Perioperative Management to Prevent Allogeneic Blood Transfusion in Liver Surgery

  • Robbin Rabbani, CRNA, MS
  • Michele E. Gold, CRNA, PhD Program Director at University of Southern California, Los Angeles

Abstract

Considerable surgical blood loss is a recognized complication of hepatic surgery. Allogeneic blood product transfusion can be used to treat anemia related to surgery. However, research has shown that transfusing blood products exposes the patient to multiple risk factors. Methods of surgical and anesthetic management of blood loss such as establishing acute normovolemic hemodilution and maintaining low central venous pressure can prevent the need for a transfusion. This case study outlines the use of acute normovolemic hemodilution and low central venous pressure to prevent allogeneic blood transfusion in a patient undergoing hepatic resection. 

Author Biography

Robbin Rabbani, CRNA, MS
Robbin Rabbani CRNA, MS wrote this article while a Nurse Anesthesia student as University of Southern California, Los Angeles.

References

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Published
2014-12-23
How to Cite
RABBANI, CRNA, MS, Robbin; GOLD, CRNA, PHD, Michele E.. Perioperative Management to Prevent Allogeneic Blood Transfusion in Liver Surgery. Anesthesia eJournal, [S.l.], v. 2, n. 2, dec. 2014. ISSN 2333-2611. Available at: <https://anesthesiaejournal.com/index.php/aej/article/view/8>. Date accessed: 24 feb. 2020.
Section
Articles

Keywords

Allogeneic transfusion; central venous pressure; hemodilution; hepatic resection; hepatectomy