Hemostasis in Massively Transfused Trauma Patients
نویسندگان
چکیده
منابع مشابه
The impact of platelet transfusion in massively transfused trauma patients.
BACKGROUND The impact of platelet transfusion in trauma patients undergoing a massive transfusion (MT) was evaluated. STUDY DESIGN The Institutional Trauma Registry and Blood Bank Database at a Level I trauma center was used to identify all patients requiring an MT (≥10 packed red blood cells [PRBC] within 24 hours of admission). Mortality was evaluated according to 4 apheresis platelet (aPLT...
متن کاملThe impact of blood product ratios in massively transfused pediatric trauma patients.
BACKGROUND Few studies have examined the impact of balanced resuscitation in pediatric trauma patients requiring massive transfusions. Adult data may not be generalizable to children. METHODS Retrospective analysis assessed patients seen at a level I trauma center between 2003 and 2010 aged ≤18 years requiring massive packed red blood cell (PRBC) transfusion, defined as transfusion of ≥50% to...
متن کاملTEG-guided resuscitation is superior to standardized MTP resuscitation in massively transfused penetrating trauma patients.
BACKGROUND For nearly a decade, our center performed thromboelastograms (TEGs) to analyze coagulation profiles, allowing rapid data-driven blood component therapy. After consensus recommendations for massive transfusion protocols (MTPs), we implemented an MTP in October 2009 with 1:1:1 ratio of blood (red blood cells [RBC]), plasma (fresh-frozen plasma [FFP]), and platelets. We hypothesized tha...
متن کاملPopliteal artery repair in massively transfused military trauma casualties: a pursuit to save life and limb.
BACKGROUND Popliteal artery war wounds can bleed severely and historically have high rates of amputation associated with ligation (72%) and repair (32%). More than before, casualties are now surviving the initial medical evacuation and presenting with severely injured limbs that prompt immediate limb salvage decisions in the midst of life-saving maneuvers. A modern analysis of current results m...
متن کاملIncreased plasma and platelet to red blood cell ratios improves outcome in 466 massively transfused civilian trauma patients.
OBJECTIVE To determine the effect of blood component ratios in massive transfusion (MT), we hypothesized that increased use of plasma and platelet to red blood cell (RBC) ratios would result in decreased early hemorrhagic death and this benefit would be sustained over the ensuing hospitalization. SUMMARY BACKGROUND DATA Civilian guidelines for massive transfusion (MT > or =10 units of RBC in ...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 1979
ISSN: 0003-4932
DOI: 10.1097/00000658-197907000-00020