Saturday, August 8, 2015

Hemorragia masiva

Resultado de imagen de Dovepress
Vymazal T. Therapeutics and Clinical Risk Management 2015:11; 1107—1111
"Viscoelastic whole-blood assays are superior to standard coagulation blood tests for the identification of coagulopathy and for guiding decisions on appropriate therapy in patients with severe bleeding. Replacement of plasma, red blood cells, platelets, and fibrinogen in a ratio of 1:1:1:1 has appeared to be the best substitution for lost whole blood. There is no evidence that cryoprecipitate improves the outcome of patients with severe hemorrhage. Current literature promotes the transfusion of warm fresh whole blood, which seems to be superior to the component therapy in certain clinical situations. Some authors recommend that fibrinogen and other coagulation factors be administered according to the viscoelastic attributes of the blood clot.
Conclusion: This best-evidence topic report brings comprehensive information about massive hemorrhage management."
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