Patients who cannot be transfused for medical or religious reasons present unique management challenges in the setting of high anticipated intraoperative blood loss. Bloodless surgery is a relatively new discipline within perioperative care with the intent of safely avoiding transfusion while maintaining acceptable patient outcomes. As bloodless surgery becomes increasingly mainstream, we can aspire to see this level of coordinated patient care take root and influence preoperative care more broadly as bloodless procedures evolve in such diverse fields. Open access to the scientific literature means the removal of barriers (including price barriers) from accessing scholarly work. There are two parallel roads towards open access: Open Access articles and self-archiving. Open Access articles are immediately, freely available on their Web site, a model mostly funded by charges paid by the author (usually through a research grant). The alternative for a researcher is self-archiving (i.e., to publish in a traditional journal, where only subscribers have immediate access, but to make the article available on their personal and/or institutional Web sites (including so-called repositories or archives)), which is a practice allowed by many scholarly journals.
Open Access rises practical and policy questions for scholars, publishers, funders, and policymakers alike, including what the return on investment is when paying an article processing fee to publish in an Open Access articles, or whether investments into institutional repositories should be made and whether self-archiving should be made mandatory, as contemplated by some funders.
Last date updated on September, 2014