Peña-Pérez CA

Language: Spanish
References: 14
Page: 380-385
PDF size: 206.30 Kb.

ABSTRACT

Hemorrhage is the major cause of cardiac arrest developing in the operating room. Many human factors including surgical procedures, transfusion practices, blood supply, and anesthetic management are involved in the process that leads to hemorrhage developing into a critical situation. It is desirable for hospital transfusion committees to prepare hospital regulations on «actions to be taken to manage critical hemorrhage» and practice the implementation of these regulations by simulated drills. If intraoperative hemorrhage seems top be critical, a state of emergency should immediately be declared to the operating room staff, the blood transfusion service staff, and blood bank staff in order to organize a systematic approach to the ongoing problem and keep all responsible staff working outside the operating room informed of events developing in the operating room. To rapidly deal with critical hemorrhage, not only cooperation between anesthesiologists and surgeons but also linkage of operating rooms with blood transfusion service and blood bank are important. When supplies of ABO-identical red blood cells are not available, ABO-compatible, non-identical red blood cells are used.

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