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Revista Mexicana de Medicina Transfusional

ISSN 2007-6509 (Print)
Órgano oficial de la Asociación Mexicana de Medicina Transfusional A.C.
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2011, Number 2

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Rev Mex Med Transfus 2011; 4 (2)

Transfusion support in patients with massive bleeding

Bravo LAG
Full text How to cite this article

Language: Spanish
References: 9
Page: 102-104
PDF size: 47.91 Kb.


Key words:

Massive bleeding, massive transfusion, complications.

ABSTRACT

The massive bleeding was defined as the loss of 20% of blood volume and may be associated with surgical procedures as well as traumatic events, contributing to the mortality of the same up to 30%. The treatment of massive bleeding requires a multidisciplinary team that allows to provide supportive therapy to the patient in critical condition. Measures to be taken is the massive transfusion of blood components. Massive transfusion is defined as the transfusion of up to 10 erythrocyte concentrates or more, equivalent to a blood volume replacement in a span of 24 hours. The administration of such a quantity of blood and its components involves a series of side effects that are addressed in this work, including the high mortality related to massive transfusion.


REFERENCES

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  2. Levi M. Hemostasis and masive transfusion. Vox Sang 2010; 5: 314-6.

  3. Stensballe J, Johansson PI. Highlights of International Symposium on critical bleeding 2010. Transfusion Today 2010; 85: 6-8.

  4. Borgman MA, Spinella PC, Perkins JG et al. The ratio of blood products transfused affects mortality in patients receiving massive transfusions at a combat support hospital. J Trauma 2007; 63: 805-13.

  5. Shaz B, Dente C, Harris R, Macleod J, Hillyer C. Transfusion management of trauma patients. Anesthesia & Analgesia 2009; 108: 1760-68.

  6. Dirks J, Joergensen H, Jensen C, Ostrowsky S, Johansson P. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010; 18: 65.

  7. Sihler K, Napolitano L. Massive transfusion. Chest 2009; 136: 1654-67.

  8. Nascimiento B, Rubenfeld G, Baptista J, Lin Y, Rizoli S. Clinical review: Fresh frozen plasma in massive bleedings-more questions than answers. Critical Care 2010; 14: 202.

  9. Dries D. The contemporary role of blood products and components used in trauma resuscitation. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010; 18: 63.




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Rev Mex Med Transfus. 2011;4