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Protocol-driven transfusion strategies that approach a 1:1:1 [packed red blood cell (PRBC), fresh frozen plasma (FFP), and platelet (PLT)] ratio in patients who require massive transfusion improve patient survival, reduce hospital / intensive care unit (ICU) length of stay,
Massive Transfusion Protocol (MTP) should be considered for cases of massive blood loss with profound hemorrhagic/hypovolemic shock or conditions of disseminated intravascular coagulopathy (DIC). 1.
Massive blood transfusion is arbitrarily defined as the replacement of a patient’s total blood volume in less than 24 hours or the acute administration of more than half the patient’s estimated blood volume per hour. Estimated blood volume for a child is 80 ml/kg.
Massive Transfusion Protocol: The MTP is designed to provide quick and efficient resuscitation to an exsanguinating patient by continuing to deliver blood to the bleeding patient until massive bleeding has stopped. These guidelines were prepared by the UAMS Trauma/EGS Service.
A well-defined MT protocol is a valuable tool to delineate how blood products are ordered, prepared, and delivered; determine laboratory algorithms to use as transfusion guidelines; and outline duties and facilitate communication between involved personnel.
1 Μαρ 2016 · As we come to further understand the positive and negative clinical impacts of transfusion-related factors, massive transfusion practice can be further refined. This article will first...
Note: There is no massive transfusion pack at WH. Blood & Blood products must be requested according to the patient’s clinical condition and requirements. Fibrinogen > 2 g/ for obstetric patients. Is blood required in less than 10 minutes?
