4 edition of Blood conservation in the surgical patient found in the catalog.
Includes bibliographical references and index.
|Statement||editor, M. Ramez Salem.|
|Contributions||Salem, M. Ramez 1936-|
|LC Classifications||RM171 .B587 1996|
|The Physical Object|
|Pagination||xviii, 445 p. :|
|Number of Pages||445|
|LC Control Number||95020813|
Surgical procedures account for the transfusion of almost 15 million units of packed red blood cells (RBCs) every year in the United States. “There has been intense interest in blood conservation and minimizing blood transfusion over the past several years, but the number of annual transfusions is increasing,” says Victor A. Ferraris, MD, PhD. Blood conservation is a comprehensive approach to patient care that strives to reduce or eliminate the need for donor blood transfusions. Upon admission, you will be asked to state your preference regarding blood transfusion. All patients are considered to be in the program.
Dr. Shander lectures nationally and internationally on a variety of topics related to anesthesiology, critical care medicine, and patient blood management, notably blood conservation in medical and surgical patients, volume resuscitation, management of anemia, perfusion techniques, novel hemostatic agents, and artificial blood. blood is a limited resource, randomized trials have been conducted to better deﬁne transfusion strategies. Furthermore, to salvage as much of the patient’sown native RBCs and to focus attention on critical thinking regarding transfusion, blood conservation techniques and protocols have been developed. Rationale for Review.
Historically, open-heart surgery has been associated with large transfusion requirements. Some reports suggest that up to 70% of this patient population requires blood transfusions, resulting in an average of 2 to 4 donor exposures per patient. 1,2 It has been reported that cardiac surgery consumes about 20% of the available blood supply in the United States, with similar figures . Recently, the patient blood management (PBM) or blood conservation, which aims to fully evaluate the patient's condition to assess for factors predictive of .
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Blood Conservation in the Surgical Patient: Medicine & Health Science Books @ ISBN: OCLC Number: Notes: Includes index: Description: XVIII, Seiten Illustrationen, Diagramme: Contents: Principles of blood transfusion; coagulation and hemostasis; principles of oxygen transport; blood conservation; perioperative hemoglobin requirements; preoperative autologous blood donation; acute.
Blood conservation in the surgical patient. Baltimore: Williams & Wilkins, © (OCoLC) Online version: Blood conservation in the surgical patient. Baltimore: Williams & Wilkins, © (OCoLC) Document Type: Book: All Authors / Contributors: M Ramez Salem.
Blood Conservation in the Surgical Patient. Ramez Salem. Baltimore: Williams & Wilkins,ISBNpp, $ In the preface, the editor states that he "attempts to cover the historical, physiologic, and pharmacologic basis of blood conservation and blend them with clinical and technical aspects.".
In addition, the book outlines an overall clinical approach to blood transfusion and conservation. The subject matter covers numerous areas involved in the preoperative considerations in cardiac surgery, the intraoperative decision making in cardiac surgery, postoperative bleeding and management and a section on the algorithm for bloodless.
Texas!Quality!Initiative. Blood!Conservation!Protocol!Statement. Developed!as!a!STEEEP!Project!at!The!Heart!Hospital. June!20,!. James!Edgerton,!Kristin!Jenkins. Blood conservation adopts strategies that re-strict the transfusion of homologous blood to patients. Conservation starts in the preoperative period and in-cludes the diagnosis and management of.
Blood conservation in the surgical patient pdf. Surgical blood conservation techniques are used to reduce patient exposure to allogeneic blood during and after surgery. Techniques include preoperative autologous donation, intraoperative hemodilution, and blood salvage (also called cell salvage) during surgery.
Some patients do not wish to receive blood transfusions or other blood products from outside donors. These patients opt to receive a form of treatment known as blood conservation or bloodless medicine. The goals of blood conservation are to use blood or blood products appropriately and find ways to reduce or avoid the need for a blood transfusion.
Blood Conservation Coordinator North Bristol NHS Trust. Introduction Surgery Anaemic patient pathway Hospital Responsibility Outpatient appointment (For listing) HemoCue Patient Blood Management in the Surgical Pathway. Title: Microsoft PowerPoint. Introduction. Ab cardiac surgical procedures are conducted in Canada each year.
The importance of blood conservation in cardiac surgery is emphasized by the fact that cardiac surgery has among the highest overall rate of red blood cell transfusion when compared to all other surgeries, accounting for 10% of all RBC by: 7. Blood conservation boosts outcomes, cuts costs.
Integrated blood conservation brings together approaches that conserve the patient's own blood and limit the use of donor transfusions. Supporters say the approach improves clinical outcomes and reduces length of stay and the costs of care.
Patient Blood Management Patient blood management (PBM) views a patient’s own blood as a valuable and unique natural resource that should be conserved and managed appropriately. PBM is a multidisciplinary, multimodal and patient centred approach to optimising, conserving and managing the patient’s own blood.
Avoidance of allogeneic blood transfusion can be accomplished with a team approach that relies on a thorough understanding of patient- and procedure-associated risk factors for bleeding, allowing patients who might benefit from a perioperative blood conservation strategy to be : B.
Craig Weldon. Preoperative autologous donation (PAD) remains the most widely known, though perhaps no longer the most widely used, of the autologous options for surgical blood conservation, which also include intraoperative hemodilution and blood salvage.
For the surgical patient, blood conservation begins at the time of the patient’s surgical booking and continues through the operation and into the recovery process.(1).
CONCLUSIONS: Blood conservation is safe and effective in reducing transfusions in cardiac surgery, minimizing perioperative morbidity and mortality. Aggressive IAD and low CPB prime, along with effective RAP, is the three-way blood conservation strategy that leads to improved outcomes in cardiac by: Compare estimated blood loss with patient specific tolerable blood loss.
Assess and optimize patient’s physiologic reserve e.g. pulmonary and cardiac function. Formulate patient-specific management plan using appropriate blood conservation modalities Intraoperative Schedule surgery with optimization of red cell massCited by: 7.
Blood conservation coordinators and the ONTraC program Ensuring the appropriate and judicious use of blood in surgical patients. Matt Haggerty Marianne de Bretan-Berg speaks with a patient about optimizing his hemoglobin prior to surgery.
When blood transfusions are given at the right time and in the right amount, they can be life-saving. Perioperative patient blood management (PBM) strategies should be aimed at minimizing and improving utilization of blood components. The goals of PBM are adequate preoperative evaluation and optimization of haemoglobin and bleeding parameters, techniques to minimize blood loss, blood conservation technologies and use of transfusion guidelines with .The implementation of perioperative blood conservation strategies does not eliminate the possibility of allogeneic blood transfusion.
Some patients may not respond to treatment as well as expected. In some surgical procedures, blood loss may be greater than anticipated.
VI. Pre-operative Blood Conservation Strategies 1.Our goal is to make a difference in health outcomes through excellent patient care.
To that end, Prisma Health is dedicated to providing leading-edge medical and surgical care while reducing the need for blood transfusions and blood components. Physicians are committed to the program because blood conservation brings increased health benefits to patients.