Defi niciones y abordaje de la hemorragia crítica
Por:
Carrillo-Esper R., Peña-Pérez C.A.
Publicada:
1 ene 2015
Categoría:
Anesthesiology and Pain Medicine
Resumen:
Massive bleeding is a life-threatening emergency in hospitalized patients and occurs across most specialties including surgery, medicine, obstetrics and neonatology. These patients are not infrequently admitted to intensive care or high dependency units, for continued care and close monitoring. Even if treated outside this setting, they are often managed with input from critical care physicians. Successful haemostatic control in these situations requires the delivery of effective resuscitation, specifi cally transfusion therapy, in conjunction with surgical or radiological interventions. We have, therefore, not yet reached our ultimate goal, which is an improved outcome for patients suffering from major bleeding. This requires a never-ending educational effort, the creation and implementation of institutional guidelines and algorithms, a regular assessment of adherence to these algorithms and the follow-up of the patients treated to allow the measurement of long-term outcomes. For specifi c questions to be answered, further clinical studies will need to be conducted. In this sense, the journey towards the optimal management of the bleeding patient has only just begun. © 2015, Colegio Mexicano de Anestesiologia A.C. All rights reserved.
Filiaciones:
Carrillo-Esper R.:
Unidad de Terapia Intensiva, Fundación Clínica Médica Sur, Spain
Peña-Pérez C.A.:
Medicina Interna. Medicina del Enfermo en Estado Crítico, Unidad de Terapia Intensiva, Hospital General Naval de Alta Especialidad, Unidad de Terapia Intensiva. Fundación Clínica Médica Sur., Mexico
|