Postpartum hemorrhage treated with a massive transfusion protocol at a tertiary obstetric center: a retrospective study

2012 ◽  
Vol 21 (3) ◽  
pp. 230-235 ◽  
Author(s):  
M.C. Gutierrez ◽  
L.T. Goodnough ◽  
M. Druzin ◽  
A.J. Butwick
Keyword(s):  
Retrospective Study ◽  
Postpartum Hemorrhage ◽  
Massive Transfusion ◽  
Massive Transfusion Protocol ◽  
Transfusion Protocol

Management of Postpartum Hemorrhage

2018 ◽  
Author(s):  
Toni Huebscher Golen ◽  
Scott A. Shainker
Keyword(s):  
Postpartum Hemorrhage ◽  
Massive Transfusion ◽  
Placenta Accreta ◽  
Early Recognition ◽  
The United States ◽  
Morbidity And Mortality ◽  
Surgical Approaches ◽  
Clear Understanding ◽  
Massive Transfusion Protocol ◽  
Transfusion Protocol

Postpartum Hemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality both in the United States and world-wide.  To ensure prompt treatment, it is crucial to have a clear understanding of the causes of the PPH.  Treatment includes both medical and surgical approaches, with the necessary escalation of care with ongoing hemorrhage. Invasive placentation (placenta accreta, increta, percreta) has become a more common cause of hemorrhage related morbidity and mortality.  Patients with invasive placentation should be managed in a multidisciplinary fashion at a center familiar with this pathology and capable of managing massive hemorrhage.  Obstetrical units should have a PPH protocol as a tool to assist in early recognition and treatment.  Similarly, units should have a massive transfusion protocol at the ready for scenarios of ongoing obstetrical hemorrhage.  This review contains 5 figures, 4 tables and 65 references Keywords: Postpartum Hemorrhage, Obstetrical Hemorrhage, Uterine Atony, Uterine Inversion, Uterine Tamponade Balloon, Invasive Placentation, Placenta Accreta, Obstetric Hemorrhage Protocol, Massive Transfusion Protocol

How we treat: management of life-threatening primary postpartum hemorrhage with a standardized massive transfusion protocol

Transfusion ◽  
2007 ◽  
Vol 47 (9) ◽  
pp. 1564-1572 ◽  
Author(s):  
Matthew Burtelow ◽  
Ed Riley ◽  
Maurice Druzin ◽  
Magali Fontaine ◽  
Maurene Viele ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Massive Transfusion ◽  
Massive Transfusion Protocol ◽  
Life Threatening ◽  
Transfusion Protocol

Blood Provision for Cardiac Ablation (CA) Procedures in the Catheterization Laboratory; a Veteran Affairs Medical Center (VAMC) Experience in a Non-Trauma Center Setting

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S167-S168
Author(s):  
J M Petersen ◽  
V Patel ◽  
D Jhala
Keyword(s):  
Quality Assurance ◽  
Massive Transfusion ◽  
Medical Center ◽  
Case Series ◽  
Blood Bank ◽  
Cardiac Ablation ◽  
Cardiac Perforation ◽  
Catheterization Laboratory ◽  
Massive Transfusion Protocol ◽  
Transfusion Protocol

Abstract Introduction/Objective Cardiac perforation is a life-threatening complication (~1% risk, with reported rates between 0.2% to 5%) of CA procedures. As cardiac perforation may lead to extensive bleeding, it would be reasonable for a medical center carrying out CA to be capable of arranging for a massive transfusion protocol and for surgical repair as required. However, there is sparse literature to guide a non-trauma medical center implementing a CA program on what the number of red blood cell (RBC) units for crossmatch should be for each case. Methods In interdisciplinary collaborative meetings, the CA program logistics were agreed to between the multiple clinical services. Given the case series on the amount of drained blood in complicated cases, there was agreement that three units of RBCs would be crossmatched for each case. Education was provided on the massive transfusion protocol and on blood bank procedures. As part of quality assurance/quality improvement, records were reviewed from the beginning of the CA program (10/1/2019) to 1/31/2019 to determine number of patient cases, crossmatched units, and transfused units for quality assurance purposes. Results A total of fifteen patients underwent CA procedures, for which three units were crossmatched for each patient. As there were no cardiac perforations with the cardiac ablation procedures so far, no units were transfused. The organized approach for ensuring adequate blood bank support and education led to the reassurance, alleviation of clinical anxiety, and building of a successful CA program. Education sessions completed with thorough understanding of blood bank procedures including the massive transfusion protocol, labeling of blood bank specimens, and on ordering of blood for crossmatch. Conclusion This study provides a reference that may provide helpful guidance to other blood banks on what the number of RBCs to be crossmatched prior to each CA procedure. Multidisciplinary collaborative meetings in advance are an essential component for ensuring adequate support for CA procedures or any new service that requires blood product support. Thorough education of clinical staff on blood bank procedures particularly the massive transfusion protocol is also recommended. This procedure for massive transfusion should be available to be referred to in real time.

