BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: CERTAIN ORGANIZATIONAL PROBLEMS
https://doi.org/10.21292/2078-5658-2017-14-4-12-15
Abstract
The tactics of blood transfusion therapy provides a significant impact on the course of wound disease but only in those with acute massive blood loss of the extremely severe degree. A proper use of blood transfusions in the post-shock period results in faster relief of the severity and reduces the risk to develop severe sepsis and acute respiratory distress syndrome. One of the most crucial organizational problems in blood transfusion is the issue of blood donation being especially critical in treatment of those with severe traumas since they often require blood transfusions including massive ones. The existing regulatory documents containing indicators and procedures for using blood transfusion media in those with severe traumas are often contradictory and require certain amendments.
About the Authors
S. V. NedomolkinRussian Federation
Candidate of Medical Sciences, Head of Department
V. V. Suvorov
Russian Federation
Candidate of Medical Sciences, Associate Professor
S. A. Smirnov
Russian Federation
Anesthesiologist and Emergency Care Physician
V. Yu. Markevich
Russian Federation
Candidate of Medical Sciences, Professor at the Department
I. M. Samokhvalov
Russian Federation
Doctor of Medical Sciences, Professor, Head of Field Military Surgery Department
B. N. Bogomolov
Russian Federation
Doctor of Medical Sciences, Professor of Anesthesiology and Intensive Care Department
S. V. Gavrilin
Russian Federation
Doctor of Medical Sciences, Professor
D. P. Meshakov
Russian Federation
Doctor of Medical Sciences, Anesthesiologist and Emergency Physician
V. I. Badalov
Russian Federation
Doctor of Medical Sciences, Deputy Head of Department
A. V. Turtanov
Russian Federation
Anesthesiologist and Emergency Physician
References
1. Anesteziologiya i reanimatologiya. Rukovodstvo. [Anesthesiology and Intensive Care. Guidelines]. Edited by Yu.S. Polushin, St. Petersburg, ELBI-STb Publ., 2004, pp. 482-490.
2. Ivanov A.P. Gibridnaya voyna. Nauka XXI v.: voprosy, gipotezy, otvety. [Hybrid war. Science in the XXIth century: questions, hypotheses, answers]. 2016, no. 1, pp. 65-73.
3. Instruktsiya po primeneniyu komponentov krovi. [Guidelines on blood components use]. Approved by Edict no. 363 of the Russian MoH as of November 25, 2002. Moscow, MZ RF Publ., 2002, 28 p.
4. Levi D.E. VICH i patogenez SPIDa. [HIV and pathogenesis of AIDS]. Moscow, Nauchny Mir Publ., 2010, 736 p.
5. Mayer K.P. Gepatit i posledstviya gepatita. [Hepatitis and sequels of hepatitis]. Moscow, GEOTAR-Media Publ., 1999, 432 p.
6. Nedomolkin S.V., Suvorov V.V., Smirnov S.А. et al. Blood transfusion in the management of those injured: rational ways to reduce its volume in the acute period of wound disease (report three). Vestn. Anesteziologii I Reanimatologii, 2017, vol. 14, no. 2, pp. 43-48. (In Russ.)
7. Organizatsiya anesteziologicheskoy i reanimatologicheskoy pomoschi v voenno-meditsinskikh uchrezhdeniyakh Ministerstva oborony Rossiyskoy Federatsii v mirnoe vremya: metodicheskie ukazaniya. [Organization of anaesthesiologic and intensive care in military medical units of the Russian Ministry of Defense in peacetime: guidelines]. Moscow, 2012, 128 p.
8. Politravma: travmaticheskaya bolezn, disfunktsiya immunnoy sistemy, sovremennaya strategiya lecheniya. [Multiple traumas: wound diseases, immune dysfunction, modern treatment strategy]. Edited by E.K. Gumanenko, V.K. Kozlov, Moscow, GEOTAR-Media Publ., 2008, 608 p.
9. Edict no. 183n by the Russian Ministry of Health as of April 2, 2013 On the Approval of Rules for Clinical Use of Donor Blood and (or) its Components. Moscow, Ministerstvo Zdravookhraneniya Rossiyskoy Federatsii Publ., 20 p. (In Russ.)
10. Problema bezvozmezdnogo donorstva v Rossii. [Problem of blood donation in Russia]. Epub. Natsionalny Fond Razvitiya Zdravookhraneniya. Koordinatsionny Tsentr Donorstva Krovi, 2013, Available at http://www. nfrz. ru/blood/problems Accessed as of 22.03.2017.
11. Rost masshabov donorstva krovi v Evrope. [Rising blood donation rates]. Euro WHO/Blood safety, 2012. Epub. Available at: http://www.euro.who. int/ru/Health–topicks/–systeams/blood–safeaty/news/2012/06/rising–blood– donation–rates. Accesses as of 22.03.2017).
12. Rukovodstvo po voennoy transfuziologii. [Guideline on blood transfusion in war]. Edited by A.V. Chechetkina, Moscow, GVMU MO RF Publ., 2005, 310 p.
13. Samokhvalov I.M., Bogomolov B.N., Smirnov S.А. et al. Blood transfusions in the management of those injured: individual indications in post-shock periods of wound disease (report two). Vestn. Anesteziologii I Reanimatologii, 2016, vol. 13, no. 6, pp. 48-53. (In Russ.)
14. Samokhvalov I.M., Bogomolov B.N., Smirnov S.А. et al. Blood transfusions in the management of those injured: impact on the course of wound disease (report one) Vestn. Anesteziologii I Reanimatologii, 2016, vol. 13, no. 4, pp. 42-47. (In Russ.)
15. Combat anesthesia: the first 24 hours. Senior edit. Buckenmaier Ch., Mahoney P. Sam Houston, The Surgeon General Borden Institute, 2015. 240 p.
16. Rossaint R., Bouillon B., Cerny V. The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. (Epub.) RR BBCV. Crit. Care, 2016, 20:100. Available at D01 10.1186/9 13054 - 016 - 1265 - x. Accessed as of 28.03.2017.
Review
For citations:
Nedomolkin S.V., Suvorov V.V., Smirnov S.A., Markevich V.Yu., Samokhvalov I.M., Bogomolov B.N., Gavrilin S.V., Meshakov D.P., Badalov V.I., Turtanov A.V. BLOOD TRANSFUSION IN THE MANAGEMENT OF THOSE INJURED: CERTAIN ORGANIZATIONAL PROBLEMS. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(4):12-15. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-4-12-15