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Revista Cubana de Ortopedia y Traumatología

Print version ISSN 0864-215XOn-line version ISSN 1561-3100


TABARES NEYRA, Horacio; DIAZ QUESADA, Juan Miguel; TABARES SAEZ, Horacio  and  TABARES SAEZ, Laura. Update on Prevention and Treatment of Surgical Blood Loss. Rev Cubana Ortop Traumatol [online]. 2017, vol.31, n.1, pp.92-109. ISSN 0864-215X.

Surgical blood loss is one of the biggest challenges facing surgeons today. The demand for highly complex surgeries has increased for multiple reasons. A review was made of the main factors that influence blood loss at each stage of surgery, with emphasis on orthopedic surgical procedures. Existing hemostatic drugs that help prevent such loss and avoid the risk of transfusion were examined and evaluated. Various factors such as anemia, advanced age, the existence of comorbidities, prolonged surgical time, the use in the postoperative of medicines in order to achieve anticoagulation, favor surgical blood loss and elevate blood transfusion rates. The use of hemostatic agents should be based on the clinical sense of the expected therapeutic efficacy, safety against possible complications and the economic costs of its administration.

Keywords : loss of blood; haemostatic agents; risk of transfusion.

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