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Massive hemorrhage and transfusion in the operating room

ConclusionsMassive hemorrhage is a multidisciplinary challenge that requires immediate response and communication between clinicians, nurses, other healthcare providers, laboratory testing, and blood banks. Basic knowledge and utilization of available products and therapies are inconsistent. A massive transfusion protocol can be used effectively to reduce chaos and ensure that correct treatments and proper dosing occur in a timely manner.
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research

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ConclusionBasic insulation capabilities are well established in the Swedish pre‐hospital services. Specific wind and waterproof insulation materials, active warming devices, low‐reading thermometers and IV fluid heating systems are less common. We suggest the development and implementation of national guidelines on accidental hypothermia that include basic recommendations on equipment requirements.
Source: Acta Anaesthesiologica Scandinavica - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
Publication date: Available online 19 September 2017 Source:Advances in Anesthesia Author(s): Miguel A. Cobas, Arnaldo Vera-Arroyo
Source: Advances in Anesthesia - Category: Anesthesiology Source Type: research
We wish to thank Prof. Hilary Grocott for his excellent letter and for the kind words regarding our review article1; we are honored by his praise. In his letter, Prof. Grocott had several important comments to which we would like to respond. First, we attempted to remind the reader that the issue of unintended patient awareness during periods of neuromuscular paralysis may occur in various clinical settings, including the intensive care unit. Specifically, it has been reported that neuromuscular blocking agents may be employed to control shivering (and decrease oxygen consumption) during induction of therapeutic hypothermi...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Abstract BACKGROUND: The North American Pediatric Craniofacial Collaborative Group (PCCG) established the Pediatric Craniofacial Surgery Perioperative Registry to evaluate outcomes in infants and children undergoing craniosynostosis repair. The goal of this multicenter study was to utilize this registry to assess differences in blood utilization, intensive care unit (ICU) utilization, duration of hospitalization, and perioperative complications between endoscopic-assisted (ESC) and open repair in infants with craniosynostosis. We hypothesized that advantages of ESC from single-center studies would be validated bas...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
This article discusses the physiology of thermoregulation, effects of anesthesia on thermoregulation, various temperature monitoring sites and methods, perioperative warming devices, guidelines for perioperative temperature management and inadvertent temperature complications (hypothermia/hyperthermia) and measures to control it in the operating room.
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
BACKGROUND: Hypothermia is an important complication in joint arthroplasty. Commonly, forced air warming (FAW) devices are used intraoperatively to maintain body temperature in patients undergoing surgery. However, it is believed that these convective warming systems could increase the risk of deep surgical site infections due to disruption of unidirectional downward laminar airflow. Conductive warming devices have no noticeable effect on ventilation airflow. Nevertheless, the effectiveness of the self-warming (SW) blanket, a novel conductive warming device, on postoperative hypothermia in elective joint arthroplasty is un...
Source: Orthopaedic Nursing - Category: Nursing Tags: Original Articles Source Type: research
Conclusions: This study showed that HHBC influences heat redistribution in early period of operation and can lessen the magnitude of the decrease in core body temperature. Therefore, it can be applied efficiently for other active warming devices in mild hypothermia. PMID: 28824315 [PubMed - in process]
Source: International Journal of Medical Sciences - Category: Biomedical Science Tags: Int J Med Sci Source Type: research
This study aimed to compare the effects of moderate versus deep hypothermia anesthesia for Stanford A aortic dissection surgery on brain injury. A total of 82 patients who would undergo Stanford A aortic dissection surgery were randomized into two groups: moderate hypothermia group (MH,n = 40, nasopharyngeal temperature 25 °C, and rectal temperature 28 °C) and deep hypothermia group (DH,n = 42, nasopharyngeal temperature 20 °C, and rectal temperature 25 °C). Different vascular replacement techniques including aortic root replacement, Bentall, and Wheat were used. The ...
Source: Heart and Vessels - Category: Cardiology Source Type: research
Perioperative hypothermia may predispose patients to surgical site wound infection, coagulopathy, and increased blood loss.1,2 Active warming during a surgical procedure of greater than 30 min duration reduces perioperative hypothermia, and has been recommended for adults undergoing surgery under general or regional anesthesia.3 However routine perioperative warming of patients during cesarean delivery is not widely practised, and perioperative hypothermia remains commonplace in women undergoing cesarean delivery.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Source Type: research
PMID: 28817425 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
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