PPT-Post-Operative Anemia: What is the Appropriate Transfusion Threshold?

Objectives Describe the physiology of oxygen delivery List risks and benefits of red blood cell transfusions Discuss the evidence regarding thresholds for red blood cell transfusion Explain methods to prevent the need for intra and postoperative transfusions. Evidence-Based . Blood Transfusion. Blood transfusion does not simply involve the anesthesiologist hanging . pRBCs. once 1000 ml of blood are in the suction container!. Correct pre-operative anemia. Dr Louise Moran . Consultant . Anaesthetist. Dr Paul O’Connor. Associate Clinical Director. Letterkenny. . General Hospital (LGH) is an acute general and maternity . Hospital. Serves 147,000 inhabitants of County Donegal . William 2001. Fetal anemia . Fetomaternal. hemorrhage. Isoimmunisation. Immune . hydrops. Management. Pervention. Large . fetomaternal. . Hge. Fetal anemia. Normal fetal . Hb. % > 35 weeks = 17 gm/. John Hollins. Clinical Governance and Performance Lead (cataract . services) Primary . Eyecare. (Shropshire and Staffordshire) Ltd . A SASPEC presentation. Purpose of this evening. To introduce a post-operative cataract service to South Staffordshire. Minh-Ha Tran, DO, FASCP. UC Irvine Health. Transfusion Medicine Service . Agenda. State the guiding principles of Patient Blood Management. Name the three phases of perioperative blood conservation. Discuss examples of modalities relevant to each phase. range. The normal range varies with age, so anaemia. can be defined as:. • Neonate: Hb <14 g/dl. • 1–12 months: Hb <10 g/dl. • 1–12 years: Hb <11 g/dl.. Physiologic Anemia of the Newborn. Define post operative ileus. Describe normal bowel function. Discuss modulators of bowel motility. Discuss symptoms, diagnosis, management and prevention of post-op ileus. Normal Digestion. Motility: Requires coordinated contraction behind food bolus and relaxation ahead of food bolus to move in correct direction. Dr. . Babak. . Abdolkarimi. Pediatric hematologist. Case presentation:. A 8 –y girl with hypochromic microcytic anemia and regular . tranfusion. dependency since age 2 y and frequent low Ferritin level . Kareema. Ahmed Hussein. 2017 -2018. Goals of post operative care:. To help patient Return to normal ( physical and psychological function ).. To avoid post operative surgical wound infection . To achieve rest and comfort.. DR ASHISH DOLAS. CASE SCENARIO. 35 Year old male patient an . autodriver. .. Dyspneoa. on exertion : NYHA CLASS III Since 2months.. Chest pain radiating to back since 3 hours.. H/o sweating.. H/o Alcohol addiction.. Almost 900,000 patients have end-stage renal disease (ESRD).. Patients with CKD often suffer from anemia due to poor iron utilization and erythropoietin (EPO) resistance.. Patients with CKD frequently develop elevated parathyroid hormone (PTH) levels secondary to decreased conversion of vitamin D to its active form and decreased excretion of phosphate.. Post Operative Period. Post operative period is the period after the surgery is completed.. Post Operative Complications. Post operative complications are conditions that occur in clients who had undergone any kind of surgeries that are risk inherent in surgical procedures.. -Oncological Surgery. Dr Oliver . Pietroni. Consultant Anaesthetist RCHT. Aims. 2017 Transfusion Audit. PBM for . Gynae. -Oncology Surgery. Acknowledgements. Dr Chris Pritchett – . SpR. , Peninsula Deanery. Begashaw. M (MD). General consideration. General . medical . &. . surgical . history. Complete . P. /E . Lab. :. _Complete . blood count. _Blood . typing . & . Rh. -factor, . crossmach. _Urinalysis.