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Massive Blood Transfusion Definition, Indications Complications Dr. Maha AL-Madi Urology Resident
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Definition of MBT… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition of MBT… ,[object Object],[object Object],[object Object]
Definition of MBT… ,[object Object],[object Object]
General Indications … ,[object Object],[object Object]
General Indications …… ,[object Object],[object Object],[object Object],[object Object],[object Object]
General Indications …… ,[object Object],[object Object],[object Object]
General Indications … ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indication for MBT … ,[object Object],[object Object],[object Object],[object Object],[object Object]
General Indications … ,[object Object],[object Object]
Clinical Practice Guidelines and Recommendations *  Clinical practice guideline: RBC transfusion in adult trauma and critical care. Crit Care Med 2009 vol.37 No.12
Clinical practice guidelines..
Clinical practice guidelines..
Clinical practice guidelines..…
Clinical practice guidelines..
Clinical practice guidelines..
Benefits of BT ,[object Object],[object Object],[object Object]
Complications of BT… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of BT… Acute non-hemolytic rxns Hemolytic rxns TRALI GVHD 1.Hypersensitivity rxn 2.Febrile non hemolytic 1. Acute immune  hemolysis 2. Delayed hemolysis Transfusion Rxns Infective Massive BT
Complications of BT… VIRAL CMV (1:10 to 1:30)  EBV (1:200) HBV ( 1 : 50,000) HCV (1 :3000-4000) HIV ( 1: 150,000) HTLV-I/ II(1:250,000 to 1:2 mill PARASITIC Malaria, (1:4 mill)  BACTERIAL 1:200,000 to 1:4.8 mill Yersinia Serratia ,  Pseudomonas Enterobacter Transfusion Rxns Infective Massive BT
Complications of BT… Transfusion Rxns Infective Massive BT
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object]
Clinical practice guidelines.. ,[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of BT… ,[object Object],[object Object],[object Object]
Complications of BT… ,[object Object],[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of MBT… ,[object Object],[object Object],[object Object]
Clinical Practice Guidelines. ,[object Object]
Clinical Practice Guidelines. ,[object Object]
 
Alternative to BT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Alternative to BT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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References..  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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