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Author : Michael L. Baldwin,Sanford R. Kurtz
Publisher : Unknown
Page : 80 pages
File Size : 47,8 Mb
Release : 1991
Category : Blood
ISBN : CHI:36455735
Author : Christian von Heymann,Christa Boer
Publisher : Springer
Page : 219 pages
File Size : 45,6 Mb
Release : 2019-06-03
Category : Medical
ISBN : 9783030153427
This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery. All aspects of patient blood management are covered that may contribute to a reduction in perioperative bleeding and transfusion requirements in cardiac surgery. This is achieved through practical cases and a theoretical background that gives a better understanding of patient hemostasis and the occurrence of bleeding complications. This book is relevant to cardiac surgeons, anesthesiologists, clinical perfusionists, hematologists and intensivists.
Author : Karl H. Krieger,O. Wayne Isom
Publisher : Springer Science & Business Media
Page : 678 pages
File Size : 43,8 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9781461221807
Here, two of the foremost cardiothoracic surgeons have brought together many of the top cardiologists and haematologists to produce the most current reference source on all aspects of blood conservation, from an overall clinical approach to the use of erythropoietin and the benefits of post-operative blood salvage. 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 surgery used at the New York Hospital-Cornell Medical Center.
Author : N. Friedel,R. Hetzer,D. Royston
Publisher : Springer Science & Business Media
Page : 286 pages
File Size : 41,5 Mb
Release : 2013-06-29
Category : Medical
ISBN : 9783662061190
Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood substitution by homologous donor blood. Only 20 years ago, open-heart operations required an average of 8 units of blood preserves. The excessive need of donor blood in those early days was mainly due to premature surgical technique, insecure control of anticoagulation, severe blood trauma by extracorporeal circulation, and the lack of retransfusion technologies that would have allowed the reuse of shed mediastinal blood. The introduction of new technologies, such as normovolemic hemodilution, in traoperative autotransfusion, postoperative return of shed mediastinal blood, and predonation of autologous blood has greatly reduced donor blood requirements. At present the majority of routine coronary artery surgical procedures can be performed without any blood transfusion. Blood loss, however, may be considerable in patients undergoing complex valve surgery or reoperations, as they often require several units of transfused blood. Blood conservation has now become an area of major interest for the cardiac surgeon. This increased concern is caused by infectious complications of blood transfusion, in particular hepatitis and, more recently, AIDS.
Author : Safuh Attar
Publisher : Wiley-Blackwell
Page : 262 pages
File Size : 43,6 Mb
Release : 1999-09-01
Category : Medical
ISBN : 0879934107
Medical knowledge about blood, its use in transfusions, and blood products has grown exponentially, as well as awareness about its safety, risks and costs. In a discipline where risks are proportional to benefits, medical specialists involved in open heart surgery need to have the latest information to make informed decisions. Dr. Attar's work reflects the contributors' direct interest and experience in blood and cardiac surgery introducing the latest information on blood and its use, hemostasis, blood conservation techniques and safety, the risks involved, alternatives to blood transfusions, the diagnosis and therapy of coagulopathy associated with cardiac surgery, and medicolegal aspects. Medical advances include the latest intraoperative diagnostic measures for platelet functions and therapy strategies for hemostasis abnormalities with cardiac surgery. This work is unique for its extensive and critical description of instruments and tests used intraoperatively, especially for the evaluation of the coagulation factors and platelets, the algorithms for transfusion guidelines and the detailed application of APROTININ and other antifibrinolytic agents in minimizing bleeding in cardiac surgery. Written for cardiac and transplant specialists -- from surgeons, anesthesiologists, surgical nurses to perfusionists -- this valuable and timely reference thoroughly explores the subject of blood transfusions in open heart surgery, its clinical applications, the current status of blood substitutes and important legal aspects.
Author : Nicole P. Juffermans,Timothy S. Walsh
Publisher : Springer
Page : 187 pages
File Size : 41,8 Mb
Release : 2014-09-30
Category : Medical
ISBN : 9783319087351
Due to a high incidence of anemia, critically ill patients are frequently transfused, with up to 40% of patients receiving a transfusion during their stay in the Intensive Care Unit. It has become increasingly clear that there is an association between transfusion and adverse outcomes, underlining the need for a careful assessment of the risks and benefits of a blood transfusion. In the last decade, there have been several large clinical trials that have studied red blood cell transfusion triggers in various ICU patient populations, allowing us to take a personalized approach to transfusion. Moreover, ICU patients often suffer from coagulopathy. Recent studies have addressed the effectiveness of fresh frozen plasma and platelets to prevent or treat bleeding. Aiming at a personalized therapy approach in transfusion practice, this book is the first to offer a comprehensive summary of transfusion triggers for red blood cells in specific ICU patient populations and specific conditions. In addition, it discusses evidence for triggers for plasma and platelets and outlines the most common adverse effects of transfusion in the ICU. Transfusion in the Intensive Care Unit is a practical handbook that can be used in everyday practice to guide transfusion and thus will serve as a valuable resource for physicians, fellows and residents working in Intensive Care, Anesthesiology and Cardiac Surgery.
