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Massive transfusion (MT) is a critical intervention in the management of severe hemorrhage, frequently encountered in trauma, perioperative, obstetric emergencies, and other critical care settings. It involves rapidly replacing blood products to restore circulating volume, oxygen-carrying capacity, and hemostasis. Early and structured intervention is crucial, as uncontrolled bleeding can lead to the “triad of death”: hypothermia, acidosis, and coagulopathy [1, 2] [Ref: Algorithm 94.1].

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Approach to Massive Transfusion in the ICU

  • 章节

  • 发表日期：

    2025年

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  • Shakti Bedanta Mishra,
  • Samir Samal,
  • Sagarika Panda

摘要

Massive transfusion (MT) is a critical intervention in the management of severe hemorrhage, frequently encountered in trauma, perioperative, obstetric emergencies, and other critical care settings. It involves rapidly replacing blood products to restore circulating volume, oxygen-carrying capacity, and hemostasis. Early and structured intervention is crucial, as uncontrolled bleeding can lead to the “triad of death”: hypothermia, acidosis, and coagulopathy [1, 2] [Ref: Algorithm 94.1].