MANAGEMENT OF SEVERE PERIOPERATIVE BLEEDING

Introduction. Perioperative bleeding remains a major complication during and after surgery, leading to increased morbidity and mortality. Its prevalence depends on numerous factors affecting the hemostasis system. Objective. Review of updated guidelines for the perioperative management of patients with severe bleeding Conclusions. Management of perioperative bleeding involves multiple assessments and strategies to ensure appropriate patient care. First of all, it is important to identify a group of patients with an increased risk of perioperative bleeding. Strategies to correct preoperative anemia and stabilize macro- and microcirculation should then be employed to optimize the patient's bleeding tolerance. Finally, targeted interventions should be used to reduce intraoperative and postoperative bleeding, and thus to reduce subsequent morbidity and mortality.