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2014 | Volumenersatz | OriginalPaper | Buchkapitel

6. Transfusionsmanagement bei Notfall- und Massivtransfusionen

verfasst von : E. Strasser, H. Lier

Erschienen in: Transfusionspraxis

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die hämodynamische Stabilisierung des Patienten mit schwerem Trauma muss innerhalb einer Stunde gelingen. Der Blutverlust ist hierbei entscheidend für die Weiterbehandlung in einem Schockraum und die Aufnahme in ein Traumazentrum. Für die Notfalltransfusion gelten spezielle Vorschriften der Hämotherapie-Richtlinien. Die Organisation der Bereitstellung von Blutprodukten im Schockraum und der immunhämatologischen Kontrollen stellt speziell in Kliniken ohne eigenes Labor oder Blutdepot eine Herausforderung dar. Transfundiert werden darf nur das, was wirklich notwendig und nur dann, wenn es notwendig ist. Ein Ausfall des „Organsystems Gerinnung“ zusätzlich zu den traumabedingten Schädigungen muss vermieden werden. Entscheidend ist nicht der Erhalt einer bestimmten Plasmakonzentration, sondern die schnellstmögliche Sicherstellung einer ausreichenden hämostatischen Kapazität und stabilen Blutungskontrolle.
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Metadaten
Titel
Transfusionsmanagement bei Notfall- und Massivtransfusionen
verfasst von
E. Strasser
H. Lier
Copyright-Jahr
2014
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-642-55428-5_6

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