Due to a high incidence of anemia, critically ill patients are frequently transfused, with up to 40% of patients receiving a transfusion during their stay in the Intensive Care Unit. It has become increasingly clear that there is an association between transfusion and adverse outcomes, underlining the need for a careful assessment of the risks and benefits of a blood transfusion. In the last decade, there have been several large clinical trials that have studied red blood cell transfusion triggers in various ICU patient populations, allowing us to take a personalized approach to transfusion. Moreover, ICU patients often suffer from coagulopathy. Recent studies have addressed the effectiveness of fresh frozen plasma and platelets to prevent or treat bleeding. Aiming at a personalized therapy approach in transfusion practice, this book is the first to offer a comprehensive summary of transfusion triggers for red blood cells in specific ICU patient populations and specific conditions. In addition, it discusses evidence for triggers for plasma and platelets and outlines the most common adverse effects of transfusion in the ICU. Transfusion in the Intensive Care Unit is a practical handbook that can be used in everyday practice to guide transfusion and thus will serve as a valuable resource for physicians, fellows and residents working in Intensive Care, Anesthesiology and Cardiac Surgery.
Table of Contents
Introduction.- Causes of Anemia in Critically Ill Patients.- Red Blood Cell Transfusion Trigger in Sepsis.- Red Blood Cell Transfusion Trigger in Cardiac Disease.- Red Blood Cell Transfusion Trigger in Cardiac Surgery.-Red Blood Cell Transfusion Trigger in Brain Injury.-Red Blood Cell Transfusion in the Elderly.- ScvO2 as an Alternative Transfusion Trigger.-Alternatives to Red Blood Cell Transfusion.- Blood Sparing Alternatives in the Intensive Care Unit.- Massive Transfusion in Trauma.- Transfusion in Gastrointestinal Bleeding.-Platelet Transfusion Trigger in the Intensive Care Unit.-FFP Transfusion in Intensive Care Medicine.-Transfusion-Related Acute Lung Injury.- Transfusion-Associated Circulatory Overload.