Page 26 - Revista científica HMVM ::: Hospital General de Agudos "Magdalena V. de Martínez"

26 REVISTA CIENTÍFICA HMVM - IV

CONCLuSIóN

Es posible realizar un protocolo de transfu- 1:1:1. Usar ácido tranexámico en el proceso de
sión masiva intrahospitalario para brindar una resucitación. TEG/ROTEM si se encuentra dis-
mejor atención a los pacientes. Es fundamen- ponible. Aparte, debemos evitar incompatibili-
tal una buena comunicación entre el servicio dades ABO, mediante una identificación rápida
de transfusión y el equipo clínico tratante, así del paciente y disponibilidad de UGR grupo 0
como optimizar los tests necesarios de labora- y plasma AB ante imposibilidad de tests pre-
torio. El PTM debe estar bien definido, siguien- transfusionales. El uso de productos Rh+ en
do lineamientos: Transfusión temprana de pla- pacientes Rh- debe ser determinado por cada
quetas, plasma y UGR en una razón cercana a institución.

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