Can J Anesth/J Can Anesth (2017) 64:962–978 DOI 10.1007/s12630-017-0925-x CO NTINU I NG PR OFES SION AL D E VELO PM EN T Brian Muirhead, MD Andrew D. H. Weiss, MD Received: 30 January 2017 / Revised: 11 May 2017 / Accepted: 20 June 2017 / Published online: 17 July 2017 Canadian Anesthesiologists’ Society 2017 Abstract chaos and ensure that correct treatments and proper Purpose In this Continuing Professional Development dosing occur in a timely manner. module, we review the pathophysiology and clinical manifestations associated with massive hemorrhage as well as laboratory investigations and appropriate Objectives of this Continuing Professional Development therapeutic measures. In addition to reviewing the (CPD) module: available blood/plasma products and adjunct therapy, we also explore the role of the anesthesiologist in a massive After reading this module, the reader should be able to: transfusion protocol scenario. 1. Describe both the clinical and pathophysiological Principal ﬁndings Massive hemorrhage can be either manifestations of massive hemorrhage. anticipated or unexpected. The coinciding presence of 2. Correctly order the appropriate blood products with the acidosis, hypothermia, and hypotension contribute greatly appropriate dosing and delivery. to a poor outcome. Red blood cells not only increase 3. List other available treatment
Canadian Journal of Anesthesia/Journal canadien d'anesthésie – Springer Journals
Published: Jul 17, 2017
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