Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management: Inadvertent intraoperative hypothermia

• Published in: Hematology, transfusion and cell therapy Vol. 46 Suppl 1; no. Suppl 1; pp. S53 - S59
• Main Authors: Donizetti, Enis, Perini, Fernanda Vieira, Dos Reis Rodrigues, Roseny, Montano-Pedroso, Juan Carlos, Oliveira, Luciana Correa, Parolin Rizzo, Silvia Renata Cornélio, Rabello, Guilherme, Langhi, Junior, Dante Mario
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Hematologia e Hemoterapia 01.04.2024; Associação Brasileira de Hematologia, Hemoterapia e Terapia Celular (ABHH)
• Subjects: MEDICINE, GENERAL & INTERNAL; Special; Thermoregulation; Patient blood management; Intraoperative hypothermia; Preoperative hypothermia; Intraoperative management
• ISSN: 2531-1379; 2531-1387; 2531-1387
• DOI: 10.1016/j.htct.2024.02.021

Hemostasis plays a critical role in surgical procedures and is essential for a successful outcome. Advances in hemostatic agents offer new approaches to controlling bleeding thereby making surgeries safer. The appropriate choice of these agents is crucial. Volume replacement, another integral part of Patient Blood Management (PBM), maintains adequate tissue perfusion, preventing cellular damage. Individualization in fluid administration is vital with the choice between crystalloids and colloids depending on each case. Colloids, unlike crystalloids, increase oncotic pressure, contributing to fluid retention in the intravascular space. Understanding these aspects is essential to ensure safe and effective surgery, minimizing complications related to blood loss and maintaining the patient's hemodynamic status.