Anesthesia for Spine Surgery - Blood Loss
is a topic covered in the Clinical Anesthesia Procedures
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Decortication during instrumentation and fusion of the vertebral column accounts for the majority of blood loss during spinal surgery. The factors predicting increased blood loss and the need for transfusion include surgical technique, type of surgery (fusion versus laminectomy), low preoperative hemoglobin, tumor surgery, increased number of levels fused, and underlying pulmonary disease (9). Factors likely to decrease blood loss include acute normovolemic hemodilution, use of the Jackson table, hypotensive techniques, and the use of cell saver. Monitoring for development of intraoperative coagulopathy includes testing PT/INR and PTT.
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Pino, Richard M., editor. "Anesthesia for Spine Surgery - Blood Loss." Clinical Anesthesia Procedures, 9th ed., Wolters Kluwer, 2019. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728464/all/Anesthesia_for_Spine_Surgery___Blood_Loss.
Anesthesia for Spine Surgery - Blood Loss. In: Pino RM, ed. Clinical Anesthesia Procedures. 9th ed. Wolters Kluwer; 2019. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728464/all/Anesthesia_for_Spine_Surgery___Blood_Loss. Accessed October 20, 2019.
Anesthesia for Spine Surgery - Blood Loss. (2019). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures. Available from https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728464/all/Anesthesia_for_Spine_Surgery___Blood_Loss
Anesthesia for Spine Surgery - Blood Loss [Internet]. In: Pino RM, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. [cited 2019 October 20]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728464/all/Anesthesia_for_Spine_Surgery___Blood_Loss.
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