id sid tid token lemma pos cord-016871-1mlamf20 1 1 key key JJ cord-016871-1mlamf20 1 2 : : : cord-016871-1mlamf20 1 3 cord-016871 cord-016871 CD cord-016871-1mlamf20 1 4 - - HYPH cord-016871-1mlamf20 1 5 1mlamf20 1mlamf20 JJ cord-016871-1mlamf20 1 6 authors author NNS cord-016871-1mlamf20 1 7 : : : cord-016871-1mlamf20 1 8 Streiff Streiff NNP cord-016871-1mlamf20 1 9 , , , cord-016871-1mlamf20 1 10 Agathe Agathe NNP cord-016871-1mlamf20 1 11 ; ; : cord-016871-1mlamf20 1 12 Cotton Cotton NNP cord-016871-1mlamf20 1 13 , , , cord-016871-1mlamf20 1 14 Bryan Bryan NNP cord-016871-1mlamf20 1 15 A. a. NN cord-016871-1mlamf20 1 16 title title NN cord-016871-1mlamf20 1 17 : : : cord-016871-1mlamf20 1 18 Hemorrhage hemorrhage NN cord-016871-1mlamf20 1 19 and and CC cord-016871-1mlamf20 1 20 Transfusions transfusion NNS cord-016871-1mlamf20 1 21 in in IN cord-016871-1mlamf20 1 22 the the DT cord-016871-1mlamf20 1 23 Surgical surgical JJ cord-016871-1mlamf20 1 24 Patient Patient NNP cord-016871-1mlamf20 1 25 date date NN cord-016871-1mlamf20 1 26 : : : cord-016871-1mlamf20 1 27 2012 2012 CD cord-016871-1mlamf20 1 28 - - SYM cord-016871-1mlamf20 1 29 10 10 CD cord-016871-1mlamf20 1 30 - - SYM cord-016871-1mlamf20 1 31 30 30 CD cord-016871-1mlamf20 1 32 journal journal NN cord-016871-1mlamf20 1 33 : : : cord-016871-1mlamf20 1 34 Common common JJ cord-016871-1mlamf20 1 35 Problems Problems NNPS cord-016871-1mlamf20 1 36 in in IN cord-016871-1mlamf20 1 37 Acute Acute NNP cord-016871-1mlamf20 1 38 Care Care NNP cord-016871-1mlamf20 1 39 Surgery surgery NN cord-016871-1mlamf20 2 1 DOI DOI NNP cord-016871-1mlamf20 2 2 : : : cord-016871-1mlamf20 3 1 10.1007/978 10.1007/978 LS cord-016871-1mlamf20 3 2 - - HYPH cord-016871-1mlamf20 3 3 1 1 CD cord-016871-1mlamf20 3 4 - - HYPH cord-016871-1mlamf20 3 5 4614 4614 CD cord-016871-1mlamf20 3 6 - - HYPH cord-016871-1mlamf20 3 7 6123 6123 CD cord-016871-1mlamf20 3 8 - - HYPH cord-016871-1mlamf20 3 9 4_12 4_12 CD cord-016871-1mlamf20 3 10 sha sha NNP cord-016871-1mlamf20 3 11 : : : cord-016871-1mlamf20 4 1 8576648bca15f349295cf63efe0199da851d9ac2 8576648bca15f349295cf63efe0199da851d9ac2 CD cord-016871-1mlamf20 4 2 doc_id doc_id CD cord-016871-1mlamf20 4 3 : : : cord-016871-1mlamf20 4 4 16871 16871 CD cord-016871-1mlamf20 5 1 cord_uid cord_uid NN cord-016871-1mlamf20 5 2 : : : cord-016871-1mlamf20 6 1 1mlamf20 1mlamf20 LS cord-016871-1mlamf20 6 2 Hemorrhage Hemorrhage NNP cord-016871-1mlamf20 6 3 is be VBZ cord-016871-1mlamf20 6 4 the the DT cord-016871-1mlamf20 6 5 leading leading JJ cord-016871-1mlamf20 6 6 cause cause NN cord-016871-1mlamf20 6 7 of of IN cord-016871-1mlamf20 6 8 intraoperative intraoperative JJ cord-016871-1mlamf20 6 9 deaths death NNS cord-016871-1mlamf20 6 10 . . . cord-016871-1mlamf20 7 1 Many many JJ cord-016871-1mlamf20 7 2 cardiovascular cardiovascular JJ cord-016871-1mlamf20 7 3 and and CC cord-016871-1mlamf20 7 4 hepatobiliary hepatobiliary JJ cord-016871-1mlamf20 7 5 procedures procedure NNS cord-016871-1mlamf20 7 6 result result VBP cord-016871-1mlamf20 7 7 in in IN cord-016871-1mlamf20 7 8 massive massive JJ cord-016871-1mlamf20 7 9 hemorrhage hemorrhage NN cord-016871-1mlamf20 7 10 and and CC cord-016871-1mlamf20 7 11 postpartum postpartum NN cord-016871-1mlamf20 7 12 hemorrhage hemorrhage NN cord-016871-1mlamf20 7 13 events event NNS cord-016871-1mlamf20 7 14 in in IN cord-016871-1mlamf20 7 15 labor labor NN cord-016871-1mlamf20 7 16 and and CC cord-016871-1mlamf20 7 17 delivery delivery NN cord-016871-1mlamf20 7 18 place place NN cord-016871-1mlamf20 7 19 the the DT cord-016871-1mlamf20 7 20 patient patient NN cord-016871-1mlamf20 7 21 at at IN cord-016871-1mlamf20 7 22 a a DT cord-016871-1mlamf20 7 23 high high JJ cord-016871-1mlamf20 7 24 risk risk NN cord-016871-1mlamf20 7 25 for for IN cord-016871-1mlamf20 7 26 mortality mortality NN cord-016871-1mlamf20 7 27 . . . cord-016871-1mlamf20 8 1 Gastrointestinal gastrointestinal JJ cord-016871-1mlamf20 8 2 bleeding bleed VBG cord-016871-1mlamf20 8 3 from from IN cord-016871-1mlamf20 8 4 diverticulosis diverticulosis NN cord-016871-1mlamf20 8 5 , , , cord-016871-1mlamf20 8 6 varices varix NNS cord-016871-1mlamf20 8 7 , , , cord-016871-1mlamf20 8 8 and and CC cord-016871-1mlamf20 8 9 ulcer ulcer NN cord-016871-1mlamf20 8 10 disease disease NN cord-016871-1mlamf20 8 11 can can MD cord-016871-1mlamf20 8 12 result result VB cord-016871-1mlamf20 8 13 in in IN cord-016871-1mlamf20 8 14 significant significant JJ cord-016871-1mlamf20 8 15 blood blood NN cord-016871-1mlamf20 8 16 loss loss NN cord-016871-1mlamf20 8 17 requiring require VBG cord-016871-1mlamf20 8 18 massive massive JJ cord-016871-1mlamf20 8 19 transfusion transfusion NN cord-016871-1mlamf20 8 20 and and CC cord-016871-1mlamf20 8 21 resuscitation resuscitation NN cord-016871-1mlamf20 8 22 from from IN cord-016871-1mlamf20 8 23 hemorrhagic hemorrhagic JJ cord-016871-1mlamf20 8 24 shock shock NN cord-016871-1mlamf20 8 25 . . . cord-016871-1mlamf20 9 1 Timely timely JJ cord-016871-1mlamf20 9 2 and and CC cord-016871-1mlamf20 9 3 effective effective JJ cord-016871-1mlamf20 9 4 transfusion transfusion NN cord-016871-1mlamf20 9 5 of of IN cord-016871-1mlamf20 9 6 blood blood NN cord-016871-1mlamf20 9 7 products product NNS cord-016871-1mlamf20 9 8 is be VBZ cord-016871-1mlamf20 9 9 of of IN cord-016871-1mlamf20 9 10 critical critical JJ cord-016871-1mlamf20 9 11 in in IN cord-016871-1mlamf20 9 12 these these DT cord-016871-1mlamf20 9 13 scenarios scenario NNS cord-016871-1mlamf20 9 14 . . . cord-016871-1mlamf20 10 1 The the DT cord-016871-1mlamf20 10 2 frequency frequency NN cord-016871-1mlamf20 10 3 in in IN cord-016871-1mlamf20 10 4 which which WDT cord-016871-1mlamf20 10 5 blood blood NN cord-016871-1mlamf20 10 6 component component NN cord-016871-1mlamf20 10 7 products product NNS cord-016871-1mlamf20 10 8 are be VBP cord-016871-1mlamf20 10 9 transfused transfuse VBN cord-016871-1mlamf20 10 10 in in IN cord-016871-1mlamf20 10 11 surgical surgical JJ cord-016871-1mlamf20 10 12 patients patient NNS cord-016871-1mlamf20 10 13 begs beg VBZ cord-016871-1mlamf20 10 14 for for IN cord-016871-1mlamf20 10 15 a a DT cord-016871-1mlamf20 10 16 greater great JJR cord-016871-1mlamf20 10 17 understanding understanding NN cord-016871-1mlamf20 10 18 of of IN cord-016871-1mlamf20 10 19 them -PRON- PRP cord-016871-1mlamf20 10 20 . . . cord-016871-1mlamf20 11 1 The the DT cord-016871-1mlamf20 11 2 aim aim NN cord-016871-1mlamf20 11 3 of of IN cord-016871-1mlamf20 11 4 this this DT cord-016871-1mlamf20 11 5 chapter chapter NN cord-016871-1mlamf20 11 6 is be VBZ cord-016871-1mlamf20 11 7 to to TO cord-016871-1mlamf20 11 8 provide provide VB cord-016871-1mlamf20 11 9 clinicians clinician NNS cord-016871-1mlamf20 11 10 with with IN cord-016871-1mlamf20 11 11 a a DT cord-016871-1mlamf20 11 12 discussion discussion NN cord-016871-1mlamf20 11 13 of of IN cord-016871-1mlamf20 11 14 the the DT cord-016871-1mlamf20 11 15 current current JJ cord-016871-1mlamf20 11 16 literature literature NN cord-016871-1mlamf20 11 17 on on IN cord-016871-1mlamf20 11 18 the the DT cord-016871-1mlamf20 11 19 various various JJ cord-016871-1mlamf20 11 20 blood blood NN cord-016871-1mlamf20 11 21 component component NN cord-016871-1mlamf20 11 22 products product NNS cord-016871-1mlamf20 11 23 , , , cord-016871-1mlamf20 11 24 their -PRON- PRP$ cord-016871-1mlamf20 11 25 indications indication NNS cord-016871-1mlamf20 11 26 , , , cord-016871-1mlamf20 11 27 and and CC cord-016871-1mlamf20 11 28 unique unique JJ cord-016871-1mlamf20 11 29 hemostatic hemostatic JJ cord-016871-1mlamf20 11 30 conditions condition NNS cord-016871-1mlamf20 11 31 in in IN cord-016871-1mlamf20 11 32 the the DT cord-016871-1mlamf20 11 33 surgical surgical JJ cord-016871-1mlamf20 11 34 patient patient NN cord-016871-1mlamf20 11 35 . . . cord-016871-1mlamf20 12 1 While while IN cord-016871-1mlamf20 12 2 the the DT cord-016871-1mlamf20 12 3 majority majority NN cord-016871-1mlamf20 12 4 of of IN cord-016871-1mlamf20 12 5 data datum NNS cord-016871-1mlamf20 12 6 concerning concern VBG cord-016871-1mlamf20 12 7 optimal optimal JJ cord-016871-1mlamf20 12 8 management management NN cord-016871-1mlamf20 12 9 of of IN cord-016871-1mlamf20 12 10 acquired acquire VBN cord-016871-1mlamf20 12 11 coagulopathy coagulopathy NN cord-016871-1mlamf20 12 12 and and CC cord-016871-1mlamf20 12 13 hemorrhagic hemorrhagic JJ cord-016871-1mlamf20 12 14 shock shock NN cord-016871-1mlamf20 12 15 resuscitation resuscitation NN cord-016871-1mlamf20 12 16 is be VBZ cord-016871-1mlamf20 12 17 based base VBN cord-016871-1mlamf20 12 18 on on IN cord-016871-1mlamf20 12 19 trauma trauma NN cord-016871-1mlamf20 12 20 patients patient NNS cord-016871-1mlamf20 12 21 , , , cord-016871-1mlamf20 12 22 many many JJ cord-016871-1mlamf20 12 23 of of IN cord-016871-1mlamf20 12 24 the the DT cord-016871-1mlamf20 12 25 principles principle NNS cord-016871-1mlamf20 12 26 can can MD cord-016871-1mlamf20 12 27 and and CC cord-016871-1mlamf20 12 28 should should MD cord-016871-1mlamf20 12 29 be be VB cord-016871-1mlamf20 12 30 applied apply VBN cord-016871-1mlamf20 12 31 to to IN cord-016871-1mlamf20 12 32 the the DT cord-016871-1mlamf20 12 33 surgical surgical JJ cord-016871-1mlamf20 12 34 patient patient NN cord-016871-1mlamf20 12 35 ( ( -LRB- cord-016871-1mlamf20 12 36 or or CC cord-016871-1mlamf20 12 37 likely likely RB cord-016871-1mlamf20 12 38 any any DT cord-016871-1mlamf20 12 39 patient patient NN cord-016871-1mlamf20 12 40 ) ) -RRB- cord-016871-1mlamf20 12 41 with with IN cord-016871-1mlamf20 12 42 profound profound JJ cord-016871-1mlamf20 12 43 hemorrhage hemorrhage NN cord-016871-1mlamf20 12 44 . . . cord-016871-1mlamf20 13 1 Hemorrhage hemorrhage NN cord-016871-1mlamf20 13 2 is be VBZ cord-016871-1mlamf20 13 3 the the DT cord-016871-1mlamf20 13 4 leading leading JJ cord-016871-1mlamf20 13 5 cause cause NN cord-016871-1mlamf20 13 6 of of IN cord-016871-1mlamf20 13 7 intraoperative intraoperative JJ cord-016871-1mlamf20 13 8 deaths death NNS cord-016871-1mlamf20 13 9 . . . cord-016871-1mlamf20 14 1 Many many JJ cord-016871-1mlamf20 14 2 cardiovascular cardiovascular JJ cord-016871-1mlamf20 14 3 and and CC cord-016871-1mlamf20 14 4 hepatobiliary hepatobiliary JJ cord-016871-1mlamf20 14 5 procedures procedure NNS cord-016871-1mlamf20 14 6 result result VBP cord-016871-1mlamf20 14 7 in in IN cord-016871-1mlamf20 14 8 massive massive JJ cord-016871-1mlamf20 14 9 hemorrhage hemorrhage NN cord-016871-1mlamf20 14 10 and and CC cord-016871-1mlamf20 14 11 postpartum postpartum NN cord-016871-1mlamf20 14 12 hemorrhage hemorrhage NN cord-016871-1mlamf20 14 13 events event NNS cord-016871-1mlamf20 14 14 in in IN cord-016871-1mlamf20 14 15 labor labor NN cord-016871-1mlamf20 14 16 and and CC cord-016871-1mlamf20 14 17 delivery delivery NN cord-016871-1mlamf20 14 18 place place NN cord-016871-1mlamf20 14 19 the the DT cord-016871-1mlamf20 14 20 patient patient NN cord-016871-1mlamf20 14 21 at at IN cord-016871-1mlamf20 14 22 a a DT cord-016871-1mlamf20 14 23 high high JJ cord-016871-1mlamf20 14 24 risk risk NN cord-016871-1mlamf20 14 25 for for IN cord-016871-1mlamf20 14 26 mortality mortality NN cord-016871-1mlamf20 14 27 . . . cord-016871-1mlamf20 15 1 Gastrointestinal gastrointestinal JJ cord-016871-1mlamf20 15 2 bleeding bleed VBG cord-016871-1mlamf20 15 3 from from IN cord-016871-1mlamf20 15 4 diverticulosis diverticulosis NN cord-016871-1mlamf20 15 5 , , , cord-016871-1mlamf20 15 6 varices varix NNS cord-016871-1mlamf20 15 7 , , , cord-016871-1mlamf20 15 8 and and CC cord-016871-1mlamf20 15 9 ulcer ulcer NN cord-016871-1mlamf20 15 10 disease disease NN cord-016871-1mlamf20 15 11 can can MD cord-016871-1mlamf20 15 12 result result VB cord-016871-1mlamf20 15 13 in in IN cord-016871-1mlamf20 15 14 signi signi NNP cord-016871-1mlamf20 15 15 fi fi NNP cord-016871-1mlamf20 15 16 ca can MD cord-016871-1mlamf20 15 17 nt not RB cord-016871-1mlamf20 15 18 blood blood NN cord-016871-1mlamf20 15 19 loss loss NN cord-016871-1mlamf20 15 20 requiring require VBG cord-016871-1mlamf20 15 21 massive massive JJ cord-016871-1mlamf20 15 22 transfusion transfusion NN cord-016871-1mlamf20 15 23 and and CC cord-016871-1mlamf20 15 24 resuscitation resuscitation NN cord-016871-1mlamf20 15 25 from from IN cord-016871-1mlamf20 15 26 hemorrhagic hemorrhagic JJ cord-016871-1mlamf20 15 27 shock shock NN cord-016871-1mlamf20 15 28 . . . cord-016871-1mlamf20 16 1 Timely timely JJ cord-016871-1mlamf20 16 2 and and CC cord-016871-1mlamf20 16 3 effective effective JJ cord-016871-1mlamf20 16 4 transfusion transfusion NN cord-016871-1mlamf20 16 5 of of IN cord-016871-1mlamf20 16 6 blood blood NN cord-016871-1mlamf20 16 7 products product NNS cord-016871-1mlamf20 16 8 is be VBZ cord-016871-1mlamf20 16 9 of of IN cord-016871-1mlamf20 16 10 critical critical JJ cord-016871-1mlamf20 16 11 in in IN cord-016871-1mlamf20 16 12 these these DT cord-016871-1mlamf20 16 13 scenarios scenario NNS cord-016871-1mlamf20 16 14 . . . cord-016871-1mlamf20 17 1 The the DT cord-016871-1mlamf20 17 2 frequency frequency NN cord-016871-1mlamf20 17 3 in in IN cord-016871-1mlamf20 17 4 which which WDT cord-016871-1mlamf20 17 5 blood blood NN cord-016871-1mlamf20 17 6 component component NN cord-016871-1mlamf20 17 7 products product NNS cord-016871-1mlamf20 17 8 are be VBP cord-016871-1mlamf20 17 9 transfused transfuse VBN cord-016871-1mlamf20 17 10 in in IN cord-016871-1mlamf20 17 11 surgical surgical JJ cord-016871-1mlamf20 17 12 patients patient NNS cord-016871-1mlamf20 17 13 begs beg VBZ cord-016871-1mlamf20 17 14 for for IN cord-016871-1mlamf20 17 15 a a DT cord-016871-1mlamf20 17 16 greater great JJR cord-016871-1mlamf20 17 17 understanding understanding NN cord-016871-1mlamf20 17 18 of of IN cord-016871-1mlamf20 17 19 them -PRON- PRP cord-016871-1mlamf20 17 20 . . . cord-016871-1mlamf20 18 1 The the DT cord-016871-1mlamf20 18 2 aim aim NN cord-016871-1mlamf20 18 3 of of IN cord-016871-1mlamf20 18 4 this this DT cord-016871-1mlamf20 18 5 chapter chapter NN cord-016871-1mlamf20 18 6 is be VBZ cord-016871-1mlamf20 18 7 to to TO cord-016871-1mlamf20 18 8 provide provide VB cord-016871-1mlamf20 18 9 clinicians clinician NNS cord-016871-1mlamf20 18 10 with with IN cord-016871-1mlamf20 18 11 a a DT cord-016871-1mlamf20 18 12 discussion discussion NN cord-016871-1mlamf20 18 13 of of IN cord-016871-1mlamf20 18 14 the the DT cord-016871-1mlamf20 18 15 current current JJ cord-016871-1mlamf20 18 16 literature literature NN cord-016871-1mlamf20 18 17 on on IN cord-016871-1mlamf20 18 18 the the DT cord-016871-1mlamf20 18 19 various various JJ cord-016871-1mlamf20 18 20 blood blood NN cord-016871-1mlamf20 18 21 component component NN cord-016871-1mlamf20 18 22 products product NNS cord-016871-1mlamf20 18 23 , , , cord-016871-1mlamf20 18 24 their -PRON- PRP$ cord-016871-1mlamf20 18 25 indications