Perioperative Bluttransfusion Nutzen, Risiken und Richtlinien. [Perioperative blood transfusions. Value, risks, and guidelines]

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Serval ID
serval:BIB_2E5F21DCDD40
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Perioperative Bluttransfusion Nutzen, Risiken und Richtlinien. [Perioperative blood transfusions. Value, risks, and guidelines]
Journal
Anaesthesist
Author(s)
Madjdpour  C., Marcucci  C., Tissot  J. D., Spahn  D. R.
ISSN
0003-2417 (Print)
Publication state
Published
Issued date
01/2005
Volume
54
Number
1
Pages
67-80; quiz 81-2
Notes
English Abstract
Journal Article
Review --- Old month value: Jan
Abstract
Surgical blood loss and trauma are the major causes of allogeneic blood transfusions, which still bear considerable risks. After the correction of hypovolemia, the anesthesiologist often has to deal with normovolemic anemia. The clinical relevance of this isolated decrease in hemoglobin concentration consists in an eventually compromised global or regional oxygen supply with the development of tissue hypoxia below a critical threshold. This is an individual threshold for each patient and depends on his or her capacity to compensate the decrease in blood oxygen content. Therefore, physiologic transfusion triggers should primarily be applied and not rigid numeric transfusion triggers, such as hemoglobin concentration, which do not take into account each patient's individual reserve.
Keywords
Adult Blood Preservation Blood Transfusion/adverse effects/*standards Blood Volume/physiology Child Erythrocyte Transfusion Guidelines Heart Diseases/complications Humans *Perioperative Care Plasma Substitutes/therapeutic use Postoperative Complications/prevention & control
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 15:34
Last modification date
01/10/2019 6:17
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