{"product_id":"massive-transfusion-or-massive-confusion-von-mariem-cheikhrouhou-sonia-mahjoub-und-sami-guermazi","title":"Massive transfusion or massive confusion?","description":"\u003cp\u003eMassive transfusion (MT) is a life-saving therapy in situations of major hemorrhage. Objectives: To review the practices of massive transfusion in Tunisia and to propose a massive transfusion protocol.An analytical observational study based on a questionnaire was conducted.It included 124 clinicians. The majority (62%) were anesthesiologists or emergency physicians. The initial order was for the majority of participants (N=69) made of red blood cells (RGC) and fresh frozen plasma (FFP). The ratio of FFP to RGC was 1:2 for 51% of participants. Respectively 23.5% and 9.6% of the participants transfused platelets and fibrinogen concentrates without waiting for the results of the biological examinations. The use of tranexamic acid was routinely indicated by 60.5% of clinicians. A restrictive transfusion strategy was adopted by the majority (86.3%).The professional practices of TM in Tunisia are heterogeneous. In the absence of a clear institutionalized procedure for this therapy, a TM protocol was proposed.\u003c\/p\u003e\u003cdiv class=\"aw-variant-hidden-subtitle-div\" id=\"aw-variant-subtitle-9786205136034\"\u003e\u003ch3\u003eState of the art practices\u003c\/h3\u003e\u003c\/div\u003e","brand":"Autorenwelt Shop","offers":[{"title":"Softcover - 9786205136034","offer_id":40480791855197,"sku":"9786205136034","price":43.9,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0940\/0622\/files\/97828be2-60ac-42d2-846e-1d5cb8ac4fbd.png?v=1758430477","url":"https:\/\/shop.autorenwelt.de\/products\/massive-transfusion-or-massive-confusion-von-mariem-cheikhrouhou-sonia-mahjoub-und-sami-guermazi","provider":"Autorenwelt Shop","version":"1.0","type":"link"}