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Why Should Intraoperative Blood Transfusion be Decided by the Anesthesiologist?

2019.08.10 / Saturday

Why Should Intraoperative Blood Transfusion be Decided by the Anesthesiologist?



For most surgeries requiring intraoperative blood transfusion, when the surgeon and anesthesiologist disagree on whether the patient needs intraoperative blood transfusion, it is almost always up to the anesthesiologist to decide whether the blood transfusion should be done or not.


Why?


1. Anesthesiologists can evaluate patients more comprehensively and carefully

Anesthesiologists will make a thorough and careful assessment of the patient's blood volume before surgery, and fully estimate the intraoperative blood loss through aspirators, gauze and pads, surgical drainage tubes, etc. 

The urine volume, skin mucous membrane and blood vessel filling of the body surface were concerned. Real-time monitoring of patients' vital signs such as blood pressure, heart rate, electrocardiogram and oxygen saturation; Use disposable temperature probe to monitor patients' temperature change in real time; Anesthesiologists tend to be more critical than surgeons, who tend to focus on the procedure itself and ignore many of the details.


2. Anesthesiologists should make real-time and dynamic observation

The essential job of an anesthesiologist is to make dynamic and real-time observations during an operation. Dynamic monitoring of blood gas and coagulation function.


3. Anesthesiologists know more about alternative therapies

If the patient does not need a blood transfusion, anesthesiologists can use alternative therapies (such as autologous blood transfusion technology) to achieve a better expansion effect.


The anesthesiologist is responsible for the circulation management of the operation, and blood transfusion is a part of the circulation management, so blood transfusion should also be managed by the anesthesiologist.

The anesthesiologist can evaluate the operation patients from the overall perspective, while the surgeon who is busy with the operation cannot see the whole picture. A clear division of labor during the operation allows the surgeon to perform the operation more mindfully.


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