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大规模输血和大出血协议的全面审查:起源,核心原则和实际实施
David Silveira Marinho1, Denise Menezes Brunetta2, Luciana Maria de Barros Carlos3
1Serviço de Anestesiologia, Instituto Doutor José Frota; Unidade de Transplante Hepático, Serviço de Anestesiologia, Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
Brazilian journal of anesthesiology (Elsevier)
|December 27, 2024
概括
主要出血协议 (MHPs) 代表了管理严重出血的范式转变,从积极的晶体复苏转向静血复苏策略. 本综述探讨了MHPs的演变和操作要素,以获得更好的患者结果.
科学领域:
- 创伤和紧急医疗医学
- 输血医学 输血医学
- 手术重症监护手术重症监护
背景情况:
- 传统的出血管理依赖于凝血测试和积极的晶体复苏,导致高死亡率.
- 严重出血需要专门的复苏计划,这导致了损害控制复苏的发展.
研究的目的:
- 审查主要出血协议 (MHPs) 的历史演变,理论基础,术语和操作元素.
- 为麻醉师,输血服务和其他参与严重出血管理的专业人员提供相关的见解.
主要方法:
- 本综述综合了有关重大出血协议的当前文献和临床实践.
- 它检查了损害控制复苏的原则,包括静血复苏和最小化晶体.
主要成果:
- 主要出血协议 (MHPs) 整合了严重出血的损害控制复苏原则.
- 有效的MHP实施需要跨医院领域的同步行动和多学科的专业参与.
结论:
- 大型静脉复苏器代表了严重出血管理的重大进步,强调静脉复苏器.
- 进一步探索MHP的历史,理论和操作方面对于在各种临床环境中进行最佳实施至关重要.
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