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Perioperative Assessment of Hemorrhagic Risk

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Transfusion Practice in Clinical Neurosciences

Abstract

Perioperative bleeding is one of the major problems in neurosurgery. The incidence ranges from 25% in subarachnoid hemorrhage to as high as 41% in traumatic brain injuries. The consequences of perioperative bleeding vary from inadequate quantities of blood products availability, unnecessary reserving of blood leading to wastage, economic burden. Excessive use of allogenic blood is associated with complications such as infections, allergic reactions, coagulopathy, etc. Assessment of perioperative bleeding risk will help the surgical team to assess the blood requirements of the patient and the procedure and use of blood conservation techniques. Available literature shows that risk for perioperative bleeding includes factors related to patient, pathology, surgical technique, and other systemic illness such as anemia, hepatic and renal dysfunction, drug intake, etc. This chapter gives an overview of various risk factors to help the clinicians to understand, plan, and manage the perioperative bleeding.

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Authors and Affiliations

  1. Division of Neuroanesthesia and Neurocritical Care, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India

    Manikandan Sethuraman

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  1. Manikandan Sethuraman
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Editors and Affiliations

  1. Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India

    Hemanshu Prabhakar

  2. Anesthesiology and Intensive Care, G B Pant Institute of Medical Education and Research, New Delhi, Delhi, India

    Monica S Tandon

  3. Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India

    Indu Kapoor

  4. Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, Delhi, India

    Charu Mahajan

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Sethuraman, M. (2022). Perioperative Assessment of Hemorrhagic Risk. In: Prabhakar, H., S Tandon, M., Kapoor, I., Mahajan, C. (eds) Transfusion Practice in Clinical Neurosciences. Springer, Singapore. https://doi.org/10.1007/978-981-19-0954-2_35

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