Patient with ANEMIA, ® Cimical evaiuation ——_____» | + —— _ tb, Ht, WBC, platelet, reticulocyte: iam Geena Pere Ene winery Seon Sou anabouycoreon @® Assoes need tor preoperative transfusion a ay “Amicipated blood lows ‘Chronic anemia, etiology Inouttcient Os delivery ‘apparent (e.g. rani disease) Significant an Little bisod lone anticipated a © Choose anesthetic technique: inane ar ay Local infitestion anesthesia Avoid shiting O,-Hb dissociation Wateh tor signs of transtusion rea Techniques to minimize blood toss | ‘Controlled hypotancive anesthesia Eositioning, ventilatory manager Exceliont surgical hemostasis Infectious sequelae (hepatitis B, non-A - non-B hepatitis, AIDS, others)Table 47-1 Ansan Cole Sug aes of ve beer Factors Chas! Chast Class Chass I Blood los (ml) 10 750-1500 1500-2000 2000 or more Blood ks (blood volume) 15 1530 30-40 40 or more Pulse (beatsin) 10 100 100 140 higher Blood presure Normal Normal Decreased Decreased Puke pressure (mH) Normalorinceased Deceased Deceased Decreased Capi fl test Normal Poste ——-Postve Postve Respaions per minute 1420 280 340 $ Urine output (ml/h) i 2030 510 Negligible Cental nervous stem: mental aus gh amious Wildy anvius Aro coed Corfe, hag Fd replacement (1 re Chpstaloid Crytalid Cyst + bod Cptallid + bloodTele 47-4 Properties of whole lod and paced ed cel concentrates stored in CPDA-1 pea lina arene ee ah Me Days of Storage Parameter if, (Whol loo) 35 Paced Ce) a ee ee ee gH 155 633 6 Pama hemoglobin (g/d) OSes 4 1460 Plasma poasum (ng|l 4) oN 760 Plasma sodium (mgt) 169 13 I Blood dextrose gl) M4) 22 L}Diphosphogycerate(M/ml) © 132 | | Percent suival® - i) 1 a