Open AccessTransfusion practice in trauma patient
Author(s) -
B Jovanović,
Vesna Bumbaširević,
Milena Pandurović,
Djordje Bajec,
Pavle D Gregorić,
Dejan V Radenković,
Nenad Dj Ivancević,
Branko Karadžić,
Vasilije Jeremić,
Vladimir Djukić
Publication year - 2010
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci1004087j
Subject(s) - medicine , anemia , intensive care medicine , intensive care unit , resuscitation , hematocrit , blood transfusion , clinical practice , emergency medicine , surgery , physical therapy
Anemia 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 %).