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Revista Cubana de Cirugía
versión On-line ISSN 1561-2945
Resumen
ABAD HERNANDEZ, Rosa María; REY MARTINEZ, Beatriz; AVELA LAZO, Alba y PEREZ MARTINEZ, Gisela. Criterios de médicos anestesiólogos de ciudad de La Habana sobre el hematócrito perioperatorio y la indicación de glóbulos. Rev Cubana Cir [online]. 2001, vol.40, n.1, pp. 24-28. ISSN 1561-2945.
The significant changes occurred in transfusional therapeutics in the last decade are reported in this paper. One of them is the haemoglobin value accepted during the perioperative period. A survey was done in different hospitals of Havana City in order to know the criteria of a sample of anesthesiologists. The results were as follows: l. 68% of the anesthesiologists demand a haemoglobin of 10g % for patients undergoing elective surgery. 2. 25% of the patients do not require a haemoglobin of 10 g % for urgent operations. 3. 2% of the anesthesiologists transfuse intraoperatively when preoperative haemoglobin is under 10 g % and 10% do it due to bleeding over 500 mL. 4. To transfuse red blood cells intraoperatively to patients anesthesiologists take into consideration the following aspects: a) compromise of oxygen transport, b) hemodyanmic inestability; c) minimum haematocrits, always under 30% and d) different percentages of lost volume
Palabras clave : BLOOD TRANSFUSION [utilization]; HEMATOCRIT [utilization]; ERYTROCYTE TRANSFUSION [utilization]; ANESTHESIA DEPARTMENT, HOSPITAL; DATA COLLECTION; PREOPERATIVE CARE; INTRAOPERATIVE CARE.