Review of problems of massive blood transfusion in a surgical intensive care unit.
A retrospective review of 29 surgical patients who were massively transfused perioperatively according to a standard transfusion protocol was carried out. Volume of blood transfused was 2,300 mls to 12,440 mls, with a mean of 5,168 mls. Results of this study showed: administration of bicarbonate should be individualised and based on blood gas analysis. deficiency in factor V and factor VIII in CPD adenine blood did not cause disturbance in haemostasis. Postoperative thrombocytopenia was significant, 89.28% had platelet count less than 150 X 10(9)/L. Further drop in platelet count was observed 24 hours postoperatively. Hyperkalaemia was not observed, hypokalaemia following surgery with massive blood transfusion was observed in 53.6% of our patients.
D000137:Acid-Base Imbalance / Q000209:etiology; D000328:Adult; D000368:Aged; D001778:Blood Coagulation Disorders / Q000209:etiology; D005260:Female; D006748:Hospital Departments; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011188:Potassium / Q000097:blood; D012189:Retrospective Studies; D013503:Surgery Department, Hospital; D065227:Transfusion Reaction
D011188:Potassium