indication NNS cord-016871-1mlamf20 18 26 , , , cord-016871-1mlamf20 18 27 and and CC cord-016871-1mlamf20 18 28 unique unique JJ cord-016871-1mlamf20 18 29 hemostatic hemostatic JJ cord-016871-1mlamf20 18 30 conditions condition NNS cord-016871-1mlamf20 18 31 in in IN cord-016871-1mlamf20 18 32 the the DT cord-016871-1mlamf20 18 33 surgical surgical JJ cord-016871-1mlamf20 18 34 patient patient NN cord-016871-1mlamf20 18 35 . . . cord-016871-1mlamf20 19 1 While while IN cord-016871-1mlamf20 19 2 the the DT cord-016871-1mlamf20 19 3 majority majority NN cord-016871-1mlamf20 19 4 of of IN cord-016871-1mlamf20 19 5 data datum NNS cord-016871-1mlamf20 19 6 concerning concern VBG cord-016871-1mlamf20 19 7 optimal optimal JJ cord-016871-1mlamf20 19 8 management management NN cord-016871-1mlamf20 19 9 of of IN cord-016871-1mlamf20 19 10 acquired acquire VBN cord-016871-1mlamf20 19 11 coagulopathy coagulopathy NN cord-016871-1mlamf20 19 12 and and CC cord-016871-1mlamf20 19 13 hemorrhagic hemorrhagic JJ cord-016871-1mlamf20 19 14 shock shock NN cord-016871-1mlamf20 19 15 resuscitation resuscitation NN cord-016871-1mlamf20 19 16 is be VBZ cord-016871-1mlamf20 19 17 based base VBN cord-016871-1mlamf20 19 18 on on IN cord-016871-1mlamf20 19 19 trauma trauma NN cord-016871-1mlamf20 19 20 patients patient NNS cord-016871-1mlamf20 19 21 , , , cord-016871-1mlamf20 19 22 many many JJ cord-016871-1mlamf20 19 23 of of IN cord-016871-1mlamf20 19 24 the the DT cord-016871-1mlamf20 19 25 principles principle NNS cord-016871-1mlamf20 19 26 can can MD cord-016871-1mlamf20 19 27 and and CC cord-016871-1mlamf20 19 28 should should MD cord-016871-1mlamf20 19 29 be be VB cord-016871-1mlamf20 19 30 applied apply VBN cord-016871-1mlamf20 19 31 to to IN cord-016871-1mlamf20 19 32 the the DT cord-016871-1mlamf20 19 33 surgical surgical JJ cord-016871-1mlamf20 19 34 patient patient NN cord-016871-1mlamf20 19 35 ( ( -LRB- cord-016871-1mlamf20 19 36 or or CC cord-016871-1mlamf20 19 37 likely likely RB cord-016871-1mlamf20 19 38 any any DT cord-016871-1mlamf20 19 39 patient patient NN cord-016871-1mlamf20 19 40 ) ) -RRB- cord-016871-1mlamf20 19 41 with with IN cord-016871-1mlamf20 19 42 profound profound JJ cord-016871-1mlamf20 19 43 hemorrhage hemorrhage NN cord-016871-1mlamf20 19 44 . . . cord-016871-1mlamf20 20 1 The the DT cord-016871-1mlamf20 20 2 concept concept NN cord-016871-1mlamf20 20 3 of of IN cord-016871-1mlamf20 20 4 the the DT cord-016871-1mlamf20 20 5 lethal lethal JJ cord-016871-1mlamf20 20 6 triad triad NN cord-016871-1mlamf20 20 7 - - HYPH cord-016871-1mlamf20 20 8 hypothermia hypothermia NN cord-016871-1mlamf20 20 9 , , , cord-016871-1mlamf20 20 10 acidosis acidosis NN cord-016871-1mlamf20 20 11 and and CC cord-016871-1mlamf20 20 12 coagulation coagulation NN cord-016871-1mlamf20 20 13 - - , cord-016871-1mlamf20 20 14 was be VBD cord-016871-1mlamf20 20 15 fi fi NNP cord-016871-1mlamf20 20 16 rst rst NNP cord-016871-1mlamf20 20 17 promoted promote VBN cord-016871-1mlamf20 20 18 in in IN cord-016871-1mlamf20 20 19 the the DT cord-016871-1mlamf20 20 20 trauma trauma NN cord-016871-1mlamf20 20 21 population population NN cord-016871-1mlamf20 20 22 in in IN cord-016871-1mlamf20 20 23 those those DT cord-016871-1mlamf20 20 24 undergoing undergo VBG cord-016871-1mlamf20 20 25 emergency emergency NN cord-016871-1mlamf20 20 26 surgery surgery NN cord-016871-1mlamf20 20 27 . . . cord-016871-1mlamf20 21 1 In in IN cord-016871-1mlamf20 21 2 an an DT cord-016871-1mlamf20 21 3 effort effort NN cord-016871-1mlamf20 21 4 to to TO cord-016871-1mlamf20 21 5 combat combat VB cord-016871-1mlamf20 21 6 its -PRON- PRP$ cord-016871-1mlamf20 21 7 development development NN cord-016871-1mlamf20 21 8 ( ( -LRB- cord-016871-1mlamf20 21 9 or or CC cord-016871-1mlamf20 21 10 at at IN cord-016871-1mlamf20 21 11 least least JJS cord-016871-1mlamf20 21 12 attenuate attenuate VB cord-016871-1mlamf20 21 13 its -PRON- PRP$ cord-016871-1mlamf20 21 14 effects effect NNS cord-016871-1mlamf20 21 15 ) ) -RRB- cord-016871-1mlamf20 21 16 , , , cord-016871-1mlamf20 21 17 several several JJ cord-016871-1mlamf20 21 18 authors author NNS cord-016871-1mlamf20 21 19 began begin VBD cord-016871-1mlamf20 21 20 advocating advocate VBG cord-016871-1mlamf20 21 21 for for IN cord-016871-1mlamf20 21 22 Damage damage NN cord-016871-1mlamf20 21 23 Control Control NNP cord-016871-1mlamf20 21 24 Surgery surgery NN cord-016871-1mlamf20 21 25 [ [ -LRB- cord-016871-1mlamf20 21 26 1 1 CD cord-016871-1mlamf20 21 27 , , , cord-016871-1mlamf20 21 28 2 2 CD cord-016871-1mlamf20 21 29 ] ] -RRB- cord-016871-1mlamf20 21 30 . . . cord-016871-1mlamf20 22 1 However however RB cord-016871-1mlamf20 22 2 , , , cord-016871-1mlamf20 22 3 the the DT cord-016871-1mlamf20 22 4 principles principle NNS cord-016871-1mlamf20 22 5 of of IN cord-016871-1mlamf20 22 6 Damage Damage NNP cord-016871-1mlamf20 22 7 Control Control NNP cord-016871-1mlamf20 22 8 have have VBP cord-016871-1mlamf20 22 9 spread spread VBN cord-016871-1mlamf20 22 10 through through IN cord-016871-1mlamf20 22 11 the the DT cord-016871-1mlamf20 22 12 trauma trauma NN cord-016871-1mlamf20 22 13 centers center NNS cord-016871-1mlamf20 22 14 and and CC cord-016871-1mlamf20 22 15 into into IN cord-016871-1mlamf20 22 16 the the DT cord-016871-1mlamf20 22 17 operating operate VBG cord-016871-1mlamf20 22 18 theaters theater NNS cord-016871-1mlamf20 22 19 and and CC cord-016871-1mlamf20 22 20 intensive intensive JJ cord-016871-1mlamf20 22 21 care care NN cord-016871-1mlamf20 22 22 units unit NNS cord-016871-1mlamf20 22 23 [ [ -LRB- cord-016871-1mlamf20 22 24 3 3 CD cord-016871-1mlamf20 22 25 ] ] -RRB- cord-016871-1mlamf20 22 26 . . . cord-016871-1mlamf20 23 1 Central central JJ cord-016871-1mlamf20 23 2 to to IN cord-016871-1mlamf20 23 3 this this DT cord-016871-1mlamf20 23 4 concept concept NN cord-016871-1mlamf20 23 5 is be VBZ cord-016871-1mlamf20 23 6 aggressively aggressively RB cord-016871-1mlamf20 23 7 and and CC cord-016871-1mlamf20 23 8 rapidly rapidly RB cord-016871-1mlamf20 23 9 addressing address VBG cord-016871-1mlamf20 23 10 all all DT cord-016871-1mlamf20 23 11 three three CD cord-016871-1mlamf20 23 12 components component NNS cord-016871-1mlamf20 23 13 simultaneously simultaneously RB cord-016871-1mlamf20 23 14 , , , cord-016871-1mlamf20 23 15 as as IN cord-016871-1mlamf20 23 16 each each DT cord-016871-1mlamf20 23 17 greatly greatly RB cord-016871-1mlamf20 23 18 affects affect VBZ cord-016871-1mlamf20 23 19 the the DT cord-016871-1mlamf20 23 20 other other JJ cord-016871-1mlamf20 23 21 . . . cord-016871-1mlamf20 24 1 Hypothermia hypothermia NN cord-016871-1mlamf20 24 2 , , , cord-016871-1mlamf20 24 3 a a DT cord-016871-1mlamf20 24 4 core core NN cord-016871-1mlamf20 24 5 body body NN cord-016871-1mlamf20 24 6 temperature temperature NN cord-016871-1mlamf20 24 7 of of IN cord-016871-1mlamf20 24 8 34 34 CD cord-016871-1mlamf20 24 9 - - SYM cord-016871-1mlamf20 24 10 36 36 CD cord-016871-1mlamf20 24 11 ° ° NN cord-016871-1mlamf20 24 12 C c NN cord-016871-1mlamf20 24 13 , , , cord-016871-1mlamf20 24 14 in in IN cord-016871-1mlamf20 24 15 the the DT cord-016871-1mlamf20 24 16 trauma trauma NN cord-016871-1mlamf20 24 17 patient patient NN cord-016871-1mlamf20 24 18 primarily primarily RB cord-016871-1mlamf20 24 19 results result VBZ cord-016871-1mlamf20 24 20 from from IN cord-016871-1mlamf20 24 21 re re NNP cord-016871-1mlamf20 24 22 fl fl NNP cord-016871-1mlamf20 24 23 exive exive JJ cord-016871-1mlamf20 24 24 peripheral peripheral JJ cord-016871-1mlamf20 24 25 vasoconstriction vasoconstriction NN cord-016871-1mlamf20 24 26 in in IN cord-016871-1mlamf20 24 27 the the DT cord-016871-1mlamf20 24 28 hypovolemic hypovolemic JJ cord-016871-1mlamf20 24 29 patient patient NN cord-016871-1mlamf20 24 30 . . . cord-016871-1mlamf20 25 1 This this DT cord-016871-1mlamf20 25 2 phenomenon phenomenon NN cord-016871-1mlamf20 25 3 is be VBZ cord-016871-1mlamf20 25 4 further far RBR cord-016871-1mlamf20 25 5 exacerbated exacerbate VBN cord-016871-1mlamf20 25 6 by by IN cord-016871-1mlamf20 25 7 rapid rapid JJ cord-016871-1mlamf20 25 8 infusion infusion NN cord-016871-1mlamf20 25 9 of of IN cord-016871-1mlamf20 25 10 unwarmed unwarmed NNP cord-016871-1mlamf20 25 11 crystalloid crystalloid NNP cord-016871-1mlamf20 25 12 fl fl NNP cord-016871-1mlamf20 25 13 uid uid NN cord-016871-1mlamf20 25 14 during during IN cord-016871-1mlamf20 25 15 initial initial JJ cord-016871-1mlamf20 25 16 resuscitation resuscitation NN cord-016871-1mlamf20 25 17 . . . cord-016871-1mlamf20 26 1 This this DT cord-016871-1mlamf20 26 2 condition condition NN cord-016871-1mlamf20 26 3 impairs impair VBZ cord-016871-1mlamf20 26 4 coagulation coagulation NN cord-016871-1mlamf20 26 5 factor factor NN cord-016871-1mlamf20 26 6 activity activity NN cord-016871-1mlamf20 26 7 and and CC cord-016871-1mlamf20 26 8 platelet platelet NN cord-016871-1mlamf20 26 9 function function NN cord-016871-1mlamf20 26 10 , , , cord-016871-1mlamf20 26 11 such such JJ cord-016871-1mlamf20 26 12 as as IN cord-016871-1mlamf20 26 13 their -PRON- PRP$ cord-016871-1mlamf20 26 14 ability ability NN cord-016871-1mlamf20 26 15 to to TO cord-016871-1mlamf20 26 16 produce produce VB cord-016871-1mlamf20 26 17 thromboxane thromboxane NN cord-016871-1mlamf20 26 18 , , , cord-016871-1mlamf20 26 19 and and CC cord-016871-1mlamf20 26 20 must must MD cord-016871-1mlamf20 26 21 be be VB cord-016871-1mlamf20 26 22 rapidly rapidly RB cord-016871-1mlamf20 26 23 reversed reverse VBN cord-016871-1mlamf20 26 24 [ [ -LRB- cord-016871-1mlamf20 26 25 4 4 CD cord-016871-1mlamf20 26 26 ] ] -RRB- cord-016871-1mlamf20 26 27 . . . cord-016871-1mlamf20 27 1 Crystalloid Crystalloid NNP cord-016871-1mlamf20 27 2 and and CC cord-016871-1mlamf20 27 3 colloid colloid NN cord-016871-1mlamf20 27 4 fl fl NNP cord-016871-1mlamf20 27 5 uids uid NNS cord-016871-1mlamf20 27 6 also also RB cord-016871-1mlamf20 27 7 contribute contribute VBP cord-016871-1mlamf20 27 8 to to IN cord-016871-1mlamf20 27 9 hemodilution hemodilution NN cord-016871-1mlamf20 27 10 of of IN cord-016871-1mlamf20 27 11 clotting clotting NN cord-016871-1mlamf20 27 12 factors factor NNS cord-016871-1mlamf20 27 13 , , , cord-016871-1mlamf20 27 14 further further RB cord-016871-1mlamf20 27 15 promoting promote VBG cord-016871-1mlamf20 27 16 ongoing ongoing JJ cord-016871-1mlamf20 27 17 bleeding bleeding NN cord-016871-1mlamf20 27 18 . . . cord-016871-1mlamf20 28 1 Hence hence RB cord-016871-1mlamf20 28 2 , , , cord-016871-1mlamf20 28 3 in in IN cord-016871-1mlamf20 28 4 this this DT cord-016871-1mlamf20 28 5 situation situation NN cord-016871-1mlamf20 28 6 , , , cord-016871-1mlamf20 28 7 early early JJ cord-016871-1mlamf20 28 8 plasma plasma NN cord-016871-1mlamf20 28 9 therapy therapy NN cord-016871-1mlamf20 28 10 and and CC cord-016871-1mlamf20 28 11 platelets platelet NNS cord-016871-1mlamf20 28 12 have have VBP cord-016871-1mlamf20 28 13 been be VBN cord-016871-1mlamf20 28 14 shown show VBN cord-016871-1mlamf20 28 15 to to TO cord-016871-1mlamf20 28 16 improve improve VB cord-016871-1mlamf20 28 17 outcomes outcome NNS cord-016871-1mlamf20 28 18 [ [ -LRB- cord-016871-1mlamf20 28 19 5 5 CD cord-016871-1mlamf20 28 20 ] ] -RRB- cord-016871-1mlamf20 28 21 . . . cord-016871-1mlamf20 29 1 Acidosis acidosis NN cord-016871-1mlamf20 29 2 has have VBZ cord-016871-1mlamf20 29 3 been be VBN cord-016871-1mlamf20 29 4 hypothesized hypothesize VBN cord-016871-1mlamf20 29 5 to to TO cord-016871-1mlamf20 29 6 result result VB cord-016871-1mlamf20 29 7 from from IN cord-016871-1mlamf20 29 8 hypoperfusion hypoperfusion NN cord-016871-1mlamf20 29 9 and and CC cord-016871-1mlamf20 29 10 excess excess JJ cord-016871-1mlamf20 29 11 administration administration NN cord-016871-1mlamf20 29 12 of of IN cord-016871-1mlamf20 29 13 ionic ionic JJ cord-016871-1mlamf20 29 14 chloride chloride NN cord-016871-1mlamf20 29 15 in in IN cord-016871-1mlamf20 29 16 normal normal JJ cord-016871-1mlamf20 29 17 saline saline NN cord-016871-1mlamf20 29 18 administration administration NN cord-016871-1mlamf20 29 19 . . . cord-016871-1mlamf20 30 1 The the DT cord-016871-1mlamf20 30 2 acidosis acidosis NN cord-016871-1mlamf20 30 3 disturbs disturb VBZ cord-016871-1mlamf20 30 4 platelet platelet NN cord-016871-1mlamf20 30 5 function function NN cord-016871-1mlamf20 30 6 and and CC cord-016871-1mlamf20 30 7 morphology morphology NN cord-016871-1mlamf20 30 8 , , , cord-016871-1mlamf20 30 9 reduces reduce VBZ cord-016871-1mlamf20 30 10 coagulation coagulation NN cord-016871-1mlamf20 30 11 factor factor NN cord-016871-1mlamf20 30 12 complex complex JJ cord-016871-1mlamf20 30 13 activity activity NN cord-016871-1mlamf20 30 14 , , , cord-016871-1mlamf20 30 15 and and CC cord-016871-1mlamf20 30 16 degrades degrade VBZ cord-016871-1mlamf20 30 17 fi fi NNP cord-016871-1mlamf20 30 18 brinogen brinogen NNP cord-016871-1mlamf20 30 19 . . . cord-016871-1mlamf20 31 1 Approximately approximately RB cord-016871-1mlamf20 31 2 25 25 CD cord-016871-1mlamf20 31 3 % % NN cord-016871-1mlamf20 31 4 of of IN cord-016871-1mlamf20 31 5 trauma trauma NN cord-016871-1mlamf20 31 6 patients patient NNS cord-016871-1mlamf20 31 7 present present JJ cord-016871-1mlamf20 31 8 with with IN cord-016871-1mlamf20 31 9 abnormal abnormal JJ cord-016871-1mlamf20 31 10 coagulation coagulation NN cord-016871-1mlamf20 31 11 parameters parameter NNS cord-016871-1mlamf20 31 12 , , , cord-016871-1mlamf20 31 13 and and CC cord-016871-1mlamf20 31 14 these these DT cord-016871-1mlamf20 31 15 have have VBP cord-016871-1mlamf20 31 16 been be VBN cord-016871-1mlamf20 31 17 associated associate VBN cord-016871-1mlamf20 31 18 with with IN cord-016871-1mlamf20 31 19 poorer poor JJR cord-016871-1mlamf20 31 20 outcomes outcome NNS cord-016871-1mlamf20 31 21 in in IN cord-016871-1mlamf20 31 22 these these DT cord-016871-1mlamf20 31 23 patients patient NNS cord-016871-1mlamf20 31 24 . . . cord-016871-1mlamf20 32 1 The the DT cord-016871-1mlamf20 32 2 three three CD cord-016871-1mlamf20 32 3 conditions condition NNS cord-016871-1mlamf20 32 4 previously previously RB cord-016871-1mlamf20 32 5 mentioned mention VBD cord-016871-1mlamf20 32 6 contribute contribute VBP cord-016871-1mlamf20 32 7 to to IN cord-016871-1mlamf20 32 8 poor poor JJ cord-016871-1mlamf20 32 9 clot clot NN cord-016871-1mlamf20 32 10 formation formation NN cord-016871-1mlamf20 32 11 and and CC cord-016871-1mlamf20 32 12 aggravated aggravated JJ cord-016871-1mlamf20 32 13 coagulopathy coagulopathy NN cord-016871-1mlamf20 32 14 [ [ -LRB- cord-016871-1mlamf20 32 15 4 4 CD cord-016871-1mlamf20 32 16 ] ] -RRB- cord-016871-1mlamf20 32 17 . . . cord-016871-1mlamf20 33 1 Evidence evidence NN cord-016871-1mlamf20 33 2 exists exist VBZ cord-016871-1mlamf20 33 3 supporting support VBG cord-016871-1mlamf20 33 4 increased increase VBN cord-016871-1mlamf20 33 5 survival survival