Blood Conservation Strategies
Anemia and blood transfusion is common in the critically ill, and are associated with costs and morbidity/ mortality
Category Medical Specialty
Tumour Lysis Syndrome
Tumour Lysis Syndrome: oncological emergency due to turnover of high cell mass malignancies resulting in severe metabolic derangement
von Willebrand Disease
von Willebrand Disease: commonest inherited coagulation disorder (autosomal dominant); protein involved in (1) platelet adhesion and (2) carriage of factor VIII; leads to: factor VIII deficiency, abnormal platelet adhesiveness and abnormal vascular endothelium
VTE Prophylaxis
Venous thromboembolism (VTE) may contribute to up to 12% of deaths in ICU and is the No.1 preventable cause of hospital death; asymptomatic events range from 10-80% in various medical and surgical groups
Porphyria
OVERVIEW Porphyria = group of disorders where patients have a inability to synthesis Hb resulting in an accumulation of precursors oxidised to porphyrins hepatic and erythropoietic varieties 3 hepatic forms that effect are affected by anaesthesia (1) AIP – acute…
Phlegmasia Cerulea Dolens
Massive venous thrombosis of deep and collateral venous system. Obstruction to outflow causes congestion that can compromise arterial flow
Pancytopaenia
Pancytopaenia
Oozing from a Venepuncture Site
An approach to the patient with persistent bleeding from a venepuncture site
Lupus Anticoagulants
OVERVIEW Lupus Anticoagulants -> result in acquired hypercoagulability due to poorly understood actions ? alteration of the regulation of haemostasis and endothelial cell injury ASSOCIATIONS MANAGEMENT (1) APTT (2) dilute Russell viper venom time (3) silica clotting time(4) kaolin clotting…
Isolated Elevated APTT
Isolated Elevated APTT
Thyroid Storm
Thyroid Storm: life threatening exacerbation of hyperthyroid state with 1 or more organ dysfunction
Myxoedema Coma
Myxoedema Coma: extreme form of hypothyroidism; high mortality