Revisión crítica 2024 de las recomendaciones de gestión de sangre de los pacientes sometidos a cirugía mayor en la vía rica

IF 1.3 4区医学 Q3 SURGERY Cirugia Espanola Pub Date : 2025-02-01 DOI:10.1016/j.ciresp.2024.10.011

Vicky Moral , Carlos Jericó , Ane Abad Motos , José Antonio Páramo , Manuel Quintana Díaz , José Antonio García Erce , en representación del grupo asesor y revisor externo de las recomendaciones PBM de la vía RICA 2021

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引用次数: 0

Abstract

The Spanish enhanced recovery in adult surgery strategy, the “RICA pathway”, was published in 2021 and includes 19 specific recommendations and more than 20 indirect recommendations for patient blood management (PBM).

After reviewing these recommendations, and in the context of the new clinical evidence available, we propose the following updates:

- First: Detection and treatment of any preoperative anemia status in ALL patients who are candidates for major surgery with hematinic deficiencies.

- Second: Universal use of tranexamic acid in major surgery, bedside monitoring of intraoperative hemoglobin levels, restrictive transfusion criteria, and monitoring of patient well-being in terms of hydration, coagulability, normothermia and analgesia.

- Third: Restrictive transfusion criteria, single-unit blood transfusion and diagnosis/treatment of postoperative anemia.

Real, universal implementation and integration of PBM in the RICA program is urgently needed.

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.