Transfusion Management of the Obstetrical Patient

A Clinical Casebook

Buch | Softcover

XVI, 230 Seiten

2018 | 1st ed. 2018
Springer International Publishing (Verlag)
978-3-319-77139-7 (ISBN)

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This clinical casebook covers transfusion medicine theory and its practical implications for the obstetrical hemorrhage patient through the presentation of cases on actively bleeding patients. Each case features a unique clinical scenario involving a bleeding patient and outlines different aspects of safe and effective transfusion support. The cases contain current evidence on the latest topics in the field, such as the use of antifibrinolytic agents and coagulation factor concentrates in the setting of massive obstetrical hemorrhage. In addition to the actively bleeding patient, the casebook includes other important management topics, including the role of plasma exchange in thrombotic microangiopathies during pregnancy; treatment of hyperhemolysis in a patient with hemoglobinopathy; and recommended management of patients with red cell antibodies found on prenatal testing. Other immunohematology topics such as post-natal management of an RhD negative woman for the preventionof hemolytic disease of the newborn due to anti-Rh(D) are included.
Written by transfusion medicine, coagulation, obstetrical, and anesthesiology experts, Transfusion Management of the Obstetrical Patient: A Clinical Casebook is a concise yet comprehensive resource for anesthesiologists, obstetricians, pathologists, hematologists, and other practitioners who treat obstetrical hemorrhage patients.

Theresa Nester, MDMedical Director of Integrated Transfusion Service LaboratoriesProgram Director, Transfusion Medicine FellowshipBloodworks NorthwestUniversity of Washington Medical CenterDepartment of Laboratory MedicineSeattle, WA USA

Obstetrical Management of Postpartum Hemorrhage.- Laboratory Testing and Predictors of Severe Postpartum Hemorrhage.- Component Therapy in Obstetric Hemorrhage.- Evidence for 1:1:1 Transfusion Support and Importance of a Hemorrhage Protocol.- Evidence for/against Administration of Anti-fibrinolytic Agents during an Obstetrical Hemorrhage.- Evidence for/against Administration of Fibrinogen Concentrate and Coagulation Factor Concentrate during an Obstetrical Hemorrhage.- Recommendations on Blood Recovery in Obstetrics.- Thrombocytopenia in Pregnancy.- Von Willebrand Disease in Pregnancy.- Platelet Count and Neuraxial Anesthesia.- ABO Compatibility.- RhD Compatibility.- Other Rh Antibodies that Can Impact Transfusion.- Importance of Getting a Sample for ABO Type Early in a Resuscitation.- Risks of Giving Uncrossmatched Red Cells.- Management of Thrombotic Microangiopathies in Pregnancy.-Hyperhemolysis Syndrome in a Pregnant Woman with Sickle Cell Anemia.- Fetal and Neonatal Alloimmune Thrombocytopenia.- Weak D in Pregnancy.- Testing Algorithm for Rh Immune Globulin Dosing in the Post-natal RhD-negative Mother.- Pre-transfusion Testing in Women with High.- Warm Autoantibodies During Pregnancy.- Hemolytic Disease of the Fetus and Newborn/Selection of Red Cells for Intrauterine Transfusion.- Maternal Red Cell Alloantibody Directed Against a High Incidence Antigen.

"The book is particularly well suited for a senior resident, fellow, or an attending starting out who is caring for patients in labor. Other obstetrical and/or anesthesia providers including medical students and junior residents will also benefit from the book ... . casebook by Nester summarizes current evidence and can be used as a 'starter kit' for those who wish to integrate and enhance their specific transfusion-related knowledge into the management of obstetrical care using a multifaceted approach." (Yao Zhang, Danran Zhou and Jie Zhou, Anesthesia & Analgesia, Vol. 129 (3), September 2019)
"This pocket-sized, softcover casebook is a jewel. Short, concise, clear, and current with contemporary practice ... . For attention deficit-afflicted readers, the clinical pearls/pitfalls sections are pithy, rich in wisdom and experience, and well suited to memorization and quick implementation in daily practice. I would highly recommend itto providers in obstetrics training or practice and to those early in their laboratory medicine or clinical laboratory science training to gain a 'holistic' understanding of transfusion for obstetrical patients." (Valerie L. Ng, Doody's Book Reviews, September, 2018)

Erscheinungsdatum	21.06.2018
Zusatzinfo	XVI, 230 p. 7 illus., 6 illus. in color.
Verlagsort	Cham
Sprache	englisch
Maße	127 x 203 mm
Gewicht	273 g
Themenwelt	Medizin / Pharmazie ► Gesundheitsfachberufe ► Hebamme / Entbindungspfleger
	Medizin / Pharmazie ► Medizinische Fachgebiete ► Gynäkologie / Geburtshilfe
	Medizinische Fachgebiete ► Innere Medizin ► Hämatologie
Schlagworte	anti-c • Antifibrinolytics • anti-Rh(D) formation • HELLP syndrome • Thrombocytopeni • Von Willebrand disease
ISBN-10	3-319-77139-6 / 3319771396
ISBN-13	978-3-319-77139-7 / 9783319771397
Zustand	Neuware