14 research outputs found
Réplica al artículo «Rotura de aneurisma iliaco durante el preacondicionamiento con levosimendán previo a cirugía de revascularización coronaria, ¿fue levosimendán el factor más influyente?»
Cardiopatia congenita con estenosis pulmonar y comunicaciones intracardiacas asociadas en adulto: tratamiento anestesico.
Trastornos neurológicos en cirugía cardíaca: Diagnóstico de tumoraciones cerebrales durante el postoperatorio
Total intravenous anesthesia for aortic aneurysm replacement surgery in a patient with limb-girdle dystrophy
Rotura de aneurisma ilíaco durante el precondicionamiento con levosimendán previo a cirugía de revascularización coronaria
Manejo anestésico para la realización de biopsias transbronquiales guiadas por ecobroncoscopia. Descripción de 9 casos y revisión de la literatura
Intraoperative transfusion practices in Europe
Transfusion of allogeneic blood influences outcome after surgery. Despite widespread availability of transfusion guidelines, transfusion practices might vary among physicians, departments, hospitals and countries. Our aim was to determine the amount of packed red blood cells (pRBC) and blood products transfused intraoperatively, and to describe factors determining transfusion throughout Europe. We did a prospective observational cohort study enrolling 5803 patients in 126 European centres that received at least one pRBC unit intraoperatively, during a continuous three month period in 2013. The overall intraoperative transfusion rate was 1.8%; 59% of transfusions were at least partially initiated as a result of a physiological transfusion trigger- mostly because of hypotension (55.4%) and/or tachycardia (30.7%). Haemoglobin (Hb)- based transfusion trigger alone initiated only 8.5% of transfusions. The Hb concentration [mean (sd)] just before transfusion was 8.1 (1.7) g dl and increased to 9.8 (1.8) g dl after transfusion. The mean number of intraoperatively transfused pRBC units was 2.5 (2.7) units (median 2). Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7-9 g dl), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold