Очевидные и спорные вопросы восполнения острой массивной кровопотери (лекция)

Очевидные и спорные вопросы восполнения острой массивной кровопотери (лекция)

Автор: Мазурок В.А.

Журнал: Хирургическая практика @spractice

Рубрика: Современное состояние проблемы: обзоры, лекции

Статья в выпуске: 4, 2013 года.

Бесплатный доступ

В лекции представлены современные взгляды на ключевые моменты патогенеза острой кровопотери, клиническую значимость гемодинамических, волемических, гемостазиологических и гемических нарушений, возникающих при массивной кровопотере. Рассматриваются приоритетные задачи лечения пациентов с острой кровопотерей. Приводятся сравнительная характеристика и возможные точки приложения современных инфузионных сред при острой кровопотере. Приведен алгоритм инфузионно-трансфузионной терапии у пациентов с острой кровопотерей.

Острая массивная кровопотеря, инфузионно-трансфузионная терапия

Короткий адрес: https://sciup.org/142211536

IDR: 142211536

Список литературы Очевидные и спорные вопросы восполнения острой массивной кровопотери (лекция)

  • Горбашко А. И. Диагностика и лечение кровопотери: руководство для врачей -Л.: Медицина, 1982.-223 с.
  • Вагнер Е.А. Тавровский В.М. Трансфузионная терапия при острой кровопотере -М.:Медицина, 1977. -176 с.
  • Dicker R., Garman K., Goodnough L. et al.//Massive Transfusion Guidelines, 2005
  • Kardon E. Transfusion Reactions//www.emedicine.com, 2007
  • The American Association of Blood Banks http://www.aabb.org/Pages/Homepage.aspx
  • http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2013/06/news_detail_001814.jsp&mid=WC0b01ac058004d5c1
  • http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm358349.htm
  • Kozek-Langenecker S.A. et al. Management of severe perioperative bleeding. Guidelines from the European Society of Anaesthesiology//Eur J Anaesthesiol 2013; 30:270-382
  • Сингаевский А.Б. и др. Скорая медицинская по мощь,-2002.-№ 3.-С. 23-26
  • Воробьев А.И., Городецкий В.М., Шулутко Е.М. с соавт. Острая массивная кровопотеря. М.: ГЭОТАР-Мед, 2001
  • Lang K, Boldt J, Suttner S et al. Anesth Analg 2001;93:405-9
  • Mc Ilroy DR, Kharasch ED. Anesth Analg 2003;96:1572-7
  • Boldt J., Ducke M., Kumle B. et al. Intensive Care Med 2004; 30: 416-422
  • Lang K., Suttner S., Boldt J. et al. Can J Anaesth 2003; 50: 1009-1016
  • Moretti E.W., Robertson K.M., El-Moalem H. et al. Anesth Analg 2003; 96: 611-617
  • Prien T., Backhaus N., Pelster F. et al. J Clin Anesth 1990; 2: 317-323
  • Lowell JA, Schifferdecker C, Driscoll DF, Benotti PN, Bistrian BR. Postoperative fluid overload: not a benign problem. Crit Care Med 1990; 18:728-733
  • Gurgel ST, do Nascimento P Jr. Maintaining tissue perfusion in high-risk surgical patients: a systematic review of randomized clinical trials. Anesth Analg 2011; 112:1384-1391
  • Hamilton MA, Cecconi M, Rhodes A. A systematic review and metaanalysis on the use of preemptive hemodynamic intervention to improve postoperative outcomes in moderate and high-risk surgical patients. Anesth Analg 2011; 112:1392-1402
  • Bellamy MC. Wet, dry or something else? Br J Anaesth 2006; 97:755-757
  • Holte K, Sharrock NE, Kehlet H. Pathophysiology and clinical implications of perioperative fluid excess. Br J Anaesth 2002; 89:622-632
  • Baron JF, De Kegel D, Prost AC, et al. Low molecular weight hydroxyethyl starch 6% compared to albumin 4% during intentional hemodilution. Intensive Care Med 1991; 17:141-148.
