SlideShare ist ein Scribd-Unternehmen logo
1 von 26
Tranfusion Medicine Amanda J. Wheeler, MD Trauma/Critical Care Stanford University Medical Center May 7, 2007
Tranfusion Medicine ,[object Object]
Transfusion Triggers/Indications: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemoglobin Concentration ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Blood Transfusion Protocol at Stanford Surgery ICU ,[object Object],[object Object],[object Object],[object Object]
Blood Transfusion Protocol at Stanford Surgery ICU ,[object Object]
Massive Transfusion Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Alternatives: Blood Substitute Slides by Mary-Ann Purtill, MD ,[object Object],[object Object],[object Object],[object Object]
Three primary reasons driving the quest for a substitute for Blood: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Replacement Products ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oxygen Carrying Solutions ,[object Object],[object Object],[object Object],[object Object]
Oxygen Carrying Solutions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemoglobin Based Oxygen Carrying Solutions  (HBOCs) ,[object Object],[object Object],[object Object],[object Object],Historical Perspective
Problems with HBOCS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Comparison of HBOCs Hemolink PolyHeme Hemopure & Oxyglobin Product Name:  14 hours 24 hours 18-22 hours Half-life:  Refrigerated/ RoomTemp Refrigerated Room Temp Storage:  1 year 1 year 3 years Shelf-life:  Expired Human RBCs Expired Human RBCs Bovine Hgb Source:  Hemosol  Northfield  Biopure   
Perflourocarbon Oxygen Carriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perflourocarbon Oxygen Carriers (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Problems with Perflourocarbons ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antigen Camouflage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antigen Camouflage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recombinant Plasma Proteins ,[object Object],[object Object],[object Object],[object Object]
Transgenic Therapeutic Proteins ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Platelet Substitutes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Platelet Substitutes  (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma Hon Liang
 
Perioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisPerioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisAndrew Ferguson
 
Massive Transfusion In Trauma
Massive Transfusion In TraumaMassive Transfusion In Trauma
Massive Transfusion In Traumasromi
 
Blood transfusion part 1
Blood transfusion part 1Blood transfusion part 1
Blood transfusion part 1Preetam Manoli
 
Transfusion support in solid organ transplant patient
Transfusion support in solid organ transplant patientTransfusion support in solid organ transplant patient
Transfusion support in solid organ transplant patientbiplabendu talukdar
 
5thsembloodtransfusion
5thsembloodtransfusion5thsembloodtransfusion
5thsembloodtransfusionTanuj Bhatia
 
Blood Transfusion: Rethinking who, what and when
Blood Transfusion: Rethinking who, what and whenBlood Transfusion: Rethinking who, what and when
Blood Transfusion: Rethinking who, what and whenSCGH ED CME
 
Blood transfusion and its reactions in obstetrics
Blood transfusion and its reactions in obstetricsBlood transfusion and its reactions in obstetrics
Blood transfusion and its reactions in obstetricsmominazulfeen
 
2014 siset milano - pavesi - role of fresh frozen plasma, fibrinogen and pro...
2014 siset milano -  pavesi - role of fresh frozen plasma, fibrinogen and pro...2014 siset milano -  pavesi - role of fresh frozen plasma, fibrinogen and pro...
2014 siset milano - pavesi - role of fresh frozen plasma, fibrinogen and pro...anemo_site
 
Component therapy in obstetrics
Component therapy in obstetricsComponent therapy in obstetrics
Component therapy in obstetricsVarsha Deshmukh
 
Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusionbarhomnk
 
Blood transfusion - components , procedure , pre transfusion testing and comp...
Blood transfusion - components , procedure , pre transfusion testing and comp...Blood transfusion - components , procedure , pre transfusion testing and comp...
Blood transfusion - components , procedure , pre transfusion testing and comp...prasanna lakshmi sangineni
 
Guidelines for rational use of blood
Guidelines for rational use of bloodGuidelines for rational use of blood
Guidelines for rational use of bloodGuvera Vasireddy
 
Module 1 Critical Bleeding Massive Transfusion
Module 1 Critical Bleeding Massive TransfusionModule 1 Critical Bleeding Massive Transfusion
Module 1 Critical Bleeding Massive TransfusionKrstik
 
John Myburgh: Fluid Resuscitation: Which, When and How Much?
John Myburgh: Fluid Resuscitation: Which, When and How Much?John Myburgh: Fluid Resuscitation: Which, When and How Much?
John Myburgh: Fluid Resuscitation: Which, When and How Much?SMACC Conference
 
Blood transfusion & Blood Component Therapy-An Update
Blood transfusion & Blood Component Therapy-An UpdateBlood transfusion & Blood Component Therapy-An Update
Blood transfusion & Blood Component Therapy-An UpdateDr. Annasaheb Dhumale
 

Was ist angesagt? (20)

Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma
 
Perioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisPerioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and Haemostasis
 
