Who bleeds during elective anterior lumbar surgery?

ABSTRACT:

Background

Blood loss (BL) during elective anterior lumbar access for interbody fusion or disc replacement is a potentially major complication. This study sought to identify factors other than major vascular injury which contribute to BL and therefore this risk. Factors suggested to effect blood loss include age, increasing body mass index (BMI), sex, prothesis, intraoperative heparinization and continuation of low-dose aspirin (LD-ASA).

Methods

A Cell Saver was used in all cases with BL measured and recorded by an independent autotransfusionist. Heparin was administered intravenously when one or both of 2ndtoe saturation metre signal/s lost pulsatility indicating lower limb arterial flow was interrupted.

Results

The mean age of the 364 patients was 47 ± 13.2 yrs. [95

SUBMITTER: Claydon MH 

PROVIDER: S-EPMC9768351 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature