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Episode 31: Massive Transfusion with Dr. Stephen Freiberg

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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Complications and Management Strategies in Massive Transfusion

This chapter delves into complications of massive transfusion, particularly focusing on hyperkalemia, bicarbonate use, and hypocalcemia. It explains the signs, symptoms, and treatment options for hyperkalemia during transfusions, while also emphasizing the importance of managing hypocalcemia due to citrate anticoagulant in transfused products. The discussion extends to the rapid development of hypothermia during transfusions and strategies to combat it, highlighting its negative impact on coagulopathy and arrhythmias.

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