在肝移植期间的长期极端大规模输血期间维持电离
Ricardo P Dorantes1, Stylianos Voulgarelis2, Harvey J Woehlck3
1Medical College of Wisconsin, Milwaukee, Wisconsin.
WMJ : official publication of the State Medical Society of Wisconsin
|September 28, 2023
概括
大量输血会导致危险的电离性低血症. 经验性替代策略在复杂的肝移植过程中成功地维持了正常的电离水平,防止了严重的并发症.
科学领域:
- 麻醉学 麻醉学
- 输血医学 输血医学
- 关键的护理关键的护理
背景情况:
- 在手术期间大量输血可能导致电离性低血症.
- 严重的低血症可能会导致血液动力学不稳定.
- 现有策略在极端输血场景中缺乏有效性.
研究的目的:
- 描述一个有效的实证替代策略.
- 在肝移植中大规模输血期间预防严重的电离性低血症.
主要方法:
- 一个肝脏移植的病例报告,涉及超过14万毫升的银行血液输血.
- 实证化替代方案的实施:每升1克的化银行血液.
- 在无肝阶段持续静脉静脉血过.
主要成果:
- 在再输血前阶段没有观察到极低的电离值.
- 在整个无肝阶段成功维持电离水平.
- 经验战略在高体积输血环境中被证明是有效的.
结论:
- 一个经验性的替代策略可以有效地预防大量输血期间严重的电离性低血症.
- 与基于监测的替代相比,这种方法提供了一种主动的方法.
- 描述的策略对于管理极端输血情况,如肝移植,是有价值的.
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