  • Riddez L, Hahn RG, Brismar B, Strandberg A, Svensen C, Hedenstierna G. Central and regional hemodynamics during acute hypovolemia and volume substitution in volunteers. Crit Care Med 1997; 25:635-640.
  • Chan ST, Kapadia CR, Johnson AW, Radcliffe AG, Dudley HA. Extracellular fluid volume expansion and third space sequestration at the site of small bowel anastomoses. Br J Surg 1983; 70:36-39
  • Kumar A, Anel R, Bunnell E, et al. Pulmonary artery occlusion pressure and central venous pressure fail to predict ventricular filling volume, cardiac performance, or the response to volume infusion in normal subjects. Crit Care Med 2004; 32:691-699.
  • Hartog CS, Bauer M, Reinhart K. The efficacy and safety of colloid resuscitation in the critically ill. Anesth Analg 2011; 112:156-164.
  • van der Heijden M, Verheij J, van Nieuw Amerongen GP, Groeneveld AB. Crystalloid or colloid fluid loading and pulmonary permeability, edema, and injury in septic and nonseptic critically ill patients with hypovolemia. Crit Care Med 2009; 37:1275-1281.
  • Story DA, Morimatsu H, Bellomo R. Hyperchloremic acidosis in the critically ill: one of the strong-ion acidoses? Anesth Analg 2006; 103:144-148.
  • Glance LG, Dick AW, Mukamel DB, et al. Association between intraoperative blood transfusion and mortality and morbidity in patients undergoing noncardiac surgery. Anesthesiology 2011; 114:283-292.
  • Marik PE, Corwin HL. Efficacy of red blood cell transfusion in the critically ill: a systematic review of the literature. Crit Care Med 2008; 36:2667-2674.
  • He´ bert PC, Wells G, Blajchman MA, et al. A multicenter randomized controlled clinical trial of transfusion requirements in critical Care. N Engl J Med 1999; 340:409-417.
  • Koch CG, Li L, Sessler DI, et al. Duration of red-cell storage and complications after cardiac surgery. N Engl J Med 2008; 358:1229-1239.
  • Watson GA, Sperry JL, Rosengart MR, et al. Fresh frozen plasma is independently associated with a higher risk of multiple organ failure and acute respiratory distress syndrome. J Trauma 2009; 67:221-227.
  • Sarani B, Dunkman WJ, Dean L, Sonnad S, Rohrbach JI, Gracias VH. Transfusion of fresh frozen plasma in critically ill surgical patients is associated with an increased risk of infection. Crit Care Med 2008; 36:1114-1118.
  • Khan H, Belsher J, Yilmaz M, et al. Fresh-frozen plasma and platelet transfusions are associated with development of acute lung injury in critically ill medical patients. Chest 2007; 131:1308-1314.
  • Spiess BD, Royston D, Levy JH, et al. Platelet Transfusions during coronary artery bypass graft surgery are associated with serious adverse outcomes. Transfusion 2004; 44:1143-1148.
  • Murphy GJ, Reeves BC, Rogers CA, Rizvi SI, Culliford L, Angelini GD. Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery. Circulation 2007; 116:2544-2552.
  • Aronson D, Dann EJ, Bonstein L, et al. Impact of red blood cell transfusion on clinical outcomes in patients with acute myocardial infarction. Am J Cardiol 2008; 102:115-119.
  • de Boer MT, Christensen MC, Asmussen M, et al. The impact of intraoperative transfusion of platelets and red blood cells on survival after liver transplantation. Anesth Analg 2008; 106:32-44.
  • Beattie WS, Karkouti K, Wijeysundera DN, Tait G. Risk associated with preoperative anemia in noncardiac surgery: a single-center cohort study. Anesthesiology 2009; 110:574-581.
  • Pereboom IT, de Boer MT, Haagsma EB, Hendriks HG, Lisman T, Porte RJ. Platelet transfusion during liver transplantation is associated with increased postoperative mortality due to acute lung injury. Anesth Analg 2009; 108:1083-1091.