NN cord-016871-1mlamf20 33 6 upon upon IN cord-016871-1mlamf20 33 7 rapid rapid JJ cord-016871-1mlamf20 33 8 treatment treatment NN cord-016871-1mlamf20 33 9 of of IN cord-016871-1mlamf20 33 10 initial initial JJ cord-016871-1mlamf20 33 11 coagulopathy coagulopathy NN cord-016871-1mlamf20 33 12 [ [ -LRB- cord-016871-1mlamf20 33 13 5 5 CD cord-016871-1mlamf20 33 14 , , , cord-016871-1mlamf20 33 15 6 6 CD cord-016871-1mlamf20 33 16 ] ] -RRB- cord-016871-1mlamf20 33 17 . . . cord-016871-1mlamf20 34 1 Preemptive preemptive JJ cord-016871-1mlamf20 34 2 strategies strategy NNS cord-016871-1mlamf20 34 3 have have VBP cord-016871-1mlamf20 34 4 been be VBN cord-016871-1mlamf20 34 5 shown show VBN cord-016871-1mlamf20 34 6 to to TO cord-016871-1mlamf20 34 7 actually actually RB cord-016871-1mlamf20 34 8 reduce reduce VB cord-016871-1mlamf20 34 9 coagulopathy coagulopathy NN cord-016871-1mlamf20 34 10 and and CC cord-016871-1mlamf20 34 11 the the DT cord-016871-1mlamf20 34 12 number number NN cord-016871-1mlamf20 34 13 of of IN cord-016871-1mlamf20 34 14 overall overall JJ cord-016871-1mlamf20 34 15 transfusions transfusion NNS cord-016871-1mlamf20 34 16 required require VBN cord-016871-1mlamf20 34 17 to to TO cord-016871-1mlamf20 34 18 treat treat VB cord-016871-1mlamf20 34 19 the the DT cord-016871-1mlamf20 34 20 patient patient NN cord-016871-1mlamf20 34 21 [ [ -LRB- cord-016871-1mlamf20 34 22 7 7 CD cord-016871-1mlamf20 34 23 , , , cord-016871-1mlamf20 34 24 8 8 CD cord-016871-1mlamf20 34 25 ] ] -RRB- cord-016871-1mlamf20 34 26 . . . cord-016871-1mlamf20 35 1 However however RB cord-016871-1mlamf20 35 2 , , , cord-016871-1mlamf20 35 3 challenges challenge NNS cord-016871-1mlamf20 35 4 to to IN cord-016871-1mlamf20 35 5 implementation implementation NN cord-016871-1mlamf20 35 6 include include VBP cord-016871-1mlamf20 35 7 time time NN cord-016871-1mlamf20 35 8 limitations limitation NNS cord-016871-1mlamf20 35 9 of of IN cord-016871-1mlamf20 35 10 laboratory laboratory NN cord-016871-1mlamf20 35 11 - - HYPH cord-016871-1mlamf20 35 12 guided guide VBN cord-016871-1mlamf20 35 13 component component NN cord-016871-1mlamf20 35 14 therapy therapy NN cord-016871-1mlamf20 35 15 since since IN cord-016871-1mlamf20 35 16 the the DT cord-016871-1mlamf20 35 17 results result NNS cord-016871-1mlamf20 35 18 of of IN cord-016871-1mlamf20 35 19 the the DT cord-016871-1mlamf20 35 20 tests test NNS cord-016871-1mlamf20 35 21 are be VBP cord-016871-1mlamf20 35 22 not not RB cord-016871-1mlamf20 35 23 immediate immediate JJ cord-016871-1mlamf20 35 24 . . . cord-016871-1mlamf20 36 1 Another another DT cord-016871-1mlamf20 36 2 dif dif NN cord-016871-1mlamf20 36 3 fi fi FW cord-016871-1mlamf20 36 4 culty culty FW cord-016871-1mlamf20 36 5 is be VBZ cord-016871-1mlamf20 36 6 that that IN cord-016871-1mlamf20 36 7 once once IN cord-016871-1mlamf20 36 8 it -PRON- PRP cord-016871-1mlamf20 36 9 has have VBZ cord-016871-1mlamf20 36 10 been be VBN cord-016871-1mlamf20 36 11 determined determine VBN cord-016871-1mlamf20 36 12 that that IN cord-016871-1mlamf20 36 13 the the DT cord-016871-1mlamf20 36 14 patient patient NN cord-016871-1mlamf20 36 15 should should MD cord-016871-1mlamf20 36 16 receive receive VB cord-016871-1mlamf20 36 17 plasma plasma NN cord-016871-1mlamf20 36 18 , , , cord-016871-1mlamf20 36 19 it -PRON- PRP cord-016871-1mlamf20 36 20 may may MD cord-016871-1mlamf20 36 21 take take VB cord-016871-1mlamf20 36 22 another another DT cord-016871-1mlamf20 36 23 30 30 CD cord-016871-1mlamf20 36 24 - - SYM cord-016871-1mlamf20 36 25 45 45 CD cord-016871-1mlamf20 36 26 min min NN cord-016871-1mlamf20 36 27 to to TO cord-016871-1mlamf20 36 28 thaw thaw VB cord-016871-1mlamf20 36 29 and and CC cord-016871-1mlamf20 36 30 deliver deliver VB cord-016871-1mlamf20 36 31 the the DT cord-016871-1mlamf20 36 32 products product NNS cord-016871-1mlamf20 36 33 [ [ -LRB- cord-016871-1mlamf20 36 34 5 5 CD cord-016871-1mlamf20 36 35 ] ] -RRB- cord-016871-1mlamf20 36 36 . . . cord-016871-1mlamf20 37 1 As as IN cord-016871-1mlamf20 37 2 such such JJ cord-016871-1mlamf20 37 3 , , , cord-016871-1mlamf20 37 4 hospitals hospital NNS cord-016871-1mlamf20 37 5 should should MD cord-016871-1mlamf20 37 6 have have VB cord-016871-1mlamf20 37 7 in in IN cord-016871-1mlamf20 37 8 place place NN cord-016871-1mlamf20 37 9 a a DT cord-016871-1mlamf20 37 10 thawed thaw VBN cord-016871-1mlamf20 37 11 plasma plasma NN cord-016871-1mlamf20 37 12 program program NN cord-016871-1mlamf20 37 13 , , , cord-016871-1mlamf20 37 14 keeping keep VBG cord-016871-1mlamf20 37 15 adequate adequate JJ cord-016871-1mlamf20 37 16 numbers number NNS cord-016871-1mlamf20 37 17 of of IN cord-016871-1mlamf20 38 1 " " `` cord-016871-1mlamf20 38 2 universal universal JJ cord-016871-1mlamf20 38 3 " " '' cord-016871-1mlamf20 38 4 and and CC cord-016871-1mlamf20 38 5 type type NN cord-016871-1mlamf20 38 6 - - HYPH cord-016871-1mlamf20 38 7 speci speci FW cord-016871-1mlamf20 38 8 fi fi NN cord-016871-1mlamf20 38 9 c c NN cord-016871-1mlamf20 38 10 thawed thaw VBD cord-016871-1mlamf20 38 11 plasma plasma NN cord-016871-1mlamf20 38 12 available available JJ cord-016871-1mlamf20 38 13 for for IN cord-016871-1mlamf20 38 14 immediate immediate JJ cord-016871-1mlamf20 38 15 release release NN cord-016871-1mlamf20 38 16 . . . cord-016871-1mlamf20 39 1 Plasma plasma NN cord-016871-1mlamf20 39 2 thawing thawing NN cord-016871-1mlamf20 39 3 protocols protocol NNS cord-016871-1mlamf20 39 4 exist exist VBP cord-016871-1mlamf20 39 5 to to TO cord-016871-1mlamf20 39 6 avoid avoid VB cord-016871-1mlamf20 39 7 this this DT cord-016871-1mlamf20 39 8 issue issue NN cord-016871-1mlamf20 39 9 and and CC cord-016871-1mlamf20 39 10 are be VBP cord-016871-1mlamf20 39 11 discussed discuss VBN cord-016871-1mlamf20 39 12 in in IN cord-016871-1mlamf20 39 13 later later JJ cord-016871-1mlamf20 39 14 sections section NNS cord-016871-1mlamf20 39 15 . . . cord-016871-1mlamf20 40 1 In in IN cord-016871-1mlamf20 40 2 acutely acutely RB cord-016871-1mlamf20 40 3 bleeding bleed VBG cord-016871-1mlamf20 40 4 patients patient NNS cord-016871-1mlamf20 40 5 , , , cord-016871-1mlamf20 40 6 massive massive JJ cord-016871-1mlamf20 40 7 transfusion transfusion NN cord-016871-1mlamf20 40 8 protocols protocol NNS cord-016871-1mlamf20 40 9 are be VBP cord-016871-1mlamf20 40 10 often often RB cord-016871-1mlamf20 40 11 activated activate VBN cord-016871-1mlamf20 40 12 in in IN cord-016871-1mlamf20 40 13 order order NN cord-016871-1mlamf20 40 14 to to IN cord-016871-1mlamf20 40 15 ef ef NNP cord-016871-1mlamf20 40 16 fi fi NNP cord-016871-1mlamf20 40 17 caciously caciously RB cord-016871-1mlamf20 40 18 restore restore VB cord-016871-1mlamf20 40 19 blood blood NN cord-016871-1mlamf20 40 20 volume volume NN cord-016871-1mlamf20 40 21 and and CC cord-016871-1mlamf20 40 22 hemostasis hemostasis NN cord-016871-1mlamf20 40 23 and and CC cord-016871-1mlamf20 40 24 thawed thawed JJ cord-016871-1mlamf20 40 25 plasma plasma NN cord-016871-1mlamf20 40 26 is be VBZ cord-016871-1mlamf20 40 27 critical critical JJ cord-016871-1mlamf20 40 28 to to IN cord-016871-1mlamf20 40 29 their -PRON- PRP$ cord-016871-1mlamf20 40 30 success success NN cord-016871-1mlamf20 40 31 [ [ -LRB- cord-016871-1mlamf20 40 32 5 5 CD cord-016871-1mlamf20 40 33 , , , cord-016871-1mlamf20 40 34 6 6 CD cord-016871-1mlamf20 40 35 ] ] -RRB- cord-016871-1mlamf20 40 36 . . . cord-016871-1mlamf20 41 1 A a DT