scholarly journals Gauze Aortic Compression and Super Massive Blood Transfusion Protocol for Injury to the Abdominal Aorta: A Case Report

2018 ◽  
Vol 20 (8) ◽  
Author(s):  
Wei Huang ◽  
Zhao-Jin Yang ◽  
Yang Zhou ◽  
Bin He ◽  
Yi-Yuan Wu ◽  
...  
FACE ◽  
2021 ◽  
pp. 273250162110489
Author(s):  
Alberto J. de Armendi ◽  
Alexandra E. Hylton ◽  
Thomas Stevens ◽  
Charles E. Holland ◽  
Michael O’Dell ◽  
...  

2018 ◽  
Vol 46 (1) ◽  
pp. 580-580
Author(s):  
Sangita Goel ◽  
Lisa Daniels ◽  
Janelle Poyant ◽  
Aarti Narayan ◽  
Ankit Sakhuja ◽  
...  

2021 ◽  
Author(s):  
Emily C. Alberto ◽  
Yinan Zheng ◽  
Zachary P. Milestone ◽  
Megan Cheng ◽  
Omar Z. Ahmed ◽  
...  

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S164-S165
Author(s):  
M Abdelmonem ◽  
H Wasim ◽  
M Abdelmonem

Abstract Introduction/Objective Massive blood transfusion protocol (MTP) is revealed in many cases, such as massive hemorrhage after surgeries, trauma settings, and labor and delivery. Patients who require blood transfusion of more than ten units of packed red blood cells in 24 hours or transfusion of more than four units of packed red blood cells (PRBCs) in one hour are the massive blood transfusion protocol candidates. Methods/Case Report A retrospective study was performed at a 225-bed level III trauma center in California. The overall massive blood transfusion protocol utilization, blood product emergency release, and blood product waste were recorded twelve months before and after launching an educational and collaboration program between blood banks and clinicians about the difference between massive transfusion protocol and blood emergency release. Results (if a Case Study enter NA) MTP utilization for the 12 months (June 2017 to June 2018) was demonstrated as 59 MTP activations: 32 MTPs from the emergency department, 4 MTPs from inpatient floors, 3 MTPs from labor and delivery, and 4 MTPs from operating rooms while the blood product emergency releases were 7 emergency releases. MTP utilization from (June 2018 to June 2019) was demonstrated as 15 MTP activations: 11 MTPs from the emergency department, 2 MTPs from inpatient floors, 1 MTPs from labor and delivery, and 1 MTPs from operating rooms, while the blood product emergency releases were 43 emergency releases. The blood product waste was reduced by 44.6% in 2018. Conclusion There was a significant reduction in MTP activation and blood product waste after implementing the educational program for the clinicians. The collaboration between the blood bank and the clinicians and coordinating educational sessions for clinicians about the difference between MTP and emergency release and the negative impact of the MTP over-activation on the blood product waste and the clinical laboratory scientists in the blood bank is vital in MTP utilization.


2018 ◽  
Vol 4 ◽  
pp. 2513826X1876943
Author(s):  
Alexandra Bain ◽  
Jouseph O. Barkho ◽  
Matthew McRae ◽  
Mark McRae

We report the case of a 66-year-old female who underwent autologous breast reconstruction and sustained a massive upper gastrointestinal bleed secondary to a duodenal ulcer after using nonsteroidal anti-inflammatory drugs (NSAIDs) consistently for 2 weeks. She required resuscitation with a massive blood transfusion protocol and definitive hemorrhage control with interventional coiling of the gastroduodenal artery. We discuss the importance of thinking beyond surgical site bleeding with NSAIDs as well as risk stratification and prevention of NSAID-induced complications.


Pulse ◽  
2014 ◽  
Vol 5 (1) ◽  
pp. 39-43
Author(s):  
Sufia Khatun Lima ◽  
Monowara Begum ◽  
Anil Kumar Gupta ◽  
Lutful Aziz ◽  
SP Mitra

Management of a complicated obstetric patient with profuse bleeding following caesarean section (under GA) required massive blood transfusion was managed properly with multidisciplinary approach in ICU. The involvement of obstetrician, anesthesiologist, intensivist, general surgeon, hematologist & gastroenterologist as a team in a single setup is essential for the management of such patients and the best outcome. The patient received total 117 units of blood products among which 20 units whole blood, 17 units packed red blood cell, 40 units of fresh frozen plasma and 40 units of platelet concentrate. Despite this massive blood transfusion, the patient recovered fully with minimal complications as we follow the near standard blood transfusion protocol. DOI: http://dx.doi.org/10.3329/pulse.v5i1.20189 Pulse Vol.5 January 2011 p.39-43


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