Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/13155
Title: Blood loss and transfusion requirements in liver transplantation: experience with the first 75 cases.
Authors: McNicol, P L;Liu, G;Harley, I D;McCall, Peter R;Przybylowski, G M;Bowkett, J;Angus, Peter W;Hardy, Kenneth John;Jones, Robert M
Affiliation: Department of Anaesthesia, Austin Hospital, Melbourne, Victoria.
Issue Date: 1-Dec-1994
Citation: Anaesthesia and Intensive Care; 22(6): 666-71
Abstract: The blood loss data and transfusion requirements including blood bank, salvaged washed red cells, fresh frozen plasma and cryoprecipitate were analysed for the first 75 cases of liver transplantation performed at the Austin Hospital between June 1988 and October 1992. The mean blood loss was 8.8 litres (standard deviation 14.1) with a median value of 4.0 litres. Blood product use expressed as mean number of units (SD) was bank red blood cells 7.1 (12.7), washed red blood cells 3.9 (5.9), fresh frozen plasma 7.1 (9.1), platelets 5.1 (7.4), and cryoprecipitate 1.7 (5.1). These results demonstrate that liver transplantation can be performed without imposing excessive demands on blood transfusion services. Management should include surgical techniques to minimize bleeding and use of autologous transfusion. Use of component therapy (FFP, platelets and cryoprecipitate) should not be empirical. It should be selective on the basis of clinical bleeding assessment and guided by results of the laboratory coagulation profile and changes in thrombelastographic (TEG) parameters.
Internal ID Number: 7892969
URI: http://ahro.austin.org.au/austinjspui/handle/1/13155
URL: http://www.ncbi.nlm.nih.gov/pubmed/7892969
Type: Journal Article
Subjects: Adolescent
Adult
Aged
Blood Coagulation
Blood Loss, Surgical.statistics & numerical data
Blood Substitutes.administration & dosage
Blood Transfusion.statistics & numerical data
Blood Transfusion, Autologous.statistics & numerical data
Child
Erythrocyte Transfusion.statistics & numerical data
Female
Hemoglobins.analysis
Humans
Liver Diseases.surgery
Liver Transplantation.methods.statistics & numerical data
Male
Middle Aged
Plasma
Platelet Count
Platelet Transfusion.statistics & numerical data
Reoperation
Thrombelastography
Victoria.epidemiology
Appears in Collections:Journal articles

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