  • Shander A. Financial and clinical outcomes associated with surgical bleeding complications. Surgery 2007; 142 (4 Suppl):S20-S25
  • Kumar A. Perioperative management of anemia: limits of blood transfusion and alternatives to it. Cleve Clin J Med 2009; 76 (Suppl 4):S112-118.
  • Goodnough LT, Maniatis A, Earnshaw P, et al. Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines. Br J Anaesth 2011; 106:13-22.
  • Karkouti K, Wijeysundera DN, Beattie WS. Reducing Bleeding in Cardiac Surgery Investigators. Risk associated with preoperative anemia in cardiac surgery: a multicenter cohort study. Circulation 2008; 117:478-484.
  • Boening A, Boedeker RH, Scheibelhut C, Rietzschel J, Roth P, Schonburg M. Anemia before coronary artery bypass surgery as additional risk factor increases the perioperative risk. Ann Thorac Surg 2011; 92:805-810
  • Musallam KM, Tamim HM, Richards T, et al. Preoperative anaemia and postoperative outcomes in non-cardiac surgery: a retrospective cohort study. Lancet 2011; 378:1396-1407
  • Dunne JR, Malone D, Tracy JK, Gannon C, Napolitano LM. Perioperative anemia: an independent risk factor for infection, mortality, and resource utilization in surgery. J Surg Res 2002; 102:237-244.
  • Saleh E, McClelland DB, Hay A, Semple D, Walsh TS. Prevalence of anaemia before major joint arthroplasty and the potential impact of preoperative investigation and correction on perioperative blood transfusions. Br J Anaesth 2007; 99:801-808.
  • Lieberman JA, Weiskopf RB, Kelley SD, et al. Critical oxygen delivery in conscious humans is less than 7.3 ml O2 kg_1 min_1. Anesthesiology 2000; 92:407-413.
  • Hajjar LA, Vincent JL, Galas FR, et al. Transfusion requirements after cardiac surgery: the TRACS randomized controlled trial. JAMA 2010; 304:1559-1567.
  • Hebe´ rt PC. Transfusion requirements in critical care (TRICC): a multicentre, randomized, controlled clinical study. Transfusion Requirements in Critical Care Investigators and the Canadian Critical care Trials Group. Br J Anaesth 1998; 81 (Suppl 1):25-33.
  • Corwin HL, Gettinger A, Pearl RG, et al. The CRIT Study: Anemia and blood transfusion in the critically ill-current clinical practice in the United States. Crit Care Med 2004; 32:39-52.
  • Vincent JL, Baron JF, Reinhart K, et al. Anemia and blood transfusion in critically ill patients. JAMA 2002; 288:1499-1507.
  • Vincent JL, Sakr Y, Sprung C, Harboe S, Damas P. Sepsis Occurrence in Acutely Ill Patients Investigators. Are blood transfusions associated with greater mortality rates? Results of the Sepsis Occurrence in Acutely Ill Patients study. Anesthesiology 2008; 108:31-39.
  • Hardy J-F, Moerloose P, Samama M.//Can J Anesth 51:293-310 (2004)
  • Uijttewaal WS et al. Near-wall excess of platelets induced by lateral migration of erythrocytes in flowing blood//Am J Physiol 1993; 264 (4 Pt 2): H1239-44.
  • Sagesaka T. Influence of red blood cell concentration on the initiation time of blood coagulation: risk of thrombus formation by hemoconcentration. Clin Hemorheol Microcirc 2004; 31:243-249.
  • Мазурок В.А., 1999
  • Wang G, Bainbridge D, Martin J, Cheng D. The efficacy of an intraoperative cell saver during cardiac surgery: a meta-analysis of randomized trials. Anesth Analg 2009; 109:320-330.
  • Davies L, Brown TJ, Haynes S, Payne K, Elliott RA, McCollum C. Cost-effectiveness of cell salvage and alternative methods of minimizing perioperative allogeneic blood transfusion: a systematic review and economic model. Health Technol Assess 2006; 10:iii-iv, ix-x, 1-210.;
