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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2017
Review Case Reports[Management of Massive Intraoperative Blood Loss Using a Case Study].
- Andreas Pape, Angelo Ippolito, Joanna Warszawska, Florian J Raimann, and Kai Zacharowski.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2017 Apr 1; 52 (4): 288-296.
AbstractMassive intraoperative bleeding is a major and potentially life-threatening complication during surgical procedures. The lethal triade of hemorrhagic shock with metabolic acidosis, hypothermia and coagulopathy enhances bleeding tendency. Avoiding this vitious circle requires a well-structured and standardized procedure. Primary goals include the maintenance of adequate tissue oxygenation, restauration of proper coagulatory function, normothermia and homeostasis of acid-base and electrolyte balance. In the present article, these therapeutic goals and their pathophysiological background are illustrated with a clinical case example.Georg Thieme Verlag KG Stuttgart · New York.
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