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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Main Authors: Tánczos Krisztian, Molnár Zsolt
Format: Article
Language:English
Published: Association of medical doctors Sanamed Novi Pazar 2013-03-01
Series:Sanamed
Subjects:
Online Access:http://sanamed.rs/sanamed_pdf/sanamed_8_1/PHYSIOLOGIC_TRANSFUSION%20.pdf
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author Tánczos Krisztian
Molnár Zsolt
author_facet Tánczos Krisztian
Molnár Zsolt
author_sort Tánczos Krisztian
collection DOAJ
description 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 required taking into consideration physiological changes in order to individualize treatment and hence avoid harm that can be caused by unnecessary transfusion of blood products.
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spelling doaj.art-f115d3440c884338a407daf2f66a6c412024-03-02T13:08:15ZengAssociation of medical doctors Sanamed Novi PazarSanamed1452-662X2217-81712013-03-01816570Physiologic transfusion triggers and massive transfusionTánczos Krisztian0Molnár Zsolt1Department of Anaesthesia and Intensive Therapy, University of Szeged, HungaryDepartment of Anaesthesia and Intensive Therapy, University of Szeged, HungaryBlood 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 required taking into consideration physiological changes in order to individualize treatment and hence avoid harm that can be caused by unnecessary transfusion of blood products.http://sanamed.rs/sanamed_pdf/sanamed_8_1/PHYSIOLOGIC_TRANSFUSION%20.pdfblood transfusiontransfusion triggershaemoglobincentral venous saturation
spellingShingle Tánczos Krisztian
Molnár Zsolt
Physiologic transfusion triggers and massive transfusion
Sanamed
blood transfusion
transfusion triggers
haemoglobin
central venous saturation
title Physiologic transfusion triggers and massive transfusion
title_full Physiologic transfusion triggers and massive transfusion
title_fullStr Physiologic transfusion triggers and massive transfusion
title_full_unstemmed Physiologic transfusion triggers and massive transfusion
title_short Physiologic transfusion triggers and massive transfusion
title_sort physiologic transfusion triggers and massive transfusion
topic blood transfusion
transfusion triggers
haemoglobin
central venous saturation
url http://sanamed.rs/sanamed_pdf/sanamed_8_1/PHYSIOLOGIC_TRANSFUSION%20.pdf
work_keys_str_mv AT tanczoskrisztian physiologictransfusiontriggersandmassivetransfusion
AT molnarzsolt physiologictransfusiontriggersandmassivetransfusion