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Related Concept Videos

Bone Marrow Sampling and Transplants01:22

Bone Marrow Sampling and Transplants

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Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
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Related Experiment Video

Updated: Mar 16, 2026

Use of Hematopoietic Stem Cell Transplantation to Assess the Origin of Myelodysplastic Syndrome
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CHEMOTHERAPY ANALYSIS IN MASSIVE TRANSFUSION SYNDROME.

Bratislav Stanković, Goran Stojanović

    Medicinski Pregled
    |August 9, 2016
    PubMed
    Summary

    Massive transfusion protocols aim to restore hemostasis in acute bleeding. This study evaluated chemotherapy

    Area of Science:

    • Critical Care Medicine
    • Hematology
    • Surgical Oncology

    Background:

    • Massive transfusion involves replacing a patient's total blood volume within 3-4 hours.
    • Acute massive bleeding presents significant hemostatic challenges.
    • Dilutional coagulopathy is a known complication of large-volume red blood cell transfusions.

    Purpose of the Study:

    • To analyze the application of chemotherapy in managing patients with acute massive bleeding.
    • To evaluate the effectiveness of hemostasis and platelet counts in patients undergoing massive transfusions.

    Main Methods:

    • Twenty-four patients with acute massive bleeding received comprehensive hemostatic factor compensation.
    • Treatment involved stopping surgical bleeding followed by combined transfusion of red blood cells, fresh frozen plasma, cryoprecipitates, and platelet concentrate.

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  • Therapeutic goals included maintaining normal circulating blood volume, blood pressure, hemoglobin, and hematocrit levels.
  • Main Results:

    • Patients received an average of 16-18 units of red blood cells, 980-1220 ml of fresh frozen plasma, 10-15 units of cryoprecipitates, and 8-12 units of platelet concentrate.
    • Transfusion volumes ranged significantly, indicating tailored treatment approaches.

    Conclusions:

    • The study confirmed that large-volume red blood cell transfusions lead to dilutional coagulopathy.
    • A significant decrease in platelet count and reduced activity of coagulation factors were observed post-transfusion.