Second Edition
by Bruce D. Spiess
Perioperative Transfusion Medicine provides complete information on all current blood products and transfusion risks, transfusion and coagulation issues during the preoperative, intraoperative, and postoperative periods, and specific concerns in each surgical subspecialty.
Features:
- Details what you need to know about the storage and administration of blood
- Focuses on indications for transfusion, methods to avoid, pharmacologic adjustments, and technical equipment usage
- Includes current infectious disease concerns
- Differentiates the needs of different patient types
Contents
Introduction
- A History of Transfusion
- The Contemporary Economics of Transfusions
- Blood Supplies Now and in the Future
- Medical Ethics, Transfusion, and the Standard of Practice
The Physiologic Basis For Blood Management: A New Look
- Oxygen Transport Monitoring: The Basis for Developing Transfusion Triggers
- Physiology of Anemia and Red Blood Cell Transfusion
- Physiology of Hemostasis
- Platelet Physiology: Cellular and Protein Interactions
- Iron Metabolism and Erythropoiesis
- New Concepts in Oxygen Transport
Transfusion Risks
- Infectious Risks of Transfusion
- Immunomodulation by Transfusion
- Serious Acute Transfusion Reactions
Blood Component Therapy
- A Surgeon's Guide to Blood Banking and Transfusion Medicine
- Blood Storage
- Quality Control and Hospital Blood Utilization
Alternatives to Allogeneic Blood
- Preoperative Autologous Donation
- Erythropoietin Therapy
- Hemoglobin-based Oxygen Carriers
- Perfluorocarbon Emulsions: Artificial Gas Transport Media
Trauma and the Bleeding Patient
- Initial Resuscitation of the Hemorrhaging Patient
- Transfusion and Coagulation Therapy in Trauma and Burns
- Acute Gastrointestinal Bleeding and Transfusion Management
- Coagulation in Trauma: Dilution and Massive Transfusion
Coagulation Issues
- Coagulation Product Use in the Perioperative Period
- Perioperative Coagulation Monitoring
- Surgery in Patients with Congenital Clotting Deficiencies
- Perioperative Implications of Anticoagulant and Antiplatelet Therapy
- Pharmacological Approaches to Prevent or Decrease Bleeding in Surgical Patients
- Fibrin Glue and Platelet Gel
Anesthesia Considerations
- Anesthesia Techniques in Blood Conservation
- Perioperative Red Cell Salvage and Autotransfusion
- Intraoperative Acute Nomovolemic Hemodilution
- Hypothermia and Hemorrhage
Transfusion and Surgical Subspecialties
- Surgery in Patients with Red Cell Disorders: Sickle Hemoglobinopathies, Polycythemia, and Autoimmune Hemolytic Anemia
- Surgery in the Jehovah's Witness
- Coagulation, Transfusion, and Cardiac Surgery
- Blood Loss and Transfusion Alternatives in Vascular Surgery
- Solid Organ Transplantation
- Blood Use in Orthopedic Surgery
Transfusion Issues in Other Specialties
- Blood Management in Obstetrics and Gynecology
- Hemorrhage in Pediatric Patients
- Transfusion in Oncologic Surgery
- Transfusion and Coagulation Dysfunction in Neurosurgery
Postoperative Transfusion Issues
- Transfusion and Outcome
- The Transfusion Decision
- Undertransfusion
- A Philosophy of Blood Management
Index
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