Initiating a functional massive blood transfusion protocol
نویسندگان
چکیده
منابع مشابه
Massive blood transfusion therapy.
Surgical patients requiring massive blood transfusion therapy present many challenges for the anesthetist. The decision to transfuse homologous banked blood and its components must be weighed against the potential complications that may occur in this form of therapy. A review of metabolic changes that occur in banked blood, the risk of infection, and physiologic derangements that may develop du...
متن کاملABC of transfusion. Massive blood transfusion.
5 Maintain plasma colloid osmotic pressure "Massive transfusion" is arbitrarily defined as the replacement of the patient's total blood volume by stored homologous bank blood in less than 24 hours. It is a medical emergency, usually occurring in the accident department, the operating theatre, or the obstetric department, when a patient presents with overwhelming haemorrhage and acute hypovolaem...
متن کاملMassive transfusion practices around the globe and a suggestion for a common massive transfusion protocol.
BACKGROUND Massive transfusion, the administration of 10 to more than 100 units of red blood cells (RBC) in less than 24 hours, can be a life saving therapy in the treatment of severe injury. The rapid administration of large numbers of RBC, along with sufficient plasma and platelets to treat or prevent coagulopathy, is frequently a disorderly process. Patient care and collaborative research mi...
متن کاملBlood transfusion during cardiac surgery: massive transfusion coagulopathy
Methods Total of 406 patients (f/m N=103/303) were studied in the ICU in 2011; 21 (5.17%) males were observed,. HGB in OR prior to surgery was: 127.43 g/L(SD±19.4; range 85-165; median 129g/L). Patients were divided into two groups, according to the quantity of RBCs received. Group 1 (N=15) received 5-9 units RBCs; group 2 (N=6) received ≥10 units RBCs. EuroSCORE II was used for operation risk ...
متن کاملA massive transfusion protocol to decrease blood component use and costs.
HYPOTHESIS A massive transfusion protocol (MTP) decreases the use of blood components, as well as turnaround times, costs, and mortality. DESIGN Retrospective before-and-after cohort study. SETTING Academic level I urban trauma center. PATIENTS AND METHODS Blood component use was compared in 132 patients during a 2-year period following the implementation of an MTP; 46 patients who were t...
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ژورنال
عنوان ژورنال: African Journal of Emergency Medicine
سال: 2013
ISSN: 2211-419X
DOI: 10.1016/j.afjem.2013.08.021