[PDF] Transfusion In The Intensive Care Unit eBook

Author : Nicole P. Juffermans
Publisher : Springer
Page : 185 pages
File Size : 18,27 MB
Release : 2014-09-30
Category : Medical
ISBN : 3319087355

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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 : Jecko Thachil
Publisher : John Wiley & Sons
Page : 264 pages
File Size : 19,31 MB
Release : 2014-06-03
Category : Medical
ISBN : 1118274245

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Issues of thrombosis, bleeding, and transfusion are extremely common, and often complex, in critically ill patients. Haematology in Critical Care: A Practical Handbookprovidesa dependable source of expert guidance on how to handle common haematological problems seen in the critical care setting, as well as the acute care of patients with a primary haematological disorder. Full-time clinical haematologists, regularly attending on intensive care, the Editors begin with an approach to abnormal laboratory tests, following with a disease-orientated approach to topics such as coagulation and haematological malignancy. Other key topics include paediatric and neonatal care, transfusion, point of care testing and the emergency presentation of haematological disease. This title brings together two of the most highly scientific specialties in clinical practice, delivering a practical approach to these problems, and guiding the clinician through the diagnosis and management of common scenarios encountered in the ICU.

Author : Melissa M. Zaccheo
Publisher :
Page : 0 pages
File Size : 43,15 MB
Release : 2009
Category :
ISBN :

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The purpose of this evidence-based practice change project was to implement an evidence-based education program on the topic of blood transfusion practice to ICU nurses. The goal of this project was to educate ICU nurses on blood transfusion indications, adverse events, and blood conservation interventions that can be implemented to decrease patient blood loss in an ICU setting. An outcome indicator of nursing knowledge of current evidence-based blood transfusion practice in the intensive care unit has been established. Nursing knowledge was evaluated prior to and following an education program, to assess the efficacy of the education program. Improving knowledge of professional nurses on the evidence-based topic of RBC transfusion in the ICU may improve patient outcomes through best practice actions. " -- from Introduction.

Author : Senta Jorinde Raasveld
Publisher :
Page : 0 pages
File Size : 22,49 MB
Release : 2024
Category :
ISBN : 9789465060989

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"Transfusion has been a topic of interest for centuries. Nowadays, it is one of the key treatments in patients admitted to the intensive care unit (ICU). Researchers have tried to find the optimal indications for transfusion in different settings (e.g., trauma vs. non-trauma), subpopulations (e.g., sepsis, post-cardiothoracic surgery) as well as the specifics of transfusion itself (e.g., blood vs. components, storage times). In the past decades, there has been increasing attention to the potential downsides of transfusion. These include patient -level factors, such as short- and long-term side-effects, as well as system-level factors such as donor shortages and increasing healthcare costs. This has led to different international non-inferiority randomized trials investigating whether it is safe to apply a restrictive transfusion policy. Overall, this has resulted in guidelines moving towards a more restrictive transfusion policy in ICU patients. While these data are important for the patient population as a whole, the individual patient may benefit from a personalized approach. The work in this thesis forms an epidemiological overview of transfusion practices in two domains: on one hand, the global mixed population in the ICU; on the other hand, patients supported with extracorporeal membrane oxygenation (ECMO). The different presented studies each highlighted a different aspect of transfusion. By focusing on actual transfusion behavior, we aimed to improve our understanding of how clinical studies and guideline recommendations are translated into clinical practice. Ultimately, the goal of this work was to provide a foundation for future research, implementation and education."--

Author : Patricia O’Malley
Publisher : Elsevier Health Sciences
Page : 137 pages
File Size : 20,25 MB
Release : 2017-08-17
Category : Medical
ISBN : 0323545491

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Dr. O'Malley is a well-known nurse researcer in the area of Hemaotology, and she has assembled top experts to write about the most important hemtaologic issues in critical care. The issue has articles devoted to the following topics: Cord blood banking; Leukemia and Lymphomas; Sickle Cell; Anticoagulants; Aplastic anemia & MDS; Hereditary Hemochromatosis and Pernicious Anemia; Hemophilia; Blood book: cells, products, transfusion; Anemia; Multiple Myeloma; DIC; and The lived experience of anemia without a cause. Nurses will come away with the clinical information they need to improve patient outcomes in the critical care setting.

Author : Ali Salim
Publisher : Springer
Page : 700 pages
File Size : 40,93 MB
Release : 2018-05-03
Category : Medical
ISBN : 331971712X

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This text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in surgical critical care. The book reviews up to date data regarding the management of common problems that arise in the Surgical Intensive Care Unit. The protocols, care bundles, guidelines and checklists that have been shown to improve process measures, and in certain circumstances, are discussed in detail. The text also discusses several well designed randomized prospective trials conducted recently that have altered the way we care for surgical patients with traumatic brain injury, hemorrhagic shock, acute respiratory distress syndrome, and sepsis. This book provides the practicing physician with a clinically oriented practical approach to handle basic and complex issues in the Surgical Intensive Care Unit. This text will serve as a very useful resource for physicians dealing with critically ill surgical patients. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. This text will become an invaluable resource for all graduating fellows and practicing physicians who are taking the surgical critical care board examinations.

Author : Helen Galley
Publisher : BMJ Books
Page : 85 pages
File Size : 45,57 MB
Release : 2002-02-25
Category : Medical
ISBN : 9780727916570

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The latest volume in the popular Critical Care Focus series discusses issues of particular importance on the intensive care unit. Along with its companion volumes it focuses on current areas of debate and change, and is intended as an update for all intensive care workers and trainees.

Author : Charles Vacanti
Publisher : Cambridge University Press
Page : 1191 pages
File Size : 39,35 MB
Release : 2011-07-11
Category : Medical
ISBN : 1139498401

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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.

Author : Marleen Straat
Publisher :
Page : 0 pages
File Size : 32,15 MB
Release : 2016
Category :
ISBN : 9789461698902

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"Since the first recorded successful blood transfusion was performed in 1665 and the first Intensive Care Unit (ICU) was founded in 1952, a transfusion has gradually become a common medical procedure in the ICU. However, recent studies have shown an association between transfusion and adverse outcome. This thesis contains both clinical and pre-clinical investigations of the effects of a transfusion in the critically ill. The studies focus on investigations of mechanisms of the association between transfusion and adverse outcome and are clustered in three parts that each focus on one of the different blood components and have its own aims: Red blood cells (I): To investigate the role of storage red blood cells as well as the presence of an inflammatory condition on the association between RBC transfusion and host response. Fresh frozen plasma (II): To assess the effect of a FFP transfusion on host response and hemostatic balance in critically ill patients. Platelets (III): To assess the effect of platelet transfusion on the development of infections in critically ill patients."--Samenvatting auteur.