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Management of severe perioperative bleeding : guidelines from the European Society of Anaesthesiology : first update 2016

Sibylle A Kozek-Langenecker, Aamer B Ahmed, Arash Afshari, Pierre Albaladejo, Cesar Aldecoa, Guidrius Barauskas, Edoardo De Robertis, David Faraoni, Daniela C Filipescu, Dietmar Fries, et al. (2017) EUROPEAN JOURNAL OF ANAESTHESIOLOGY. 34(6). p.332-395
abstract
The management of perioperative bleeding involves multiple assessments and strategies to ensure appropriate patient care. Initially, it is important to identify those patients with an increased risk of perioperative bleeding. Next, strategies should be employed to correct preoperative anaemia and to stabilise macrocirculation and microcirculation to optimise the patient's tolerance to bleeding. Finally, targeted interventions should be used to reduce intraoperative and postoperative bleeding, and so prevent subsequent morbidity and mortality. The objective of these updated guidelines is to provide healthcare professionals with an overview of the most recent evidence to help ensure improved clinical management of patients. For this update, electronic databases were searched without language restrictions from 2011 or 2012 (depending on the search) until 2015. These searches produced 18 334 articles. All articles were assessed and the existing 2013 guidelines were revised to take account of new evidence. This update includes revisions to existing recommendations with respect to the wording, or changes in the grade of recommendation, and also the addition of new recommendations. The final draft guideline was posted on the European Society of Anaesthesiology website for four weeks for review. All comments were collated and the guidelines were amended as appropriate. This publication reflects the output of this work.
Please use this url to cite or link to this publication:
@article{8532555,
  abstract     = {The management of perioperative bleeding involves multiple assessments and strategies to ensure appropriate patient care. Initially, it is important to identify those patients with an increased risk of perioperative bleeding. Next, strategies should be employed to correct preoperative anaemia and to stabilise macrocirculation and microcirculation to optimise the patient's tolerance to bleeding. Finally, targeted interventions should be used to reduce intraoperative and postoperative bleeding, and so prevent subsequent morbidity and mortality. The objective of these updated guidelines is to provide healthcare professionals with an overview of the most recent evidence to help ensure improved clinical management of patients. For this update, electronic databases were searched without language restrictions from 2011 or 2012 (depending on the search) until 2015. These searches produced 18 334 articles. All articles were assessed and the existing 2013 guidelines were revised to take account of new evidence. This update includes revisions to existing recommendations with respect to the wording, or changes in the grade of recommendation, and also the addition of new recommendations. The final draft guideline was posted on the European Society of Anaesthesiology website for four weeks for review. All comments were collated and the guidelines were amended as appropriate. This publication reflects the output of this work.},
  author       = {Kozek-Langenecker, Sibylle A and Ahmed, Aamer B and Afshari, Arash and Albaladejo, Pierre and Aldecoa, Cesar and Barauskas, Guidrius and De Robertis, Edoardo and Faraoni, David and Filipescu, Daniela C and Fries, Dietmar and Haas, Thorsten and Jacob, Matthias and Lanc{\'e}, Marcus D and Pitarch, Juan VL and Mallett, Susan and Meier, Jens and Molnar, Zsolt L and Rahe-Meyer, Niels and Samama, Charles M and Stensballe, Jakob and Van der Linden, Philippe JF and Wikkels{\o}, Anne J and Wouters, Patrick and WYFFELS, PIET and Zacharowski, Kai},
  issn         = {0265-0215},
  journal      = {EUROPEAN JOURNAL OF ANAESTHESIOLOGY},
  keyword      = {VON-WILLEBRAND-DISEASE,ACTIVATED FACTOR-VII,PROTHROMBIN COMPLEX,CONCENTRATE,RANDOMIZED-CONTROLLED-TRIAL,OF-THE-LITERATURE,SINGLE-CENTER EXPERIENCE,PLATELET-FUNCTION DISORDERS,PATIENT BLOOD,MANAGEMENT,PEDIATRIC CARDIAC-SURGERY,TOTAL KNEE ARTHROPLASTY},
  language     = {eng},
  number       = {6},
  pages        = {332--395},
  title        = {Management of severe perioperative bleeding : guidelines from the European Society of Anaesthesiology : first update 2016},
  url          = {http://dx.doi.org/10.1097/EJA.0000000000000630},
  volume       = {34},
  year         = {2017},
}

Chicago
Kozek-Langenecker, Sibylle A, Aamer B Ahmed, Arash Afshari, Pierre Albaladejo, Cesar Aldecoa, Guidrius Barauskas, Edoardo De Robertis, et al. 2017. “Management of Severe Perioperative Bleeding : Guidelines from the European Society of Anaesthesiology : First Update 2016.” European Journal of Anaesthesiology 34 (6): 332–395.
APA
Kozek-Langenecker, S. A., Ahmed, A. B., Afshari, A., Albaladejo, P., Aldecoa, C., Barauskas, G., De Robertis, E., et al. (2017). Management of severe perioperative bleeding : guidelines from the European Society of Anaesthesiology : first update 2016. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 34(6), 332–395.
Vancouver
1.
Kozek-Langenecker SA, Ahmed AB, Afshari A, Albaladejo P, Aldecoa C, Barauskas G, et al. Management of severe perioperative bleeding : guidelines from the European Society of Anaesthesiology : first update 2016. EUROPEAN JOURNAL OF ANAESTHESIOLOGY. 2017;34(6):332–95.
MLA
Kozek-Langenecker, Sibylle A, Aamer B Ahmed, Arash Afshari, et al. “Management of Severe Perioperative Bleeding : Guidelines from the European Society of Anaesthesiology : First Update 2016.” EUROPEAN JOURNAL OF ANAESTHESIOLOGY 34.6 (2017): 332–395. Print.