Consensus Guidelines from the Italian Thoracic Surgery Society on Factors Influencing, Assessing, and Managing Intraoperative Bleeding in Thoracic Procedures - Takeaways - MDSpire

Consensus Guidelines from the Italian Thoracic Surgery Society on Factors Influencing, Assessing, and Managing Intraoperative Bleeding in Thoracic Procedures

  • By

  • Domenico Galetta

  • Federico Rea

  • Stefano Margaritora

  • Agostini Vanessa

  • Francesco Facciolo

  • Franca Melfi

  • Gianluca Guggino

  • Roberto Crisci

  • Collaborators and Participating Institutions

  • April 28, 2026

  • 0 min

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  • 1

    A national consensus among Italian thoracic surgeons identified key factors influencing intraoperative bleeding in thoracic surgery.

  • 2

    The validated intraoperative bleeding scale (VIBeS) received over 90% acceptance among participants for assessing bleeding severity.

  • 3

    Consensus was achieved on 35 out of 39 issues related to bleeding management, indicating strong agreement on best practices.

  • 4

    Preoperative anticoagulant therapy and comorbidities significantly increase the risk of intraoperative bleeding during thoracic procedures.

  • 5

    The document serves as a guideline to reduce practice variation in managing intraoperative bleeding among thoracic surgeons.

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