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Chapter 99 - Transfusion Therapy

from Section 14 - Other Situations

Published online by Cambridge University Press:  03 August 2023

By
Vera V. Borzova  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 36-year-old G3P2 with pregnancy-induced hypertension was admitted to the hospital at 34 weeks’ gestation with a chief complaint of severe abdominal pain and tenderness. On admission she was pale, with cold and clammy skin, heart rate of 140 and blood pressure of 87/46 mm Hg. Diagnosis of suspected placental abruption was confirmed by the ultrasound. The obstetrician on call decided to proceed with an emergent cesarean delivery. What are your anesthetic concerns? What laboratory tests would you like to obtain? What additional preparations would be required? What complications are you anticipating and how do you plan to address them?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 420 - 424
Publisher: Cambridge University Press
Print publication year: 2023

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References

American Red Cross. A Compendium of Transfusion Practice Guidelines, 4th ed. 2021. https://www.redcross.org/content/dam/redcrossblood/hospital-page-documents/334401_compendium_v04jan2021_bookmarkedworking_rwv01.pdf.Google Scholar
American Society of Anesthesiologists Task Force on Perioperative Blood Management. Practice guidelines for perioperative blood management: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Management. Anesthesiology 2015;122:241–75Google Scholar
Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 419–54.Google Scholar
Dunn, PF. Clinical Anesthesia Procedures of the Massachusetts General Hospital, 7th ed. Philadelphia: Lippincott Williams and Wilkins, 2006, pp. 603–20.Google Scholar

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