Intraoperative Fluid Management and Blood Transfusion Essentials

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Platelet <strong>Transfusion</strong> Indications • Nonsurgical Pt: Plt Count < 20,000 (some say 10,000) • Surgical Pt: Plt Count < 50,000 prepreoperatively or intraoperatively • Platelet dysfunction (as in after cardiopulmonary bypass): potentially needed even if Plt count is 100,000, but seldom if higher than that
Platelet transfusion won’t won t help in • Heparin-induced thrombocytopenia (a HYPERCOAGULABLE state exacerbated by Plts), Plts), TTP (ditto) • ITP: The circulating antibodies just eat the transfused platelets: risk>>benefit • MAY not help if there is unbound clopidogrel or abciximab in the plasma
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 and 24: Therapeutic Dilemma Anemia is bad
Page 25 and 26: Other infectious complications of t
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: Fibrinogen concentration vs blood v

Intraoperative Fluid Management and Blood Transfusion Essentials

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