PHYSIOLOGIC TRANSFUSION TRIGGERS AND MASSIVE TRANSFUSION

Blood transfusion is often a life saving intervention, but can also be harmful. Restrictive transfusion protocols have recently been developed with a post transfusion target haemoglobin level of 70–100 g/l. Whether haemoglobin level on its own is enough to guide our transfusion policy is an importan...

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Bibliographic Details
Main Authors: Tánczos Krisztián, Molnár Zsolt
Format: Article
Language:English
Published: Association of medical doctors Sanamed Novi Pazar 2013-01-01
Series:Sanamed
Subjects:
Online Access:http://www.sanamed.rs/sanamed_pdf/sanamed_8_1/PHYSIOLOGIC_TRANSFUSION%20.pdf
Description
Summary:Blood transfusion is often a life saving intervention, but can also be harmful. Restrictive transfusion protocols have recently been developed with a post transfusion target haemoglobin level of 70–100 g/l. Whether haemoglobin level on its own is enough to guide our transfusion policy is an important issue. This review was aimed to look at other possible, so called physiological indicators of blood transfusion what clinicians can be used in addition to haemoglobin during their everyday practice. In the second part of the paper the problems of the management of massive bleeding are reviewed. In both cases, a complex approach is requiredtaking into consideration physiological changes in order to individualize treatment and hence avoid harm that can be caused by unnecessary transfusion of blood products.
ISSN:1452-662X
2217-8171