Flashcards in Autotransfusion- Exam 3 Deck (71)
Loading flashcards...
61
Contraindications a perfusionist is most likely to encounter
Wound infections
Pleural effusion
betadine
warm solutions
sterile water
malignancy
topical hemostatic agents
62
Disadvantages of Autotransfusion
Depletion of plasma and platelets- to eliminate clotting factors and activated platelets, causes coagulopathy if reinfused
63
When is the disadvantage of depletion of plasma and platelets evident?
When very large blood losses occur
64
Typically, patient may require FFP/platelets when...
Estimated blood loss is greater than half of the patient's blood volume; must test to determine the need for blood products
65
Typically, patient may require FFP/platelets when...
Estimated blood loss is greater than half of the patient's blood volume; must test to determine the need for blood products
66
Special Considerations: Orthopedic
Antibiotics which are plasma bound can be removed, topical antibiotics which are not plasma bound may not be washed out (may actually become concentrated to the point of being nephrotoxic)
Cement is often used or encountered during primary or revision total join replacement surgery. Cement in the liquid or soft state should not be introduced into the autotransfusion system
67
The use of ultrasonic equipment during revision of total joints does what?
Changes the cement to a liquid or soft state precluding autotransfusion during the use of such equipment
68
Special Considerations: Emergency
in life saving situations with the consent of the surgeon, autotransfusion can be utilized in the presence of the previous stated contraindications i.e. sepsis, bowl contamination and malignancy
69
What is the governing body of autotransfusion?
International Board of Blood Management (CPBMT)
70
What is the IBBM's mission?
TO promote education and sound scientific principles to advance the safe and competent practice of perioperative blood management
71
