Transfusão maciça no contexto do trauma - uma revisão de literatura

Luís Gustavo Rodrigues Barbosa; Maurício Moraes Assis

doi:10.58951/dataset.2024.003

Massive transfusion in trauma - a literature review.

Authors

Luís Gustavo Rodrigues Barbosa Federal University of Lavras https://orcid.org/0000-0002-6720-6017
Maurício Moraes Assis Federal University of Lavras https://orcid.org/0009-0003-2430-6004

DOI:

https://doi.org/10.58951/dataset.2024.003

Keywords:

Hemorrhagic shock, Transfusion Protocols, Polytrauma care, Antifibrinolytic, Calcium

Abstract

Massive transfusion is defined as the transfusion of at least 10 units of red blood cells concentrate within 24 hours. Although most commonly used in the context of cardiac and vascular surgery, severe hemorrhagic trauma is its classic indication and the scenario in which the strategy is most studied. The decision to initiate the massive transfusion protocol requires consideration, as it is as important as offering an early response to shock, as it is to avoid complications related to the unnecessary use of blood products. Therefore, it is extremely important to properly select patients who will benefit most, which can be aided by scores such as the Assessment of Blood Consumption. Other criteria for starting the massive transfusion protocol include persistent hemodynamic instability, active bleeding requiring surgery or angioembolization and blood transfusion at the scene. In this context, it is important that the emergency professional is familiar not only with the indications for massive transfusion, but also with the technical aspects and adjuvant measures..

References

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