Intraoperative fluid resuscitation and blood conservation. We recommend using cell salvage or an ultrafiltration device if large blood loss is anticipated. Level of recommendation 1 (Strong), Quality of evidence B (Moderate)

If the intraoperative hemoglobin level is <10 g/dL and blood loss is ongoing, we recommend transfusion of packed blood cells along with fresh frozen plasma and platelets in a ratio of 1:1:1. Level of recommendation 1 (Strong), Quality of evidence B (Moderate)