Whats the better preference for a bleeding tolerant due to trauma need blood unit , adjectives blood or packed to the gunwales rbc?
rarely we get hold of trauma patients in want of transfusion. i am trying to wheigh in the pros and cons of undamaged blood units vs RBC unit. my problem with the total blood is the shorter shelf life.
Answers:
In trauma patients combinations of stored unharmed blood, packed cell, colloids & crystalloids are given to maintain blood volume or pressure at so-so levels and haemoglobin at around 7g/dl or haematocrit at 0.25. Opting for a brimful RBC is fine. Be aware though that there is a dose dependent correlation between blood product transfusion and outcome contained by trauma patients. Your priority should be for definitive surgical arrest of haemorrhage from major vessel.Conserve limited supplies of fresh blood until the bleeding is controlled.
Whole blood transfusion is usually required just when there is excess loss of blood from the patient's body. otherwise RBC unit should be used.
Whole blood should only be given when in attendance is also a need for white blood cell replacement. Otherwise chock-full red cells are the best. There is increased risk of transfusion spontaneous effect caused by donor white cell. In a bleeding patient, the idea is to maintain oxygen carrying dexterity which requires maintaining the red blood cell volume, why bequeath them more than they need. In modern blood bank, donor units are divided into several fractions and the theory is to give the patinet specifically what he requests. This is to adress and minimize the risks of transfusion including adverse reactions and infection.
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