  • Carless PA, Henry DA, Moxey AJ, O'Connell D, Brown T, Fergusson DA. Cell salvage for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev 2010; (4):CD001888
  • O'Keeffe T. Refaai M. Tchorz et al. Arch Surg 2008; 143:686-690, discussion 690-691.
  • Riskin DJ. Tsai TC. Riskin L. et al. J of the Am Coll of Surg 2009; 209:198-205.
  • Cotton BA. Gunter OL. Isbell J. et al. J Trauma 2008; 64:1177-1183.
  • Cotton BA. Au BK. Nunez TC. et al. J Trauma 2009; 66:41-48; discussion 48-49
  • Holcomb JB, Wade CE, Michalek JE, et al. Increased plasma and platelet to red blood cell ratios improves outcome in 466 massively transfused civilian trauma patients. Ann Surg 2008; 248:447-458.
  • Maegele M, Lefering R, Paffrath T, et al. Red-blood-cell to plasma ratios transfused during massive transfusion are associated with mortality in severe multiple injury: a retrospective analysis from the Trauma Registry of the Deutsche Gesellschaft fur Unfallchirurgie. Vox Sang 2008; 95:112-119.
  • Dente CJ, Shaz BH, Nicholas JM, et al. Improvements in early mortality and coagulopathy are sustained better in patients with blunt trauma after institution of a massive transfusion protocol in a civilian level I trauma center. J Trauma 2009; 66:1616-1624.
  • Shaz BH, Dente CJ, Nicholas J, et al. Increased number of coagulation products in relationship to red blood cell products transfused improves mortality in trauma patients. Transfusion 2010; 50:493-500.
  • Sperry JL, Ochoa JB, Gunn SR, et al. An FFP:PRBC transfusion ratio >/ј1:1.5 is associated with a lower risk of mortality after massive transfusion. J Trauma 2008; 65:986-993
  • Stinger H K. Spinella PC. Perkins JG. et al. J Trauma. 2008; 64:S79 -S85.
  • Gunter OL Jr. Au BK. et al. J Trauma 2008; 65:527-534.
  • Cotton BA. Dossett LA. Au BK. et al. J Trauma 2009; 67:1004-1012
  • Kauvar, D.S., Holcomb, J.B., Norris, G.C., Hess, J.R. Fresh whole blood transfusion: a controversial military practice.//J. Trauma 61, 181-184 (2006)
  • Bowling F, Pennardt A. The use of fresh whole blood transfusions by the SOF medic for hemostatic resuscitation in the austere environment.//J Spec Oper Med. 2010 Summer;10(3):25-35.
  • Erber W.N. Massive blood transfusion in the elective surgical setting//Transfus Apheresis Sci, 2002
  • Phan HH, Wisner DH. Should we increase the ratio of plasma/platelets to red blood cells in massive transfusion: what is the evidence? Vox Sang 2010; 98:395-402.
  • Roback JD, Caldwell S, Carson J, et al. Evidence-based practice guidelines for plasma Transfusion. Transfusion 2010; 50:1227-1239.
  • Zehtabchi S, Nishijima DK. Impact of transfusion of fresh-frozen plasma and packed red blood cells in a 1:1 ratio on survival of emergency department patients with severe trauma. Acad Emerg Med 2009; 16:371-378.
  • Murad MH, Stubbs JR, Gandhi MJ, et al. The effect of plasma Transfusion on morbidity and mortality: a systematic review and meta-analysis. Transfusion 2010; 50:1370-1383.
  • Cushing M, Shaz BH. Blood transfusion in trauma patients: unresolved questions. Minerva Anestesiol 2011; 77:349-359.
  • Coats TJ, Brazil E, Heron M. Emerg Med J.2006.23(7):546-549
  • Mann K G, Butenas S, Brumme l K. Arterioscler Tromb Vasc Biol 2003. 2317-25
  • Brummel K E, Paradis S G, Butenas S. et al. Blood 2002. 10:0148-153
  • Tuman K. et al. Anesth Analg 1989. 6969-75
Еще
Статья научная
SciUp 2024 © 2024 ©