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Colegio de Medicina Interna de México.

2023, Número 3

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Med Int Mex 2023; 39 (3)


Transfusión masiva: un abordaje desde el protocolo de control de daños

Roldán-Tabares MD, Arboleda-Rojas M, Martínez-Sánchez LM, Hernández-Restrepo F

Idioma: Español
Referencias bibliográficas: 93
Paginas: 523-535
Archivo PDF: 255.65 Kb.


RESUMEN

La hemorragia masiva es una de las principales causas de muerte en el paciente crítico, en especial en el área de urgencias, siendo la transfusión de hemocomponentes una estrategia muy importante para salvar la vida de estos pacientes. Los protocolos de transfusión masiva fueron creados para garantizar que estos pacientes reciban los componentes sanguíneos eficientemente. La reanimación de control de daños tiene como objetivo controlar rápidamente la hemorragia y prevenir o tratar si es el caso la tríada letal de hipotermia, acidosis y coagulopatía, para esto se establecieron tres estrategias: la reanimación hemodinámica mediante fluidoterapia restrictiva, hipotensión permisiva y protocolo de transfusión masiva, reanimación metabólica y la reanimación hemostática. El protocolo de control de daños ha demostrado tener beneficios y reducir el riesgo de mortalidad en pacientes con hemorragias masivas; sin embargo, requiere un trabajo multidisciplinario y adecuada coordinación entre los servicios que participan en el proceso.


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