Massive transfusion

Massive Transfusion Protocol

Definition

 

> 10 units of packed red blood cells per 24 hours

 

Goal of massive transfusion protocol

 

Limit critical hypoperfusion while surgical hemostasis obtained

Limit complications

 

Issues

 

1.  Volume status and oxygenation

 

Volume via crystalloids required to maintain tissue perfusion

At some stage blood is also required for oxygenation

 

2.  Acidosis