Intraoperative Fluid Management and Blood Transfusion Essentials

More documents

Recommendations

Info

Infection Infection HIV HTLV 1 or 2 Hepatitis C Hepatitis B Infectious Complications of Cytomegalovirus Transfusion Risk Risk (in (in most most of of USA) USA) 1/800,000 1/600,000 1/600,000 1/200,000 1/100* * As high as 1/3 if immunosuppressed
Other infectious complications of transfusion • Viruses: West Nile (1/26,000 estimate), Creutzfeldt-Jacob Creutzfeldt-Jacob (rare) • Bacteria: Unusual, but as high as 1/1000 in platelet concentrates and usually fatal • Parasites: Malaria, babesiosis (like Malaria), and Chaga’s Chaga Disease with regional variation, even in USA, but rare overall • One never knows what new and unsuspected virus is lurking in the blood supply. Hepatitis C went virtually undetected for almost a decade at an incidence of 4% 4% per per unit unit transfused!! transfused
Page 1 and 2: Intraoperative Fluid Management and
Page 3 and 4: Perioperative Fluid “Stressors St
Page 5 and 6: Perioperative Fluid “stressors st
Page 7 and 8: Fluid Deficit (cont) • So an 80 k
Page 9 and 10: Third Spacing • Controversial Sub
Page 11 and 12: So is third third spacing overrated
Page 13 and 14: Rational Fluid Management Plan for
Page 15 and 16: Crystalloids • Approximately 25%
Page 17 and 18: Fluid Fluid D5W 0.9% N.S. L.R. Norm
Page 19 and 20: • LR: Which crystalloid to select
Page 21 and 22: Introduction to Transfusion RBCs, R
Page 23: Therapeutic Dilemma Anemia is bad
Page 27 and 28: Metabolic Complications of Transfus
Page 29 and 30: Anemia in Elective Surgical Patient
Page 31 and 32: So Goodnough et al. are recommendin
Page 33 and 34: ASA Practice Guidelines • Transfu
Page 35 and 36: RBC Transfusion Modifiers Primary a
Page 37 and 38: Indications for Fresh-frozen plasma
Page 39 and 40: Fibrinogen concentration vs blood v
Page 41 and 42: Platelet transfusion won’t won t

Intraoperative Fluid Management and Blood Transfusion Essentials

Create successful ePaper yourself

Delete template?

Save as template?