BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: RATIONAL WAYS TO REDUCE ITS VOLUME IN THE ACUTE PERIOD OF WOUND DISEASE (report three)

Goal: to develop the intensive care programme aimed at the rational reduction of blood transfusions in those with massive hemorrhage of the very severe degree. Materials. Specific course of traumatic disease was analyzed in 112 patients with multiple traumas and acute massive hemorrhage of the very...

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Main Authors: S. V. Nedomolkin, V. V. Suvorov, S. A. Smirnov, I. M. Samokhvalov, B. N. Bogomolov, S. V. Gavrilin, D. P. Meshakov, V. I. Badalov, V. Yu. Markevich, A. V. Turtanov
Format: Article
Language:Russian
Published: New Terra Publishing House 2018-01-01
Series:Вестник анестезиологии и реаниматологии
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Online Access:https://www.vair-journal.com/jour/article/view/147
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author S. V. Nedomolkin
V. V. Suvorov
S. A. Smirnov
I. M. Samokhvalov
B. N. Bogomolov
S. V. Gavrilin
D. P. Meshakov
V. I. Badalov
V. Yu. Markevich
A. V. Turtanov
author_facet S. V. Nedomolkin
V. V. Suvorov
S. A. Smirnov
I. M. Samokhvalov
B. N. Bogomolov
S. V. Gavrilin
D. P. Meshakov
V. I. Badalov
V. Yu. Markevich
A. V. Turtanov
author_sort S. V. Nedomolkin
collection DOAJ
description Goal: to develop the intensive care programme aimed at the rational reduction of blood transfusions in those with massive hemorrhage of the very severe degree. Materials. Specific course of traumatic disease was analyzed in 112 patients with multiple traumas and acute massive hemorrhage of the very severe degree. Retrospective group 1 included 52 patients, prospective groups 2 and 3 – 39 and 21 patients respectively. Management tactics did not differ principally but for the therapy purposefully aimed at the rational reduction of transfusion of erythrocyte preparations. Results. Using differential management tactics for coagulopathy during acute period of wound disease in those with massive hemorrhage of the very severe degree aimed at the rational reduction of blood transfusions is accompanied by the tendency of lower severity of wound disease in general. Conclusion: In order to reduce the volume of blood transfusions during traumatic shock in those injured it is feasible to use preparations containing key coagulation factors. Rational reduction of blood transfusion volume is accompanied by the tendency of the better treatment results in such patients in general.
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institution Kabale University
issn 2078-5658
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publishDate 2018-01-01
publisher New Terra Publishing House
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series Вестник анестезиологии и реаниматологии
spelling doaj-art-4569bf00667d41bcab67291224034ea22025-08-20T03:56:33ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532018-01-01142354010.21292/2078-5658-2017-14-2-35-40147BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: RATIONAL WAYS TO REDUCE ITS VOLUME IN THE ACUTE PERIOD OF WOUND DISEASE (report three)S. V. Nedomolkin0V. V. Suvorov1S. A. Smirnov2I. M. Samokhvalov3B. N. Bogomolov4S. V. Gavrilin5D. P. Meshakov6V. I. Badalov7V. Yu. Markevich8A. V. Turtanov9S. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgS. M. Kirov Military Medical Academy, St. PetersburgGoal: to develop the intensive care programme aimed at the rational reduction of blood transfusions in those with massive hemorrhage of the very severe degree. Materials. Specific course of traumatic disease was analyzed in 112 patients with multiple traumas and acute massive hemorrhage of the very severe degree. Retrospective group 1 included 52 patients, prospective groups 2 and 3 – 39 and 21 patients respectively. Management tactics did not differ principally but for the therapy purposefully aimed at the rational reduction of transfusion of erythrocyte preparations. Results. Using differential management tactics for coagulopathy during acute period of wound disease in those with massive hemorrhage of the very severe degree aimed at the rational reduction of blood transfusions is accompanied by the tendency of lower severity of wound disease in general. Conclusion: In order to reduce the volume of blood transfusions during traumatic shock in those injured it is feasible to use preparations containing key coagulation factors. Rational reduction of blood transfusion volume is accompanied by the tendency of the better treatment results in such patients in general.https://www.vair-journal.com/jour/article/view/147hemorrhageblood transfusioncoagulation factor
spellingShingle S. V. Nedomolkin
V. V. Suvorov
S. A. Smirnov
I. M. Samokhvalov
B. N. Bogomolov
S. V. Gavrilin
D. P. Meshakov
V. I. Badalov
V. Yu. Markevich
A. V. Turtanov
BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: RATIONAL WAYS TO REDUCE ITS VOLUME IN THE ACUTE PERIOD OF WOUND DISEASE (report three)
Вестник анестезиологии и реаниматологии
hemorrhage
blood transfusion
coagulation factor
title BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: RATIONAL WAYS TO REDUCE ITS VOLUME IN THE ACUTE PERIOD OF WOUND DISEASE (report three)
title_full BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: RATIONAL WAYS TO REDUCE ITS VOLUME IN THE ACUTE PERIOD OF WOUND DISEASE (report three)
title_fullStr BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: RATIONAL WAYS TO REDUCE ITS VOLUME IN THE ACUTE PERIOD OF WOUND DISEASE (report three)
title_full_unstemmed BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: RATIONAL WAYS TO REDUCE ITS VOLUME IN THE ACUTE PERIOD OF WOUND DISEASE (report three)
title_short BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: RATIONAL WAYS TO REDUCE ITS VOLUME IN THE ACUTE PERIOD OF WOUND DISEASE (report three)
title_sort blood transfusion in the management of those injured rational ways to reduce its volume in the acute period of wound disease report three
topic hemorrhage
blood transfusion
coagulation factor
url https://www.vair-journal.com/jour/article/view/147
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