Blood Loss and Massive Transfusion in Patients Undergoing Major Oncological Surgery: What Do We Know?
Table 2
Perioperative interventions targeted to reduce blood loss during major oncological surgery.
Type of surgery
Anesthetic interventions
Surgical interventions
Spine tumors
Antifibrinolytics
Surgical hemostasis
Controlled hypotension*
Preoperative tumor embolization
Sacral tumors
Antifibrinolytics
Surgical hemostasis
Preoperative tumor embolization
Aortic balloon occlusion-Iliac artery ligation
Hemipelvectomy
Antifibrinolytics
Surgical hemostasis
Vascular control
Nephrectomy with IVC embolectomy
Antifibrinolytics
Surgical hemostasis
Correction of hypothermia after CPB
Liver and multivisceral resection
CVP < 5 cm H2O**
Surgical hemostasis
Antifibrinolytics
Preoperative tumor embolization
Vascular control
Extrapleural pneumonectomies
Antifibrinolytics
Surgical hemostasis
*Controlled hypotension has fallen in disfavor of many anesthesiologists due to its possible association with postoperative visual loss. **This practice has also been questioned due to the poor correlation between central venous pressure and central volume status.
