engleski

Blood transfusion during cardiac surgery: massive transfusion coagulopathy

Massive transfusion is usually defined as transfusion of more than 10 units of packed RBCs within 24h. Trigger for red cell transfusion in cardiac surgical patients is HGB 100 g/L or HCT 0.30 L/L. We implemented control resuscitation with preemptive use of platelets and plasma in transfusion (1:1:1). Conclusion: With this protocol we prevent bleeding following massive transfusion that can occure due to hypothermia, dilutional coagulopathy, platelet dysfunction, fibrinolysis, and hypofibrinogenemia.

massive transfusion; protocols; cardiac surgery

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