ArticleGlobal spine journal2024
Incorporation of Blood and Fluid Management Within an Enhanced Recovery after Surgery Protocol in Complex Spine Surgery.
Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Predictors of Prolonged Pediatric Intensive Care Unit Length of Stay Following Posterior Spinal Fusion for Neuromuscular Scoliosis.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Robot-assisted versus conventional posterior lumbar interbody fusion for lumbar spinal stenosis: a propensity score-matched cohort study on total and hidden blood loss.Journal of orthopaedic surgery and research · 2026Article
- Adaptation of Enhanced Recovery After Surgery Protocol for Elective Gastrointestinal and Hepatopancreaticobiliary Surgeries for Tertiary Hospitals in Ethiopia: A Modified Delphi Study.World journal of surgery · 2026Article
- Enhanced Clinical Outcomes in Frail Patients Who Underwent Short Lumbar Fusion Surgery With the Implementation of the Enhanced Recovery After Surgery (ERAS) Protocol.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Review
- Safety in Spine Surgery: Risk Factors for Intraoperative Blood Loss and Management Strategies.Life (Basel, Switzerland) · 2025Review
- Institution-Based Quality and Safety Improvement Initiatives in Spine Surgery: A Scoping Review.JBJS reviews · 2025Article
- Impact of enhanced recovery after surgery on postoperative blood management following primary total knee arthroplasty: a propensity score-matched analysis.International orthopaedics · 2025Article
- Intraoperative fluid management in adult spinal deformity surgery: variation analysis and association with outcomes.Spine deformity · 2025Article
- Pilot randomized controlled trial of restricted versus liberal crystalloid fluid management in pediatric post-operative and trauma patients.Pilot and feasibility studies · 2023Article
- Comparisons of Electrolyte Balance Efficacy of Two Gelatin-Balanced Crystalloid for Surgery Patients Under General Anesthesia: A Multi-Center, Prospective, Randomized, Single-Blind, Controlled Study.International journal of general medicine · 2023Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designretrospective review.
objectiveEnhanced Recovery After Surgery (ERAS) is a multidisciplinary set of evidence-based interventions to reduce morbidity and accelerate postoperative recovery. Complex spine surgery carries high risks of perioperative blood loss, blood transfusion, and suboptimal fluid states. This study evaluates the efficacy of a perioperative fluid and blood management component comprised of a restrictive transfusion policy, goal directed fluid management, number of tranexamic acid (TXA) utilization, and autologous blood transfusion within our ERAS protocol for complex spine surgery.
methodsA retrospective review compared patients undergoing elective complex spine surgery prior to and following implementation of an ERAS protocol with intraoperative blood and fluid management. Outcomes included incidence of blood transfusion, estimated blood loss, intraoperative crystalloids administered, frequency of intraoperative TXA utilized, incidence of patients extubated within the operating room (OR), intensive care unit (ICU) admission, and hospital length of stay.
resultsFollowing implementation, the rate of blood transfusion decreased by 11.7%(
conclusionsThis protocol presents a unique perspective with the inclusion of an interdisciplinary and comprehensive blood and fluid management protocol as an integral part of our ERAS pathway for complex spine surgery. These results indicate that a standardized approach is associated with reduced rates of blood transfusion and optimized fluid states which was correlated with decreased postoperative ICU admissions.
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