• Acta Chir Iugosl · Jan 2010

    Review

    [Transfusion practice in trauma patient].

    • Bojan Jovanović, Vesna Bumbasirević, Milena Pandurović, Djordje D Bajec, Pavle D Gregorić, Dejan V Radenković, Nenad Dj Ivancević, Borivoje A Karadzić, Vasilije Jeremić, and Vladimir R Djukić.
    • Klinika za anesteziologiju i reanimatologiju KCS, Medicinski fakultet Beograd.
    • Acta Chir Iugosl. 2010 Jan 1;57(4):87-93.

    AbstractAnemia is common in critically ill patients and carries risk of reduced oxygen carriage and worse outcomes. Transfusion, however, carry their own risk, and the physician must balance the risks of anemia with the risk of transfusion in each patient. Some recent studies compared a liberal with a restrictive approach to transfusion, and a clinical practice guidelines were made. This protocols consider that acute hemorrhage has been controlled, the initial resuscitation has been completed, and the patient is stabile in the intensive care unit without ongoing bleeding. The trigger for PRBC transfusion in patients without severe cardiovascular disease is hemoglobin g/dL (or a hematocrit %).

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