cord-016871-1mlamf20 41 2 massive massive JJ cord-016871-1mlamf20 41 3 transfusion transfusion NN cord-016871-1mlamf20 41 4 ( ( -LRB- cord-016871-1mlamf20 41 5 MT MT NNP cord-016871-1mlamf20 41 6 ) ) -RRB- cord-016871-1mlamf20 41 7 is be VBZ cord-016871-1mlamf20 41 8 de de FW cord-016871-1mlamf20 41 9 fi fi NNP cord-016871-1mlamf20 41 10 ned ned NNP cord-016871-1mlamf20 41 11 as as IN cord-016871-1mlamf20 41 12 more more JJR cord-016871-1mlamf20 41 13 than than IN cord-016871-1mlamf20 41 14 ten ten CD cord-016871-1mlamf20 41 15 units unit NNS cord-016871-1mlamf20 41 16 of of IN cord-016871-1mlamf20 41 17 red red JJ cord-016871-1mlamf20 41 18 blood blood NN cord-016871-1mlamf20 41 19 cells cell NNS cord-016871-1mlamf20 41 20 ( ( -LRB- cord-016871-1mlamf20 41 21 RBC RBC NNP cord-016871-1mlamf20 41 22 ) ) -RRB- cord-016871-1mlamf20 41 23 in in IN cord-016871-1mlamf20 41 24 24 24 CD cord-016871-1mlamf20 41 25 h h NN cord-016871-1mlamf20 41 26 [ [ -LRB- cord-016871-1mlamf20 41 27 5 5 CD cord-016871-1mlamf20 41 28 ] ] -RRB- cord-016871-1mlamf20 41 29 . . . cord-016871-1mlamf20 42 1 A a DT cord-016871-1mlamf20 42 2 massive massive JJ cord-016871-1mlamf20 42 3 transfusion transfusion NN cord-016871-1mlamf20 42 4 protocol protocol NN cord-016871-1mlamf20 42 5 ( ( -LRB- cord-016871-1mlamf20 42 6 MTP MTP NNP cord-016871-1mlamf20 42 7 ) ) -RRB- cord-016871-1mlamf20 42 8 is be VBZ cord-016871-1mlamf20 42 9 the the DT cord-016871-1mlamf20 42 10 standardization standardization NN cord-016871-1mlamf20 42 11 of of IN cord-016871-1mlamf20 42 12 the the DT cord-016871-1mlamf20 42 13 delivery delivery NN cord-016871-1mlamf20 42 14 and and CC cord-016871-1mlamf20 42 15 transfusion transfusion NN cord-016871-1mlamf20 42 16 of of IN cord-016871-1mlamf20 42 17 RBC RBC NNP cord-016871-1mlamf20 42 18 , , , cord-016871-1mlamf20 42 19 plasma plasma NN cord-016871-1mlamf20 42 20 , , , cord-016871-1mlamf20 42 21 and and CC cord-016871-1mlamf20 42 22 platelets platelet NNS cord-016871-1mlamf20 42 23 in in IN cord-016871-1mlamf20 42 24 predetermined predetermined JJ cord-016871-1mlamf20 42 25 and and CC cord-016871-1mlamf20 42 26 prede prede NN cord-016871-1mlamf20 42 27 fi fi NN cord-016871-1mlamf20 42 28 ned ned NNP cord-016871-1mlamf20 42 29 ratios ratio NNS cord-016871-1mlamf20 42 30 as as IN cord-016871-1mlamf20 42 31 facilitated facilitate VBN cord-016871-1mlamf20 42 32 by by IN cord-016871-1mlamf20 42 33 a a DT cord-016871-1mlamf20 42 34 surgical surgical JJ cord-016871-1mlamf20 42 35 or or CC cord-016871-1mlamf20 42 36 medical medical JJ cord-016871-1mlamf20 42 37 team team NN cord-016871-1mlamf20 42 38 . . . cord-016871-1mlamf20 43 1 In in IN cord-016871-1mlamf20 43 2 the the DT cord-016871-1mlamf20 43 3 patient patient NN cord-016871-1mlamf20 43 4 requiring require VBG cord-016871-1mlamf20 43 5 immediate immediate JJ cord-016871-1mlamf20 43 6 resuscitation resuscitation NN cord-016871-1mlamf20 43 7 , , , cord-016871-1mlamf20 43 8 a a DT cord-016871-1mlamf20 43 9 typical typical JJ cord-016871-1mlamf20 43 10 MTP MTP NNP cord-016871-1mlamf20 43 11 will will MD cord-016871-1mlamf20 43 12 call call VB cord-016871-1mlamf20 43 13 for for IN cord-016871-1mlamf20 43 14 six six CD cord-016871-1mlamf20 43 15 to to TO cord-016871-1mlamf20 43 16 ten ten CD cord-016871-1mlamf20 43 17 units unit NNS cord-016871-1mlamf20 43 18 of of IN cord-016871-1mlamf20 43 19 RBC RBC NNP cord-016871-1mlamf20 43 20 , , , cord-016871-1mlamf20 43 21 with with IN cord-016871-1mlamf20 43 22 a a DT cord-016871-1mlamf20 43 23 ratio ratio NN cord-016871-1mlamf20 43 24 of of IN cord-016871-1mlamf20 43 25 RBC RBC NNP cord-016871-1mlamf20 43 26 to to IN cord-016871-1mlamf20 43 27 plasma plasma NN cord-016871-1mlamf20 43 28 and and CC cord-016871-1mlamf20 43 29 platelets platelet NNS cord-016871-1mlamf20 43 30 in in IN cord-016871-1mlamf20 43 31 1:1:1 1:1:1 CD cord-016871-1mlamf20 43 32 to to IN cord-016871-1mlamf20 43 33 1:1:2 1:1:2 CD cord-016871-1mlamf20 43 34 fashion fashion NN cord-016871-1mlamf20 43 35 . . . cord-016871-1mlamf20 44 1 This this DT cord-016871-1mlamf20 44 2 protocol protocol NN cord-016871-1mlamf20 44 3 and and CC cord-016871-1mlamf20 44 4 release release NN cord-016871-1mlamf20 44 5 of of IN cord-016871-1mlamf20 44 6 products product NNS cord-016871-1mlamf20 44 7 will will MD cord-016871-1mlamf20 44 8 continue continue VB cord-016871-1mlamf20 44 9 based base VBN cord-016871-1mlamf20 44 10 on on IN cord-016871-1mlamf20 44 11 ongoing ongoing JJ cord-016871-1mlamf20 44 12 bleeding bleeding NN cord-016871-1mlamf20 44 13 ( ( -LRB- cord-016871-1mlamf20 44 14 Fig Fig NNP cord-016871-1mlamf20 44 15 . . . cord-016871-1mlamf20 44 16 12.1 12.1 CD cord-016871-1mlamf20 44 17 ) ) -RRB- cord-016871-1mlamf20 44 18 . . . cord-016871-1mlamf20 45 1 These these DT cord-016871-1mlamf20 45 2 assessments assessment NNS cord-016871-1mlamf20 45 3 are be VBP cord-016871-1mlamf20 45 4 generally generally RB cord-016871-1mlamf20 45 5 implemented implement VBN cord-016871-1mlamf20 45 6 " " `` cord-016871-1mlamf20 45 7 blind blind JJ cord-016871-1mlamf20 45 8 , , , cord-016871-1mlamf20 45 9 " " '' cord-016871-1mlamf20 45 10 with with IN cord-016871-1mlamf20 45 11 subsequent subsequent JJ cord-016871-1mlamf20 45 12 releases release NNS cord-016871-1mlamf20 45 13 guided guide VBN cord-016871-1mlamf20 45 14 by by IN cord-016871-1mlamf20 45 15 routine routine JJ cord-016871-1mlamf20 45 16 coagulation coagulation NN cord-016871-1mlamf20 45 17 laboratory laboratory NN cord-016871-1mlamf20 45 18 studies study NNS cord-016871-1mlamf20 45 19 as as RB cord-016871-1mlamf20 45 20 well well RB cord-016871-1mlamf20 45 21 as as IN cord-016871-1mlamf20 45 22 thromboelastography thromboelastography NNP cord-016871-1mlamf20 45 23 ( ( -LRB- cord-016871-1mlamf20 45 24 TEG TEG NNP cord-016871-1mlamf20 45 25 ) ) -RRB- cord-016871-1mlamf20 45 26 [ [ -LRB- cord-016871-1mlamf20 45 27 9 9 CD cord-016871-1mlamf20 45 28 ] ] -RRB- cord-016871-1mlamf20 45 29 . . . cord-016871-1mlamf20 46 1 Even even RB cord-016871-1mlamf20 46 2 before before IN cord-016871-1mlamf20 46 3 the the DT cord-016871-1mlamf20 46 4 transfusions transfusion NNS cord-016871-1mlamf20 46 5 take take VBP cord-016871-1mlamf20 46 6 place place NN cord-016871-1mlamf20 46 7 , , , cord-016871-1mlamf20 46 8 MTPs mtp NNS cord-016871-1mlamf20 46 9 call call VB cord-016871-1mlamf20 46 10 for for IN cord-016871-1mlamf20 46 11 the the DT cord-016871-1mlamf20 46 12 rapid rapid JJ cord-016871-1mlamf20 46 13 mobilization mobilization NN cord-016871-1mlamf20 46 14 of of IN cord-016871-1mlamf20 46 15 blood blood NN cord-016871-1mlamf20 46 16 components component NNS cord-016871-1mlamf20 46 17 by by IN cord-016871-1mlamf20 46 18 having have VBG cord-016871-1mlamf20 46 19 AB AB NNP cord-016871-1mlamf20 46 20 thawed thaw VBN cord-016871-1mlamf20 46 21 plasma plasma NN cord-016871-1mlamf20 46 22 and and CC cord-016871-1mlamf20 46 23 group group NN cord-016871-1mlamf20 47 1 O o UH cord-016871-1mlamf20 47 2 RBC RBC NNP cord-016871-1mlamf20 47 3 [ [ -LRB- cord-016871-1mlamf20 47 4 10 10 CD cord-016871-1mlamf20 47 5 ] ] -RRB- cord-016871-1mlamf20 47 6 . . . cord-016871-1mlamf20 48 1 A a DT cord-016871-1mlamf20 48 2 type type NN cord-016871-1mlamf20 48 3 and and CC cord-016871-1mlamf20 48 4 screen screen NN cord-016871-1mlamf20 48 5 should should MD cord-016871-1mlamf20 48 6 be be VB cord-016871-1mlamf20 48 7 drawn draw VBN cord-016871-1mlamf20 48 8 as as RB cord-016871-1mlamf20 48 9 