Brazilian Society of Surgical Oncology Guideline for Bloodless Surgery (Part 3: Postoperative Strategies).
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bocanegra Ronald Enrique Delgado, Oliveira Alexandre Ferreira, Carneiro Vandre Cabral Gomes, Ribeiro Reitan, Machado Romilton, Johnson Luis Fernando, Cesar Daniel, de Almeida Roberta Oliveira, Costa Marcio Sanctos, Mendes Augusto Fernandes, de Jesus Almeida Larissa, de Magalhães Thomas Augusto Rodrigues, Barreira Carlos Eduardo Santa Ritta, Lemos Kleuber Moreira, Coimbra Felipe Jose Fernandez, Lyra Joyce Sant'Anna Barros, Fernandes Paulo Henrique de Sousa, Atalla Angelo, Ramalho Nathalia Moreira, Lontra Marcelo Bentancor, Junior Marcos Gonçalves Adriano, Simões Suellen Riccio, Chagas Luccas Melo, Almeida João Rosa de, Vieira Vinicius La Rocca, Lyra Jorge Soares, Goncalves Arthur Foinquinos Krause, Maciel Elves, Fonseca Vicente Faraon, Neto Abraão Elias Hallack, Bahten Luiz Carlos Von, Junior Adroaldo Guimarães Rossetti, Flores Murilo Pereira, Jesus Yan Vitor Gomes Silva de, Monteiro Giovani Alves, Filho Pedro Eder Portari, Neto Heladio Feitosa E Castro, Argolo Diego Venicio Santos, Torres Rinailda de Cascia Santos, Pinheiro Rodrigo Nascimento
Аннотация
METHODS: The Brazilian Society of Oncologic Surgery developed national recommendations for the rational use of blood products in surgical care. Between June and December 2024, a multidisciplinary panel of specialists reviewed the literature and formulated key questions covering preoperative, intraoperative, and postoperative management. Recommendations were graded using an adapted evidence classification system and validated through expert consensus.
RESULTS: Postoperative bloodless care should prioritize judicious laboratory testing to reduce iatrogenic anemia, targeted iron replacement, selective use of erythropoiesis-stimulating agents, individualized hemostatic therapy, early recognition and control of hemorrhage, and optimization of oxygen delivery. General postoperative measures, including mobilization, analgesia, infection prevention, rehabilitation, and discharge planning, should be retained when directly related to anemia tolerance, blood conservation, or recovery in patients managed without transfusion.
CONCLUSION: Postoperative bloodless surgery requires coordinated multidisciplinary care, early bleeding control, anemia treatment, oxygen delivery optimization, and careful follow-up. These strategies may improve safety and recovery in oncologic patients who decline or require avoidance of allogeneic blood transfusion.