Consensus Guidelines from the Italian Thoracic Surgery Society on Factors Influencing, Assessing, and Managing Intraoperative Bleeding in Thoracic Procedures - Summary - MDSpire
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Consensus Guidelines from the Italian Thoracic Surgery Society on Factors Influencing, Assessing, and Managing Intraoperative Bleeding in Thoracic Procedures
To evaluate factors influencing intraoperative bleeding in thoracic surgery, assess the use of a validated intraoperative bleeding scale (VIBeS), and improve management practices, highlighting the importance of VIBeS.
Key Findings:
Consensus was reached on 35 out of 39 issues (89.7%).
Medical and surgical factors significantly influence intraoperative bleeding.
The VIBeS received broad acceptance (>90%).
Effects of bleeding on surgeon stress, costs, operation length, and postoperative complications were widely acknowledged (>73%).
Management strategies for bleeding, including appropriate hemostatic products, were positively endorsed.
Interpretation:
The guidelines provide a consensus on factors, effects, and management of intraoperative bleeding, emphasizing the practical importance of the VIBeS in clinical practice.
Limitations:
Lack of prospective and randomized studies on the management of intraoperative bleeding limits the guidelines' applicability.
Potential variability in practice among thoracic surgeons may affect the implementation of the guidelines.
Conclusion:
The consensus document may help reduce practice variation among thoracic surgeons dealing with intraoperative bleeding, ultimately improving patient outcomes.