soon soon RB cord-016871-1mlamf20 48 10 as as IN cord-016871-1mlamf20 48 11 possible possible JJ cord-016871-1mlamf20 48 12 to to TO cord-016871-1mlamf20 48 13 allow allow VB cord-016871-1mlamf20 48 14 for for IN cord-016871-1mlamf20 48 15 the the DT cord-016871-1mlamf20 48 16 transition transition NN cord-016871-1mlamf20 48 17 from from IN cord-016871-1mlamf20 48 18 universal universal JJ cord-016871-1mlamf20 48 19 products product NNS cord-016871-1mlamf20 48 20 to to IN cord-016871-1mlamf20 48 21 type type NN cord-016871-1mlamf20 48 22 - - HYPH cord-016871-1mlamf20 48 23 speci speci FW cord-016871-1mlamf20 48 24 fi fi NN cord-016871-1mlamf20 48 25 c c NN cord-016871-1mlamf20 48 26 ones one NNS cord-016871-1mlamf20 48 27 . . . cord-016871-1mlamf20 49 1 The the DT cord-016871-1mlamf20 49 2 ef ef NNP cord-016871-1mlamf20 49 3 fi fi NN cord-016871-1mlamf20 49 4 cacy cacy NN cord-016871-1mlamf20 49 5 of of IN cord-016871-1mlamf20 49 6 an an DT cord-016871-1mlamf20 49 7 MTP MTP NNP cord-016871-1mlamf20 49 8 also also RB cord-016871-1mlamf20 49 9 lies lie VBZ cord-016871-1mlamf20 49 10 in in IN cord-016871-1mlamf20 49 11 its -PRON- PRP$ cord-016871-1mlamf20 49 12 early early JJ cord-016871-1mlamf20 49 13 implementation implementation NN cord-016871-1mlamf20 49 14 as as RB cord-016871-1mlamf20 49 15 well well RB cord-016871-1mlamf20 49 16 as as IN cord-016871-1mlamf20 49 17 identi identi NNP cord-016871-1mlamf20 49 18 fi fi NNP cord-016871-1mlamf20 49 19 cation cation NNP cord-016871-1mlamf20 49 20 of of IN cord-016871-1mlamf20 49 21 patients patient NNS cord-016871-1mlamf20 49 22 who who WP cord-016871-1mlamf20 49 23 would would MD cord-016871-1mlamf20 49 24 bene bene VB cord-016871-1mlamf20 49 25 fi fi VB cord-016871-1mlamf20 49 26 t t NN cord-016871-1mlamf20 49 27 from from IN cord-016871-1mlamf20 49 28 such such PDT cord-016871-1mlamf20 49 29 an an DT cord-016871-1mlamf20 49 30 intervention intervention NN cord-016871-1mlamf20 49 31 . . . cord-016871-1mlamf20 50 1 Criteria criterion NNS cord-016871-1mlamf20 50 2 for for IN cord-016871-1mlamf20 50 3 activation activation NN cord-016871-1mlamf20 50 4 include include VBP cord-016871-1mlamf20 50 5 laboratory laboratory NN cord-016871-1mlamf20 50 6 values value NNS cord-016871-1mlamf20 50 7 , , , cord-016871-1mlamf20 50 8 anatomic anatomic JJ cord-016871-1mlamf20 50 9 injuries injury NNS cord-016871-1mlamf20 50 10 , , , cord-016871-1mlamf20 50 11 and and CC cord-016871-1mlamf20 50 12 mechanism mechanism NN cord-016871-1mlamf20 50 13 of of IN cord-016871-1mlamf20 50 14 injury injury NN cord-016871-1mlamf20 50 15 . . . cord-016871-1mlamf20 51 1 Several several JJ cord-016871-1mlamf20 51 2 authors author NNS cord-016871-1mlamf20 51 3 have have VBP cord-016871-1mlamf20 51 4 demonstrated demonstrate VBN cord-016871-1mlamf20 51 5 that that IN cord-016871-1mlamf20 51 6 the the DT cord-016871-1mlamf20 51 7 transfusion transfusion NN cord-016871-1mlamf20 51 8 of of IN cord-016871-1mlamf20 51 9 uncross uncross VB cord-016871-1mlamf20 51 10 - - HYPH cord-016871-1mlamf20 51 11 matched match VBN cord-016871-1mlamf20 51 12 RBCs rbc NNS cord-016871-1mlamf20 51 13 is be VBZ cord-016871-1mlamf20 51 14 an an DT cord-016871-1mlamf20 51 15 independent independent JJ cord-016871-1mlamf20 51 16 predictor predictor NN cord-016871-1mlamf20 51 17 of of IN cord-016871-1mlamf20 51 18 substantial substantial JJ cord-016871-1mlamf20 51 19 hemorrhage hemorrhage NN cord-016871-1mlamf20 51 20 and and CC cord-016871-1mlamf20 51 21 the the DT cord-016871-1mlamf20 51 22 transfusion transfusion NN cord-016871-1mlamf20 51 23 of of IN cord-016871-1mlamf20 51 24 multiple multiple JJ cord-016871-1mlamf20 51 25 units unit NNS cord-016871-1mlamf20 51 26 of of IN cord-016871-1mlamf20 51 27 RBC RBC NNP cord-016871-1mlamf20 51 28 , , , cord-016871-1mlamf20 51 29 plasma plasma NN cord-016871-1mlamf20 51 30 , , , cord-016871-1mlamf20 51 31 and and CC cord-016871-1mlamf20 51 32 platelets platelet NNS cord-016871-1mlamf20 51 33 [ [ -LRB- cord-016871-1mlamf20 51 34 10 10 CD cord-016871-1mlamf20 51 35 , , , cord-016871-1mlamf20 51 36 11 11 CD cord-016871-1mlamf20 51 37 ] ] -RRB- cord-016871-1mlamf20 51 38 . . . cord-016871-1mlamf20 52 1 As as IN cord-016871-1mlamf20 52 2 such such JJ cord-016871-1mlamf20 52 3 , , , cord-016871-1mlamf20 52 4 when when WRB cord-016871-1mlamf20 52 5 one one CD cord-016871-1mlamf20 52 6 is be VBZ cord-016871-1mlamf20 52 7 requesting request VBG cord-016871-1mlamf20 52 8 uncross uncross VB cord-016871-1mlamf20 52 9 - - HYPH cord-016871-1mlamf20 52 10 matched match VBN cord-016871-1mlamf20 52 11 product product NN cord-016871-1mlamf20 52 12 for for IN cord-016871-1mlamf20 52 13 transfusion transfusion NN cord-016871-1mlamf20 52 14 , , , cord-016871-1mlamf20 52 15 the the DT cord-016871-1mlamf20 52 16 institution institution NN cord-016871-1mlamf20 52 17 's 's POS cord-016871-1mlamf20 52 18 MTP MTP NNP cord-016871-1mlamf20 52 19 should should MD cord-016871-1mlamf20 52 20 be be VB cord-016871-1mlamf20 52 21 activated activate VBN cord-016871-1mlamf20 52 22 . . . cord-016871-1mlamf20 53 1 Prior prior RB cord-016871-1mlamf20 53 2 to to IN cord-016871-1mlamf20 53 3 the the DT cord-016871-1mlamf20 53 4 advent advent NN cord-016871-1mlamf20 53 5 of of IN cord-016871-1mlamf20 53 6 MTPs mtp NNS cord-016871-1mlamf20 53 7 , , , cord-016871-1mlamf20 53 8 resuscitation resuscitation NN cord-016871-1mlamf20 53 9 protocols protocol NNS cord-016871-1mlamf20 53 10 for for IN cord-016871-1mlamf20 53 11 severely severely RB cord-016871-1mlamf20 53 12 injured injure VBN cord-016871-1mlamf20 53 13 patients patient NNS cord-016871-1mlamf20 53 14 began begin VBD cord-016871-1mlamf20 53 15 with with IN cord-016871-1mlamf20 53 16 large large JJ cord-016871-1mlamf20 53 17 volumes volume NNS cord-016871-1mlamf20 53 18 of of IN cord-016871-1mlamf20 53 19 crystalloid crystalloid NNP cord-016871-1mlamf20 53 20 followed follow VBN cord-016871-1mlamf20 53 21 by by IN cord-016871-1mlamf20 53 22 RBC RBC NNP cord-016871-1mlamf20 53 23 transfusions transfusion NNS cord-016871-1mlamf20 53 24 . . . cord-016871-1mlamf20 54 1 Later later RB cord-016871-1mlamf20 54 2 on on RB cord-016871-1mlamf20 54 3 , , , cord-016871-1mlamf20 54 4 plasma plasma NN cord-016871-1mlamf20 54 5 , , , cord-016871-1mlamf20 54 6 platelets platelet NNS cord-016871-1mlamf20 54 7 , , , cord-016871-1mlamf20 54 8 and and CC cord-016871-1mlamf20 54 9 cryoprecipitate cryoprecipitate NNP cord-016871-1mlamf20 54 10 were be VBD cord-016871-1mlamf20 54 11 administered administer VBN cord-016871-1mlamf20 54 12 if if IN cord-016871-1mlamf20 54 13 the the DT cord-016871-1mlamf20 54 14 patient patient NN cord-016871-1mlamf20 54 15 had have VBD cord-016871-1mlamf20 54 16 survived survive VBN cord-016871-1mlamf20 54 17 the the DT cord-016871-1mlamf20 54 18 operating operate VBG cord-016871-1mlamf20 54 19 theater theater NN cord-016871-1mlamf20 54 20 and and CC cord-016871-1mlamf20 54 21 then then RB cord-016871-1mlamf20 54 22 only only RB cord-016871-1mlamf20 54 23 based base VBN cord-016871-1mlamf20 54 24 on on IN cord-016871-1mlamf20 54 25 laboratory laboratory NN cord-016871-1mlamf20 54 26 values value NNS cord-016871-1mlamf20 54 27 and and CC cord-016871-1mlamf20 54 28 the the DT cord-016871-1mlamf20 54 29 opinion opinion NN cord-016871-1mlamf20 54 30 of of IN cord-016871-1mlamf20 54 31 anesthesiologists anesthesiologist NNS cord-016871-1mlamf20 54 32 and and CC cord-016871-1mlamf20 