Managing Massive Transfusion Protocol During Cardiopulmonary Bypass in the Setting of Penetrating Traumatic Injury

2020 ◽  
pp. 000313482097977
Author(s):  
Dov Levine ◽  
Sivaveera Kandasamy ◽  
James Alford Flippin ◽  
Hirohisa Ikegami ◽  
Rachel L. Choron
Keyword(s):  
Cardiopulmonary Bypass ◽  
Massive Transfusion ◽  
Traumatic Injury ◽  
Massive Transfusion Protocol ◽  
Transfusion Protocol

Effectiveness of Massive Transfusion Protocol activation in pre-hospital setting for major trauma

Injury ◽  
2021 ◽  
Author(s):  
Marco Botteri ◽  
Simone Celi ◽  
Giovanna Perone ◽  
Enrica Prati ◽  
Paola Bera ◽  
...  
Keyword(s):  
Major Trauma ◽  
Massive Transfusion ◽  
Hospital Setting ◽  
Massive Transfusion Protocol ◽  
Transfusion Protocol

Anesthetic management of a patient with hollow viscus perforation due to blunt abdominal trauma with grade IV hemorrhagic shock

2021 ◽  
Vol 25 (2) ◽  
Author(s):  
Reza Widianto Sudjud ◽  
Djoni Kusumah Pohan ◽  
Muhammad Budi Kurniawan ◽  
Hana Nur Ramila
Keyword(s):  
Hemorrhagic Shock ◽  
Blunt Abdominal Trauma ◽  
Massive Transfusion ◽  
Damage Control ◽  
Anesthetic Management ◽  
Hollow Viscus ◽  
Permissive Hypotension ◽  
Massive Transfusion Protocol ◽  
Transfusion Protocol ◽  
Hollow Viscus Perforation

Hemorrhagic shock is a form of hypovolemic shock in which severe blood loss leads to inadequate oxygen delivery at the cellular level. Death from hemorrhage represents a substantial global problem, with more than 60,000 deaths per year in the United States and an estimated 1.9 million deaths per year worldwide, 1.5 million of which result from physical trauma. This case report aims to stress the need of handling cases of hemorrhagic shock in accordance with damage control protocol. Hemorrhagic shock management using permissive hypotension management, bleeding control, massive transfusion protocol (MTP), minimal crystalloid therapy, and adjuvant therapy is the best approach to get optimal outcome to prevent triad of death. In this case, the application of damage control resuscitation has not been fully implemented because of several constraints. Key words: Hemorrhage; Hemorrhagic shock; Permissive hypotension; Massive Transfusion Protocol; MTP; Resuscitation; Damage control Citation: Pohan DK, Sudjud RW, Kurniawan MB, Ramila HN. Anesthetic management on patient with hollow viscus perforation due to blunt abdominal trauma with grade IV hemorrhagic shock. Anaesth. pain intensive care 2021;25(2):217-221. DOI: 10.35975/apic.v25i2.1474 Received: 11 January 2021, Reviewed: 15 January 2021, Accepted: 16 February 2021

Quality Management of massive transfusion protocol incorporating tranexamic acid adherence

2018 ◽  
Vol 57 (6) ◽  
pp. 785-789
Author(s):  
Weiwei Shi ◽  
Ram Al-Sabti ◽  
Peter A. Burke ◽  
Mauricio Gonzalez ◽  
Nelson Mantilla-Rey ◽  
...  
Keyword(s):  
Quality Management ◽  
Tranexamic Acid ◽  
Massive Transfusion ◽  
Massive Transfusion Protocol ◽  
Transfusion Protocol
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