Massive Transfusion In Trauma
Massive Transfusion In TraumaMassive Transfusion In Trauma
Massive Transfusion In Trauma
 
Blood transfusion part 1
Blood transfusion part 1Blood transfusion part 1
Blood transfusion part 1
 
Transfusion support in solid organ transplant patient
Transfusion support in solid organ transplant patientTransfusion support in solid organ transplant patient
Transfusion support in solid organ transplant patient
 
5thsembloodtransfusion
5thsembloodtransfusion5thsembloodtransfusion
5thsembloodtransfusion
 
Blood Transfusion: Rethinking who, what and when
Blood Transfusion: Rethinking who, what and whenBlood Transfusion: Rethinking who, what and when
Blood Transfusion: Rethinking who, what and when
 
Blood transfusion and its reactions in obstetrics
Blood transfusion and its reactions in obstetricsBlood transfusion and its reactions in obstetrics
Blood transfusion and its reactions in obstetrics
 
2014 siset milano - pavesi - role of fresh frozen plasma, fibrinogen and pro...
2014 siset milano -  pavesi - role of fresh frozen plasma, fibrinogen and pro...2014 siset milano -  pavesi - role of fresh frozen plasma, fibrinogen and pro...
2014 siset milano - pavesi - role of fresh frozen plasma, fibrinogen and pro...
 
Component therapy in obstetrics
Component therapy in obstetricsComponent therapy in obstetrics
Component therapy in obstetrics
 
Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusion
 
Blood transfusion - components , procedure , pre transfusion testing and comp...
Blood transfusion - components , procedure , pre transfusion testing and comp...Blood transfusion - components , procedure , pre transfusion testing and comp...
Blood transfusion - components , procedure , pre transfusion testing and comp...
 
Blood Transfusion
Blood TransfusionBlood Transfusion
Blood Transfusion
 
Blood transfusion dr m laban
Blood transfusion dr m laban Blood transfusion dr m laban
Blood transfusion dr m laban
 
Guidelines for rational use of blood
Guidelines for rational use of bloodGuidelines for rational use of blood
Guidelines for rational use of blood
 
Module 1 Critical Bleeding Massive Transfusion
Module 1 Critical Bleeding Massive TransfusionModule 1 Critical Bleeding Massive Transfusion
Module 1 Critical Bleeding Massive Transfusion
 
John Myburgh: Fluid Resuscitation: Which, When and How Much?
John Myburgh: Fluid Resuscitation: Which, When and How Much?John Myburgh: Fluid Resuscitation: Which, When and How Much?
John Myburgh: Fluid Resuscitation: Which, When and How Much?
 
Blood transfusion & Blood Component Therapy-An Update
Blood transfusion & Blood Component Therapy-An UpdateBlood transfusion & Blood Component Therapy-An Update
Blood transfusion & Blood Component Therapy-An Update
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 

Andere mochten auch

Andere mochten auch (6)

Seizure
SeizureSeizure
Seizure
 
The Endocrine System
The Endocrine SystemThe Endocrine System
The Endocrine System
 
Pulmonary Embolism2006
Pulmonary Embolism2006Pulmonary Embolism2006
Pulmonary Embolism2006
 
Pediatric Nursing
Pediatric NursingPediatric Nursing
Pediatric Nursing
 
Pediatric Clinical Pharmacology
Pediatric Clinical PharmacologyPediatric Clinical Pharmacology
Pediatric Clinical Pharmacology
 
Pulmonary Embolism2006
Pulmonary Embolism2006Pulmonary Embolism2006
Pulmonary Embolism2006
 

Ähnlich wie Transfusion Medicine Ticu

Blood component transfusion in criticalcare now
Blood component transfusion in criticalcare nowBlood component transfusion in criticalcare now
Blood component transfusion in criticalcare nowMuhammad Akram
 
blood transfusion nigat.pptx
blood transfusion  nigat.pptxblood transfusion  nigat.pptx
blood transfusion nigat.pptxnigatendalamaw2
 
BloodTransfussionGuidelines.pdf
BloodTransfussionGuidelines.pdfBloodTransfussionGuidelines.pdf
BloodTransfussionGuidelines.pdfMerlitaHerbani1
 
Current Component Therapy by Diane Eklund, MD
Current Component Therapy by Diane Eklund, MDCurrent Component Therapy by Diane Eklund, MD
Current Component Therapy by Diane Eklund, MDbloodbankhawaii
 
blood transfusions during pregnancy
  blood transfusions  during pregnancy  blood transfusions  during pregnancy
blood transfusions during pregnancymuhammad al hennawy
 
Blood component therapy
Blood component therapy  Blood component therapy
Blood component therapy Rakesh Verma
 
Blood component therapy in newborn and children jyoti
Blood component therapy in newborn and children jyotiBlood component therapy in newborn and children jyoti
Blood component therapy in newborn and children jyotidr jyoti prajapati
 
Blood transfusion by dr.faisal zia
Blood transfusion by dr.faisal ziaBlood transfusion by dr.faisal zia
Blood transfusion by dr.faisal ziaFaisal Zia
 
4. Blood grouping and transfusion procedure.pptx
4. Blood grouping and transfusion procedure.pptx4. Blood grouping and transfusion procedure.pptx
4. Blood grouping and transfusion procedure.pptxDrChandiniRavikumar
 
Blood and its components
Blood and its componentsBlood and its components
Blood and its componentsManu Gupta
 
Blood component seminar [autosaved]
Blood component seminar [autosaved]Blood component seminar [autosaved]
Blood component seminar [autosaved]Dr. Ravi Bhushan
 

Ähnlich wie Transfusion Medicine Ticu (20)

Blood component transfusion in criticalcare now
Blood component transfusion in criticalcare nowBlood component transfusion in criticalcare now
Blood component transfusion in criticalcare now
 
blood transfusion nigat.pptx
blood transfusion  nigat.pptxblood transfusion  nigat.pptx
blood transfusion nigat.pptx
 
BloodTransfussionGuidelines.pdf
BloodTransfussionGuidelines.pdfBloodTransfussionGuidelines.pdf
BloodTransfussionGuidelines.pdf
 
Rational use of blood
Rational use of bloodRational use of blood
Rational use of blood
 
Patient Blood Management
Patient Blood ManagementPatient Blood Management
Patient Blood Management
 
Current Component Therapy by Diane Eklund, MD
Current Component Therapy by Diane Eklund, MDCurrent Component Therapy by Diane Eklund, MD
Current Component Therapy by Diane Eklund, MD
 
blood transfusions during pregnancy
  blood transfusions  during pregnancy  blood transfusions  during pregnancy
blood transfusions during pregnancy
 
blood_trans.pptx
blood_trans.pptxblood_trans.pptx
blood_trans.pptx
 
ABT.pptx
ABT.pptxABT.pptx
ABT.pptx
 
Blood component therapy
Blood component therapy  Blood component therapy
Blood component therapy
 
Blood component therapy in newborn and children jyoti
Blood component therapy in newborn and children jyotiBlood component therapy in newborn and children jyoti
Blood component therapy in newborn and children jyoti
 
A case of Upper GI Bleeding.pptx
A case of Upper GI Bleeding.pptxA case of Upper GI Bleeding.pptx
A case of Upper GI Bleeding.pptx
 
Autologous Blood Transfusion
Autologous Blood TransfusionAutologous Blood Transfusion
Autologous Blood Transfusion
 
Blood transfusion by dr.faisal zia
Blood transfusion by dr.faisal ziaBlood transfusion by dr.faisal zia
Blood transfusion by dr.faisal zia
 
4. Blood grouping and transfusion procedure.pptx
4. Blood grouping and transfusion procedure.pptx4. Blood grouping and transfusion procedure.pptx
4. Blood grouping and transfusion procedure.pptx
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Blood transfusion
Blood transfusionBlood transfusion
Blood transfusion
 
Transfusion therapy
Transfusion therapyTransfusion therapy
Transfusion therapy
 
Blood and its components
Blood and its componentsBlood and its components
Blood and its components
 
Blood component seminar [autosaved]
Blood component seminar [autosaved]Blood component seminar [autosaved]
Blood component seminar [autosaved]
 

Mehr von Dang Thanh Tuan

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnDang Thanh Tuan
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnDang Thanh Tuan
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vnDang Thanh Tuan
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnDang Thanh Tuan
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnDang Thanh Tuan
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnDang Thanh Tuan
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnDang Thanh Tuan
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnDang Thanh Tuan
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnDang Thanh Tuan
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedationDang Thanh Tuan
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsDang Thanh Tuan
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnographyDang Thanh Tuan
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and managementDang Thanh Tuan
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubatedDang Thanh Tuan
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubatedDang Thanh Tuan
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introductionDang Thanh Tuan
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overviewDang Thanh Tuan
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnographyDang Thanh Tuan
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphyDang Thanh Tuan
 

Mehr von Dang Thanh Tuan (20)

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vn
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
 

Kürzlich hochgeladen

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 

Kürzlich hochgeladen (20)

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 

Transfusion Medicine Ticu

  • 1. Tranfusion Medicine Amanda J. Wheeler, MD Trauma/Critical Care Stanford University Medical Center May 7, 2007
  • 2.
  • 3.
  • 4.
  • 5.  
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. Comparison of HBOCs Hemolink PolyHeme Hemopure & Oxyglobin Product Name: 14 hours 24 hours 18-22 hours Half-life: Refrigerated/ RoomTemp Refrigerated Room Temp Storage: 1 year 1 year 3 years Shelf-life: Expired Human RBCs Expired Human RBCs Bovine Hgb Source: Hemosol Northfield Biopure  
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.