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Principles of Blood Products Management in Onco-surgeries

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Multidisciplinary Approach to Surgical Oncology Patients
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Abstract

Patients undergoing major onco-surgery may require blood and blood products in the perioperative period. The need for its replacement is primarily due to preoperative anemia which is common in cancer patients and due to bleeding and coagulopathy during surgery. Optimal blood and blood product replacement is paramount for an optimal perioperative outcome. The bleeding may be related to tumor biology, site, extent, preoperative cancer therapies (chemotherapy, radiation therapy, and immune-therapies), the extent of surgical dissection, perioperative metabolic, and homeostasis disturbances.

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Further Reading

  1. Association of Anaesthetists of Great Britain and Ireland. AAGBI guidelines: the use of blood components and their alternatives. Anaesthesia. 2016;71:829–42.

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  2. Practice Guidelines for Perioperative Blood Management. An updated report by the American Society of Anesthesiologists Task Force on perioperative blood management. Anesthesiology. 2015;122:241–00.

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  3. Carson JL, Carless PA, Hebert PC. Transfusion thresholds and other strategies for guiding allogeneic red blood cell transfusion. Cochrane Database Syst Rev. 2014;10:23.

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  4. Khanbhai M, Shah M, Cantanhede G, Ilyas S, Richards T. The problem of anaemia in patients with colorectal cancer. ISRN Hematology. 2014; https://doi.org/10.1155/2014/547914.

  5. Cata JP, Gottumukkala V. Blood transfusion practices in cancer surgery. Indian J Anaesth. 2014;58:637–42.

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  6. Divatia JV. Blood transfusion in anaesthesia and critical care: less is more! Indian J Anaesth. 2014;58:511–4.

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Ray, M.D. (2021). Principles of Blood Products Management in Onco-surgeries. In: Ray, M.D. (eds) Multidisciplinary Approach to Surgical Oncology Patients. Springer, Singapore. https://doi.org/10.1007/978-981-15-7699-7_19

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  • DOI: https://doi.org/10.1007/978-981-15-7699-7_19

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-7698-0

  • Online ISBN: 978-981-15-7699-7

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