Blood-Sparing Techniques in Head and Neck Surgery

Mindy R Rabinowitz; David M Cognetti; Gurston G Nyquist

doi:10.1016/j.otc.2016.02.008

Blood-Sparing Techniques in Head and Neck Surgery

Otolaryngol Clin North Am. 2016 Jun;49(3):549-62. doi: 10.1016/j.otc.2016.02.008.

Authors

Mindy R Rabinowitz¹, David M Cognetti², Gurston G Nyquist²

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA. Electronic address: mfigures@gmail.com.
² Department of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA.

PMID: 27267010
DOI: 10.1016/j.otc.2016.02.008

Abstract

Given the risks and potential complications of allogenic blood transfusion (ABT), as well as the expanding population of patients for whom ABT may not be an option, it is important for the treating physician, anesthesiologist, and surgeon to be well-versed in various alternatives. A good grasp of the concepts discussed in this article will help to customize a treatment plan that is specific to each patient's underlying disease and personal preferences without compromising appropriate medical care.

Keywords: Acute normovolemic hemodilution; Allogenic blood transfusion; Blood sparing; Bloodless medicine; Cell saver; Controlled hypotension; Jehovah's witness; Preoperative autologous donation.

Publication types

Review

MeSH terms

Blood Loss, Surgical / prevention & control*
Blood Transfusion, Autologous / methods
Bloodless Medical and Surgical Procedures / methods*
Head / surgery
Hemostasis, Surgical / methods*
Humans
Neck / surgery
Operative Blood Salvage / methods*
Otorhinolaryngologic Surgical Procedures / adverse effects*