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Transfusion practice in trauma patient
Authors:Jovanović Bojan  Bumbasirević Vesna  Pandurović Milena  Bajec Djordje D  Gregorić Pavle D  Radenković Dejan V  Ivancević Nenad Dj  Karadzić Borivoje A  Jeremić Vasilije  Djukić Vladimir R
Affiliation:Klinika za anesteziologiju i reanimatologiju KCS, Medicinski fakultet Beograd.
Abstract:Anemia is common in critically ill patients and carries risk of reduced oxygen carriage and worse outcomes. Transfusion, however, carry their own risk, and the physician must balance the risks of anemia with the risk of transfusion in each patient. Some recent studies compared a liberal with a restrictive approach to transfusion, and a clinical practice guidelines were made. This protocols consider that acute hemorrhage has been controlled, the initial resuscitation has been completed, and the patient is stabile in the intensive care unit without ongoing bleeding. The trigger for PRBC transfusion in patients without severe cardiovascular disease is hemoglobin g/dL (or a hematocrit %).
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