Clinical transfusion: surgery and critical illness
Content (click an entry for fast navigation to the subject)Clinical transfusion: surgery and critical illnessGood blood managementWho are the patients who are transfused?Medical or surgical?Transfusion in major haemorrhagePlanned surgeryBlood use varies widely for very similar operationsPreoperative managementAnaemiaManagement of iron deficiency anaemiaBleeding problemsHistoryAbnormal coagulation screenLow platelet countPatients on anticoagulants and antiplatelet agentsPreoperative autologous blood donationAcute normovolaemic haemodilutionIntra- and post-operative managementThresholds for red cell transfusion in surgery and criticalIntra- and post-operative blood conservationPost-operative anaemiaMajor haemorrhage: surgery, trauma, obstetrics and gastrointestinalFluid resuscitationClinical and laboratory evidence of coagulopathyMicrovascular bleedingDilutional coagulopathyDisseminated intravascular coagulationHypothermia, acidosis, hypocalcaemia in massive haemorrhageBlood salvage (cell salvage)Use of blood components in the patient who is bleedingRecombinant factor VIIa in haemorrhageAnticipated massive transfusionManagement of a bleeding patient who has received fibrinolytics or platelet inhibitorsSystemic fibrinolytics Aspirin or clopidogrelAspirin and clopidogrelInhibitors of platelet surface receptors GpIIb/IIIaHigh-avidity agentsLow-molecular-weight agentsCardiac surgeryLiver transplantation and resectionCritical illnessGastrointestinal haemorrhage: haematemesis and melaenaTransfusion managementHaemoglobin concentration − interpretationIf liver disease is suspected
Content (click an entry for fast navigation to the subject)
Good blood management
Who are the patients who are transfused?
Medical or surgical?
Transfusion in major haemorrhage
Planned surgery
Blood use varies widely for very similar operations
Preoperative management
Anaemia
Management of iron deficiency anaemia
Bleeding problems
History
Abnormal coagulation screen
Low platelet count
Patients on anticoagulants and antiplatelet agents
Preoperative autologous blood donation
Acute normovolaemic haemodilution
Intra- and post-operative management
Thresholds for red cell transfusion in surgery and critical
Intra- and post-operative blood conservation
Post-operative anaemia
Major haemorrhage: surgery, trauma, obstetrics and gastrointestinal
Fluid resuscitation
Clinical and laboratory evidence of coagulopathy
Microvascular bleeding
Dilutional coagulopathy
Disseminated intravascular coagulation
Hypothermia, acidosis, hypocalcaemia in massive haemorrhage
Blood salvage (cell salvage)
Use of blood components in the patient who is bleeding
Recombinant factor VIIa in haemorrhage
Anticipated massive transfusion
Management of a bleeding patient who has received fibrinolytics or platelet inhibitors
Systemic fibrinolytics
Aspirin or clopidogrel
Aspirin and clopidogrel
Inhibitors of platelet surface receptors GpIIb/IIIa
High-avidity agents
Low-molecular-weight agents
Cardiac surgery
Liver transplantation and resection
Critical illness
Gastrointestinal haemorrhage: haematemesis and melaena
Transfusion management
Haemoglobin concentration − interpretation
If liver disease is suspected