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TRANSFUSION, STRATEGIES D’EPARGNE SANGUINE EN CHIRURGIE ORTHOPEDIQUE Amazigh AGUERSIF DESAR Janvier 2015 Plan • Contexte • Définitions • La transfusion … • … et ses alternatives : – En pré-opératoire – En per-opératoire – En post-opératoire • Exemple de stratégies transfusionnelles périopératoires Rapport d’activité hémovigilance 2013 ANSM Rapport d’activité hémovigilance 2013 ANSM AFFSAPS 2002 • “Overall, three main situations were identified: coronary artery disease and perioperative ischemia often triggered by anemia, true hypovolemia (associated with hemorrhage), or relative hypovolemia and aspiration of gastric contents. “ • Anémie préopératoire : facteur de risque de transfusion • Fréquence de l’anémie préopératoire en chirurgie orthopédique

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Amazigh AGUERSIF. DESAR TaO2 = Qc x (1.34 x Hb x SaO2 + 0.003PaO2). • Post op = état Anémie(OMS) = Hb < 11g/dL chez la femme.

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Amazigh AGUERSIF. DESAR TaO2 = Qc x (1.34 x Hb x SaO2 + 0.003PaO2). • Post op = état Anémie(OMS) = Hb < 11g/dL chez la femme.

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Author:	Amazigh Aguersif
Publication Year:	2015
Pages:	30
Language:	English
File Size:	1.05
Format:	PDF
Price:	FREE

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