Surgical Massive Hemorrhage in Japan

  • IRITA Kazuo
    Subcommittee on Surveillance of Anesthesia-related Critical Incidents, Japanese Society of Anesthesiologists
  • TSUZAKI Koichi
    Subcommittee on Surveillance of Anesthesia-related Critical Incidents, Japanese Society of Anesthesiologists
  • SANUKI Michiyoshi
    Subcommittee on Surveillance of Anesthesia-related Critical Incidents, Japanese Society of Anesthesiologists
  • SAWA Tomohiro
    Subcommittee on Surveillance of Anesthesia-related Critical Incidents, Japanese Society of Anesthesiologists
  • MAKITA Koshi
    Subcommittee on Surveillance of Anesthesia-related Critical Incidents, Japanese Society of Anesthesiologists
  • NAKATSUKA Hideki
    Subcommittee on Surveillance of Anesthesia-related Critical Incidents, Japanese Society of Anesthesiologists
  • MORITA Kiyoshi
    Subcommittee on Surveillance of Anesthesia-related Critical Incidents, Japanese Society of Anesthesiologists

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Other Title
  • 知っておきたい周術期輸血の現状と課題  術中出血の放置できない現状とは

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Abstract

  Surgical hemorrhage-induced death composes 17% of deaths due to critical events in the operating room in Japan. Surgical hemorrhage is not always critical. However, surgical hemorrhage becomes critical in association with multiple co-existing factors: the patient's preoperative condition, surgical decision-making, anesthetic management, transfusion practice and supply of blood products. To reduce these types of incidents, building a high reliability organization and improving the communication between the operating room and the blood supply division are essential.

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