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A technique that requires the surgical team to prepare in advance for any expected or unexpected needs, during the pre-, intra- and postoperative period. Advance planning includes thorough patient assessment to identify clotting deficiencies, consideration of the need for any equipment or procedures such as intraoperative blood salvage, hemodilution, hypothermia, hypotension, etc. Furthermore, in the postoperative period there is a need for vigilance and early recognition of bleeding, as well as prompt intervention to control hemorrhage.