Dealing with massive bleeding and associated perioperative coagulopathy. Recommendations for action of the German Society of Anaesthesiology and Intensive Care Medicine

被引：0
|
作者：
Grottke, O. [1 ]
Frietsch, T. [2 ]
Maas, M. [3 ]
Lier, H. [4 ]
Rossaint, R. [1 ]
机构：
[1] Univ Klinikum Aachen, Anasthesiol Klin, D-52074 Aachen, Germany
[2] Robert Bosch Klinikum Schillerhohe, Gerlingen, Germany
[3] Univ Klinikum Munster, Klin Anasthesiol Operat Intens Med & Schmerzthera, Munster, Germany
[4] Univ Klinikum Koln, Klin Anasthesiol & Operat Intens Med, Cologne, Germany
来源：
ANAESTHESIST | 2013年 / 62卷 / 03期
关键词：
Trauma; Blood transfusion; Coagulopathy; Damage control surgery; Resuscitation; PROTHROMBIN COMPLEX CONCENTRATE; FRESH-FROZEN PLASMA; ACTIVATED FACTOR-VII; LIFE-THREATENING HEMORRHAGE; RECOMBINANT-FACTOR-VIIA; TRAUMATIC BRAIN-INJURY; DILUTIONAL COAGULOPATHY; FIBRINOGEN CONCENTRATE; TRANSFUSION PROTOCOL; MAJOR TRAUMA;
D O I：
10.1007/s00101-012-2136-8
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Massive bleeding with coagulopathy and hemorrhagic shock poses a potential threat to life in numerous clinical settings. Optimal treatment including the prevention of exsanguination necessitates a standardized and interdisciplinary approach. Several studies have shown the importance of massive transfusion protocols and standardized coagulation algorithms to improve survival of severely bleeding patients and to avoid secondary complications. Thus, the Helsinki declaration for patient safety in anesthesiology demands the implementation of clinical practice guidelines for the treatment of patients requiring massive transfusion. This paper introduces a standardized algorithm for the treatment of patients with massive bleeding which was developed in consensus with the German Society of Anaesthesiology and Intensive Care Medicine (DGAI).
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页码：213 / +
页数：10
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