and represent a challenge for surgeons. The physiological response of the over 65 year population to decreased hemoglobin level is slower and less effective than in young and adult patients. Herby we describe the perioperative protocol implemented in our surgical Department offered to geriatric Jehovah's Witness patients. Preoperative optimization of the patients is the key step in the preparation period. Intraoperative anesthetic and surgical measures are also required along with a strict postoperative follow-up. From our experience, bloodless surgery is feasible in the geriatric population as long as it is per

Bloodless surgery in geriatric surgery / Guarino, Salvatore; DI MATTEO, Filippo Maria; Sorrenti, Salvatore; Greco, Roberto; Nardi, Matteo; Favoriti, Pasqualino; DE ANTONI, Enrico; Filippini, Angelo; Catania, Antonio. - In: INTERNATIONAL JOURNAL OF SURGERY. - ISSN 1743-9191. - ELETTRONICO. - 12 Suppl 2:(2014), pp. 82-85. [10.1016/j.ijsu.2014.08.374]

Bloodless surgery in geriatric surgery.

GUARINO, SALVATORE;DI MATTEO, Filippo Maria;SORRENTI, Salvatore;GRECO, ROBERTO;NARDI, MATTEO;FAVORITI, PASQUALINO;DE ANTONI, Enrico;FILIPPINI, Angelo;CATANIA, Antonio
2014

Abstract

In bloodless surgery a series of measures has to be implemented to reduce the perioperative need for transfusion of whole blood or its components. Jehovah's Witness are the most representative group of patients opting for bloodless surgery as their faith follows strict believes that prohibits receiving blood. Geriatric patients requiring bloodless surgery are even more delicate and represent a challenge for surgeons. The physiological response of the over 65 year population to decreased hemoglobin level is slower and less effective than in young and adult patients. Herby we describe the perioperative protocol implemented in our surgical Department offered to geriatric Jehovah's Witness patients. Preoperative optimization of the patients is the key step in the preparation period. Intraoperative anesthetic and surgical measures are also required along with a strict postoperative follow-up. From our experience, bloodless surgery is feasible in the geriatric population as long as it is per
Surgery; Geriatric Surgery; Bloodless Surgery
01 Pubblicazione su rivista::01a Articolo in rivista
Bloodless surgery in geriatric surgery / Guarino, Salvatore; DI MATTEO, Filippo Maria; Sorrenti, Salvatore; Greco, Roberto; Nardi, Matteo; Favoriti, Pasqualino; DE ANTONI, Enrico; Filippini, Angelo; Catania, Antonio. - In: INTERNATIONAL JOURNAL OF SURGERY. - ISSN 1743-9191. - ELETTRONICO. - 12 Suppl 2:(2014), pp. 82-85. [10.1016/j.ijsu.2014.08.374]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/622195
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