Basics of Blood Management
Wiley-Blackwell (Hersteller)
9780470692233 (ISBN)
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Commended in the Haematology category at the British Medical Association Book Awards 2008
This unique and practical book introduces the reader to the concept of blood management and explains how to improve patient outcomes by avoiding undue blood loss, enhancing the patient’s own blood, effective management of anemia and coagulopathy. Basics of Blood Management is the first book dedicated to blood management, a multidisciplinary and multimodality concept that focuses on patient outcome.
A practical and comprehensive text on the new and exciting field of blood management
Takes an international perspective, covering conditions encountered in developing and industrial countries
Covers all areas of organization, methods and tools
Gives the reader an understanding of the concept and philosophy of blood management
Provides clinical scenarios and exercises that help the reader to adapt information for their location
Whether you are an early practising clinician in hematology, transfusion, critical care, anesthesiology, surgery or internal medicine, a nursing specialist, trainee or other member of the multidisciplinary blood management team, this book will answer all your questions about blood management as an aid in improving patient outcome.
Aryeh Shander, MD, is Clinical Professor of Anesthesiology, Medicine and Surgery at the Mount Sinai School of Medicine in New York City, Chief, Department of Anesthesiology, Critical Care and Hyperbaric Medicine, Englewood Hospital and Medical Center, Englewood, NJ Dr Shander lectures nationally and internationally on a variety of topics relating to blood conservation, volume resuscitation, acute anemia therapy, surgical blood management, acute normovolemic hemodilution and bloodless medicine and surgery. His publications have appeared in The Lancet, the journal Transfusion, and Transfusion Alternatives in Transfusion Medicine, for which he serves in Editorial and Scientific Boards. He serves as Chief Executive Officer of the Society for the Advancement of Blood Management and is Fellow of the American College of Critical Care Medicine and the American College of Chest Physicians. Dr Schander is a member of the American Society of Critical Care Anesthesiologists where he serves on committees, both locally and nationally, and in addition, is a member of the American Association of Blood Banks (AABB), American Society of Anesthesiologists (ASA) and a founding member of the American Society of Critical Care Anesthesiologists (ASCCA). In 1997 Dr Shander was recommended by Time magazine as one of America's "Heroes of Medicine". Dr Shander received his medical degree from the University of Vermont College of Medicine and completed an internship and residency in internal medicine at Montefiore Medical Centre in New York, where he also served as Chief Resident. Additional postgraduate training included a fellowship in critical care medicine and a residency in anesthesiology, both at Montefiore Medical Centre. Dr Seeber, Department of Anesthesiology, Critical Care, Pain Management and Emergency Medicine, HELIOS Klinik, Blankenhain, Germany.
System. 1. History and Organization of Blood Management
Blood management as a program
The administrative part
The physician's part
. 2. Physiology of Anemia and Oxygen Transport
Regular physiology
Physiology of anemia
Relationship between oxygen delivery and oxygen consumption
Practical implications
. 3. Anemia Therapy, Part 1 (EPO, NESP and Anabolics)
Erythropoietin in normal erythropoiesis
Erythropoietin as a drug
Novel erythropoiesis stimulating protein (NESP, Darbepoetin)
Anabolic steroids
. 4. Fluids
Need for fluid therapy
Basics of volume household and iv fluids
Crystalloid solutions
Colloid solutions
Side effects
Fluids at work
Influence of fluid therapy on blood management
. 5. Use of Autologous Blood
Preoperative autologous donation
Hemodilution
Comparison of PAD and ANH
Platelet and Plasmapheresis
. 6. Preparation of the Patient for Surgery
History and physical examination
Laboratory and other tests
Plan of care
Preparation
. 7. Law, Ethics, Religion and Blood Management
Principles as basis for decision-making in blood management
Principles of bioethics
Human rights and patient's rights
Excursus
Jehovah's Witnesses
Compassionate use
. 8. Recombinant Blood Products
Basics of recombinant drugs
Use of recombinant blood proteins in blood management
Comparison of recombinant and plasma-derived blood proteins
. 9. Anemia Therapy, Part 2 (Hematinics
Physiology of erythropoiesis and hemoglobin synthesis
Iron therapy in blood management
Copper
Vitamin therapy in blood management
Interactions of hematinics
Implications for blood management
. 10. Iatrogenic Blood Loss
Causes of iatrogenic blood loss
The role of iatrogenic blood loss in blood management
Avoidance of iatrogenic blood loss
. 11. Antifibrinolytics, Vitamin K and Estrogens
Antifibrinolytics
Desmopressin
Vitamins of the K-Group
Conjugated estrogens and other hormones
Other hemostatic drugs
. 12. Surgery: They Physics of Hemostasis
Basics of surgical techniques
Surgical tools
Methods to achieve hemostasis and to avoid undue blood loss
Positioning
Methods for surgical cutting
. 13. Cell Salvage
Cell savers
Advantages of cell salvage
Practical considerations for cell salvage
Risks and side effects of cell salvage
Concerns: how to overcome contraindications
Indications for cell salvage
Cell salvage and concomitant diseases
. 14. Tranfusions, Part A (Cellular Components, Plasma)
Why do physicians transfuse?
Ordering blood products
Risks and side effects of transfusions
Outcome measures
Guidelines
Leukoreduction
Massive transfusion
Practical management of transfusion
Levels of evidence/grades of recommendations
. 15. Oxygen Therapy
Physics and physiology of oxygen
Oxygen, friend and enemy
Efects of pressurized oxygen on the human body
Normobaric inhalational oxygen therapy
Hyperbaric oxygen
Oxygen in blood management
. 16. Artificial Blood Components
Artificial oxygen carriers
Hemoglobin-based oxygen carriers (HBOC)
Perfluorocarbons (PFC)
Artificial oxygen carriers in blood mangement
Other attempts to make artificial blood components
. 17. Transfusions, Part B (Plasma Fractions)
The anatomy of plasma
Plasma fractions
Plasma fractions in blood management
Approaches to reduce the use of plasmatic fractions
. 18. Blood Banking
Blood safety
What is test for in blood products and how
Storage and delivery
Whole blood to cellular components
Leukocyte depletion
Bacterial contamination
Plasma fractionation
Pathogen reduction
The interaction of blood banks and clinicians
. 19. Cost Considerations
Basics of medical economy
Methods to calculate costs of a medical product or service
Costs of transfusion
Costs of methods to reduce transfusion requirements
Costs of a blood management program
. 20. Step by Step to an Organized Blood Management System.
21. Law, ethics, religion, and blood management.
22.Step by step to an organized blood management program.
Appendix A: Detailed information.
Appendix B: Sources of information for blood management.
Appendix C: Program tools and forms.
Appendix D: Teaching aids: research and projects.
Appendix E: Address book.
Index
| Erscheint lt. Verlag | 15.4.2008 |
|---|---|
| Verlagsort | Hoboken |
| Sprache | englisch |
| Themenwelt | Medizinische Fachgebiete ► Innere Medizin ► Hämatologie |
| ISBN-13 | 9780470692233 / 9780470692233 |
| Zustand | Neuware |
| Informationen gemäß Produktsicherheitsverordnung (GPSR) | |
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