Author : John H. Lemmer,Gus J. Vlahakes
Publisher : Lippincott Williams & Wilkins
Page : 384 pages
File Size : 42,6 Mb
Release : 2012-03-28
Category : Medical
ISBN : 9781451149166
The thoroughly updated Seventh Edition of this popular and widely used handbook presents the most current protocols and recommendations for care of patients undergoing cardiac surgery. This edition reflects current ACLS guidelines and the latest developments in cardiac surgery. The transplantation chapter has been entirely rewritten by a new author. Experts from leading hospitals offer detailed, practical guidelines on preoperative evaluation and preparation, intraoperative management, and postoperative care for all current cardiac surgical procedures. Perspectives valuable for cardiac surgeons, cardiac nurses, and anesthesiologists are included throughout. Coverage includes a chapter on infants and children. Appendices list drug dosages for adults and for infants and children.
Author : N. Friedel
Publisher : Unknown
Page : 285 pages
File Size : 41,8 Mb
Release : 1991-01
Category : Blood
ISBN : 0387913726
Author : Natalia S. Ivascu,Brigid Flynn,Vivek K. Moitra,Alan Gaffney
Publisher : Oxford University Press, USA
Page : 401 pages
File Size : 53,9 Mb
Release : 2020
Category : Medical
ISBN : 9780190082482
"Practicing critical care entails understanding human physiology, pharmacokinetics and molecular pathways in concert with adherence to evidence based literature. Some may say combining all of these entities into practice creates the "art" of critical care medicine. One strategy to gain proficiency in the practice of critical care medicine is to simulate what you would do in specific problem-based scenarios. That is the aim of this textbook aptly titled" "What Do I Do Now?" This text focuses on Cardiothoracic Critical Care and will cover guidelines for evidence-based practice, respiratory and metabolic physiology, common hemodynamic perturbations, ventricular failure and mechanical circulatory support devices. All clinicians who care for cardiothoracic patients who are critically ill can find pearls of practice wisdom complemented by literature citations within this text. So go ahead, place yourself at the foot of the bed and try to think through, "What Would I Do Now" when presented with each patient within these pages of your handheld cardiothoracic intensive care unit"--
Author : National Blood Authority (Australia)
Publisher : Unknown
Page : 168 pages
File Size : 49,9 Mb
Release : 2012
Category : Health & Fitness
ISBN : 0977529878
Author : Linda S. Aglio,Robert W. Lekowski,Richard D. Urman
Publisher : Cambridge University Press
Page : 577 pages
File Size : 44,5 Mb
Release : 2015-01-08
Category : Medical
ISBN : 9781107681309
An evidence-based board review book, organized according to the ABA keyword list, with concise discussion and clinical review questions and answers.
Author : MB Desmond,MB Duguid,MD Goodnough
Publisher : CRC Press
Page : 309 pages
File Size : 51,8 Mb
Release : 2020-08-26
Category : Medical
ISBN : 9781000102161
Transfusion Medicine in Practice focuses on the clinical applications of transfusion, discussing the different settings in which transfusion is carried out, including surgery, transplant, trauma, intensive care, and paediatric neonatal and obstetric cases. The text also includes a full discussion of transfusion products and how to use them, pharmacologic products as an alternative to blood, and transfusion service management. This practical text on the clinical practice of transfusion will be an invaluable resource for all those involved in the use of blood and blood products.
Author : Hans Gombotz,Kai Zacharowski,Donat R. Spahn
Publisher : Thieme
Page : 494 pages
File Size : 53,5 Mb
Release : 2015-11-10
Category : Medical
ISBN : 9783132004511
Patient Blood Management (PBM) is an innovative clinical concept that aims to reduce the need for allogenic blood transfusions, cut health-care costs, and avert or correct the risk factors related to blood transfusion, thus minimizing the rate of side effects and complications. This comprehensive hands-on volume offers a three-point approach for the implementation of PBM to improve patient outcome, focusing on how to prevent or treat anemia, reduce blood loss, and increase anemia tolerance. The book also goes beyond preoperative PBM, with detailed accounts of coagulation disorder management and the administration of coagulation products and platelet concentrates. Special Features: Presents a clear three-pillar strategy for the application of PBM: diagnosis and treatment of anemia, reduction of peri-interventional blood loss, and optimization of the tolerance to anemia in the everyday clinical setting Covers issues such as PBM during surgery, requirements for modern transfusion medicine, ordering blood products, the role of pre-anesthesia clinics, benchmarking processes, and potential implications of PBM in the public health sector Overview of research in PBM including landmark studies and current clinical trials Boxes in each chapter highlighting key information, core statements, and summaries A multidisciplinary and international team of contributors experienced in PBM Patient Blood Management is a guide for clinicians and residents whose patients are at risk for anemia, coagulation disorders, or severe blood loss. Anesthesiologists, surgeons, and specialists involved in the use of blood and blood products can use the book for quick reference or to learn more about a leading-edge concept for optimizing patient safety and improving outcome.
Author : Dartmouth Medical School. Center for the Evaluative Clinical Sciences
Publisher : Unknown
Page : 128 pages
File Size : 42,8 Mb
Release : 1996
Category : Health facilities
ISBN : OCLC:37684983
Author : Charles Vacanti,Scott Segal,Pankaj Sikka,Richard Urman
Publisher : Cambridge University Press
Page : 1191 pages
File Size : 45,5 Mb
Release : 2011-07-11
Category : Medical
ISBN : 9781139498401
The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.