Clinical features of patients with massive transfusion during plastic surgery

Abstract

Objective To review the clinical features of the patients received massive transfusion (MT) in plastic surgery department. Methods Ten cases were reviewed. The reason of massive transfusion, the type and dosage of transfusion, the reaction of patients were included. For all the patients, consultation of related department preoperatively was necessary. Based on the through and detailed analysis of the patients＇ condition, necessary blood product should be prepared ahead of operation. During the therapy, adjustment of treatment plan was made from time to time, according to the patient＇s condition. Therefore efficient and prompt therapeutic result was achieved. Results In all the 10 MT cases suffered from acute blood loss, 2 of them were in hemorrhagic shock before administration. Coagulation disorders happened in 2 patients, and recovered after appropriate treatment. RBC, which was 58.3% of total amount of transfusion, used most commonly; the second was fresh frozen plasma (FFP), which was 38.6% according to the total amount. All the patients had satisfactory recovery, without hemolysis or any other functional disorder. Conclusions For MT patients in the Department of Plastic Surgery, the main proposes are to restore and maintain an effective circulatory blood volume, while preventing the coagulation disorder. Also, detailed analysis, through consultation and timely adjustment are of great importance for the MT patients. It is also the essential of an effective perioperative management. Key words: Massive transfusion; Retrospective study; Plastic surgery; Acute hemorrhage; Perioperative period