PPT-Post-Operative Anemia: What is the Appropriate Transfusion Threshold?

Objectives Describe the physiology of oxygen delivery List risks and benefits of red blood cell transfusions Discuss the evidence regarding thresholds for red blood cell transfusion Explain methods to prevent the need for intra and postoperative transfusions. Evidence-Based . Blood Transfusion. Blood transfusion does not simply involve the anesthesiologist hanging . pRBCs. once 1000 ml of blood are in the suction container!. Correct pre-operative anemia. William 2001. Fetal anemia . Fetomaternal. hemorrhage. Isoimmunisation. Immune . hydrops. Management. Pervention. Large . fetomaternal. . Hge. Fetal anemia. Normal fetal . Hb. % > 35 weeks = 17 gm/. Orracha. . Kok. -. Kaew. , MD.. Anesthesiologist. Objectives. สามารถอธิบายถึงกลไกของร่างกายในการตอบสนองต่อการภาวะ . Hinkle & . cheever. ch33. Physiology review: . Hematologic . System. Consists of blood . and the blood forming . sites. . Blood: . Plasma. : fluid portion of . blood—contains platelets and clotting factors. Which is the Culprit for Worse Outcomes in Cardiac Surgery?. Damien J. LaPar MD, MSc, James M. Isbell MD, MSCI, Jeffrey B. Rich MD, . Alan M. . Speir. MD, Mohammed . Quader. , MD, Irving L. . Kron. MD, . Minh-Ha Tran, DO, FASCP. UC Irvine Health. Transfusion Medicine Service . Agenda. State the guiding principles of Patient Blood Management. Name the three phases of perioperative blood conservation. Discuss examples of modalities relevant to each phase. Dr. S. Parthasarathy . MD., DA., DNB, MD (. Acu. ), . Dip. . Diab. . DCA, Dip. Software statistics . PhD (. physio. ). Mahatma Gandhi medical college and research institute – . puducherry. , India . referance. range for the age and sex. The normal ranges vary with age . -neonate < 14g/dl. -1-12mths < 10mg/dl. -1-12y< 11 g/dl. Causes of anemia can be from. Reduced cell production. Increased destruction. Define post operative ileus. Describe normal bowel function. Discuss modulators of bowel motility. Discuss symptoms, diagnosis, management and prevention of post-op ileus. Normal Digestion. Motility: Requires coordinated contraction behind food bolus and relaxation ahead of food bolus to move in correct direction. Dr. . Babak. . Abdolkarimi. Pediatric hematologist. Case presentation:. A 8 –y girl with hypochromic microcytic anemia and regular . tranfusion. dependency since age 2 y and frequent low Ferritin level . Kareema. Ahmed Hussein. 2017 -2018. Goals of post operative care:. To help patient Return to normal ( physical and psychological function ).. To avoid post operative surgical wound infection . To achieve rest and comfort.. .” . . –Robert Beal, past director of International Federation of Red Cross. Transfusions: History. 1660s: First experiments in blood transfusion, transfused dog blood to humans. Patient died and experiments were banned.. POST-OPERATIVE CARE-. . SURGICAL WOUND CARE. The postoperative period is as important as the surgery itself. Systemic antibiotic therapy should be continued for at least 3 days in all cases; it may be supplemented by intramammary infusions. . Begashaw. M (MD). General consideration. General . medical . &. . surgical . history. Complete . P. /E . Lab. :. _Complete . blood count. _Blood . typing . & . Rh. -factor, . crossmach. _Urinalysis.