54 33 transfusion transfusion NN cord-016871-1mlamf20 54 34 specialists specialist NNS cord-016871-1mlamf20 54 35 . . . cord-016871-1mlamf20 55 1 These these DT cord-016871-1mlamf20 55 2 guidelines guideline NNS cord-016871-1mlamf20 55 3 recommended recommend VBD cord-016871-1mlamf20 55 4 transfusions transfusion NNS cord-016871-1mlamf20 55 5 at at IN cord-016871-1mlamf20 55 6 prothrombin prothrombin NN cord-016871-1mlamf20 55 7 time time NN cord-016871-1mlamf20 55 8 ratio ratio NN cord-016871-1mlamf20 55 9 of of IN cord-016871-1mlamf20 55 10 > > NNP cord-016871-1mlamf20 55 11 1.5 1.5 CD cord-016871-1mlamf20 55 12 , , , cord-016871-1mlamf20 55 13 platelet platelet NN cord-016871-1mlamf20 55 14 counts count NNS cord-016871-1mlamf20 55 15 of of IN cord-016871-1mlamf20 55 16 < < XX cord-016871-1mlamf20 55 17 50 50 CD cord-016871-1mlamf20 56 1 × × NNP cord-016871-1mlamf20 56 2 10 10 CD cord-016871-1mlamf20 56 3 9 9 CD cord-016871-1mlamf20 56 4 /L /l CD cord-016871-1mlamf20 56 5 , , , cord-016871-1mlamf20 57 1 fi fi NNP cord-016871-1mlamf20 57 2 brinogen brinogen NNP cord-016871-1mlamf20 57 3 level level NN cord-016871-1mlamf20 58 1 < < XX cord-016871-1mlamf20 58 2 1.5 1.5 CD cord-016871-1mlamf20 58 3 - - SYM cord-016871-1mlamf20 58 4 2.0 2.0 CD cord-016871-1mlamf20 58 5 g g NN cord-016871-1mlamf20 58 6 / / SYM cord-016871-1mlamf20 58 7 L l NN cord-016871-1mlamf20 58 8 or or CC cord-016871-1mlamf20 58 9 after after IN cord-016871-1mlamf20 58 10 a a DT cord-016871-1mlamf20 58 11 predetermined predetermine VBN cord-016871-1mlamf20 58 12 volume volume NN cord-016871-1mlamf20 58 13 loss loss NN cord-016871-1mlamf20 58 14 . . . cord-016871-1mlamf20 59 1 This this DT cord-016871-1mlamf20 59 2 approach approach NN cord-016871-1mlamf20 59 3 relied rely VBD cord-016871-1mlamf20 59 4 on on IN cord-016871-1mlamf20 59 5 a a DT cord-016871-1mlamf20 59 6 reactive reactive JJ cord-016871-1mlamf20 59 7 strategy strategy NN cord-016871-1mlamf20 59 8 where where WRB cord-016871-1mlamf20 59 9 the the DT cord-016871-1mlamf20 59 10 clinician clinician NN cord-016871-1mlamf20 59 11 was be VBD cord-016871-1mlamf20 59 12 constantly constantly RB cord-016871-1mlamf20 59 13 " " `` cord-016871-1mlamf20 59 14 catching catch VBG cord-016871-1mlamf20 59 15 up up RP cord-016871-1mlamf20 59 16 " " '' cord-016871-1mlamf20 59 17 with with IN cord-016871-1mlamf20 59 18 values value NNS cord-016871-1mlamf20 59 19 representing represent VBG cord-016871-1mlamf20 59 20 an an DT cord-016871-1mlamf20 59 21 earlier early JJR cord-016871-1mlamf20 59 22 hemodynamic hemodynamic JJ cord-016871-1mlamf20 59 23 state state NN cord-016871-1mlamf20 59 24 of of IN cord-016871-1mlamf20 59 25 the the DT cord-016871-1mlamf20 59 26 patient patient NN cord-016871-1mlamf20 59 27 [ [ -LRB- cord-016871-1mlamf20 59 28 12 12 CD cord-016871-1mlamf20 59 29 ] ] -RRB- cord-016871-1mlamf20 59 30 . . . cord-016871-1mlamf20 60 1 While while IN cord-016871-1mlamf20 60 2 this this DT cord-016871-1mlamf20 60 3 standard standard JJ cord-016871-1mlamf20 60 4 resuscitation resuscitation NN cord-016871-1mlamf20 60 5 method method NN cord-016871-1mlamf20 60 6 is be VBZ cord-016871-1mlamf20 60 7 adequate adequate JJ cord-016871-1mlamf20 60 8 for for IN cord-016871-1mlamf20 60 9 patients patient NNS cord-016871-1mlamf20 60 10 who who WP cord-016871-1mlamf20 60 11 are be VBP cord-016871-1mlamf20 60 12 not not RB cord-016871-1mlamf20 60 13 in in IN cord-016871-1mlamf20 60 14 shock shock NN cord-016871-1mlamf20 60 15 or or CC cord-016871-1mlamf20 60 16 not not RB cord-016871-1mlamf20 60 17 bleeding bleed VBG cord-016871-1mlamf20 60 18 , , , cord-016871-1mlamf20 60 19 studies study NNS cord-016871-1mlamf20 60 20 have have VBP cord-016871-1mlamf20 60 21 demonstrated demonstrate VBN cord-016871-1mlamf20 60 22 that that IN cord-016871-1mlamf20 60 23 it -PRON- PRP cord-016871-1mlamf20 60 24 does do VBZ cord-016871-1mlamf20 60 25 not not RB cord-016871-1mlamf20 60 26 suf suf VB cord-016871-1mlamf20 60 27 fi fi FW cord-016871-1mlamf20 60 28 ce ce NN cord-016871-1mlamf20 60 29 for for IN cord-016871-1mlamf20 60 30 the the DT cord-016871-1mlamf20 60 31 subset subset NN cord-016871-1mlamf20 60 32 of of IN cord-016871-1mlamf20 60 33 patients patient NNS cord-016871-1mlamf20 60 34 who who WP cord-016871-1mlamf20 60 35 have have VBP cord-016871-1mlamf20 60 36 sustained sustain VBN cord-016871-1mlamf20 60 37 serious serious JJ cord-016871-1mlamf20 60 38 injuries injury NNS cord-016871-1mlamf20 60 39 , , , cord-016871-1mlamf20 60 40 are be VBP cord-016871-1mlamf20 60 41 coagulopathic coagulopathic JJ cord-016871-1mlamf20 60 42 or or CC cord-016871-1mlamf20 60 43 in in IN cord-016871-1mlamf20 60 44 shock shock NN cord-016871-1mlamf20 60 45 [ [ -LRB- cord-016871-1mlamf20 60 46 5 5 CD cord-016871-1mlamf20 60 47 ] ] -RRB- cord-016871-1mlamf20 60 48 . . . cord-016871-1mlamf20 61 1 One one CD cord-016871-1mlamf20 61 2 reason reason NN cord-016871-1mlamf20 61 3 is be VBZ cord-016871-1mlamf20 61 4 that that IN cord-016871-1mlamf20 61 5 the the DT cord-016871-1mlamf20 61 6 coagulopathy coagulopathy NN cord-016871-1mlamf20 61 7 is be VBZ cord-016871-1mlamf20 61 8 addressed address VBN cord-016871-1mlamf20 61 9 after after IN cord-016871-1mlamf20 61 10 a a DT cord-016871-1mlamf20 61 11 time time NN cord-016871-1mlamf20 61 12 lapse lapse NN cord-016871-1mlamf20 61 13 since since IN cord-016871-1mlamf20 61 14 the the DT cord-016871-1mlamf20 61 15 original original JJ cord-016871-1mlamf20 61 16 laboratory laboratory NN cord-016871-1mlamf20 61 17 values value NNS cord-016871-1mlamf20 61 18 were be VBD cord-016871-1mlamf20 61 19 obtained obtain VBN cord-016871-1mlamf20 61 20 . . . cord-016871-1mlamf20 62 1 Other other JJ cord-016871-1mlamf20 62 2 reasons reason NNS cord-016871-1mlamf20 62 3 for for IN cord-016871-1mlamf20 62 4 the the DT cord-016871-1mlamf20 62 5 suboptimal suboptimal JJ cord-016871-1mlamf20 62 6 results result NNS cord-016871-1mlamf20 62 7 of of IN cord-016871-1mlamf20 62 8 this this DT cord-016871-1mlamf20 62 9 method method NN cord-016871-1mlamf20 62 10 are be VBP cord-016871-1mlamf20 62 11 due due JJ cord-016871-1mlamf20 62 12 to to IN cord-016871-1mlamf20 62 13 the the DT cord-016871-1mlamf20 62 14 ratios ratio NNS cord-016871-1mlamf20 62 15 of of IN cord-016871-1mlamf20 62 16 each each DT cord-016871-1mlamf20 62 17 blood blood NN cord-016871-1mlamf20 62 18 component component NN cord-016871-1mlamf20 62 19 [ [ -LRB- cord-016871-1mlamf20 62 20 5 5 CD cord-016871-1mlamf20 62 21 ] ] -RRB- cord-016871-1mlamf20 62 22 product product NN cord-016871-1mlamf20 62 23 infused infuse VBN cord-016871-1mlamf20 62 24 . . . cord-016871-1mlamf20 63 1 Speci Speci NNP cord-016871-1mlamf20 63 2 fi fi NNP cord-016871-1mlamf20 64 1 cally cally RB cord-016871-1mlamf20 64 2 , , , cord-016871-1mlamf20 64 3 evidence evidence NN cord-016871-1mlamf20 64 4 exists exist VBZ cord-016871-1mlamf20 64 5 that that WDT cord-016871-1mlamf20 64 6 demonstrates demonstrate VBZ cord-016871-1mlamf20 64 7 that that IN cord-016871-1mlamf20 64 8 large large JJ cord-016871-1mlamf20 64 9 volume volume NN cord-016871-1mlamf20 64 10 of of IN cord-016871-1mlamf20 64 11 crystalloid crystalloid NNP cord-016871-1mlamf20 64 12 fl fl NNP cord-016871-1mlamf20 64 13 uids uids NNPS cord-016871-1mlamf20 64 14 is be VBZ cord-016871-1mlamf20 64 15 associated associate VBN cord-016871-1mlamf20 64 16 with with IN cord-016871-1mlamf20 64 17 increased increase VBN cord-016871-1mlamf20 64 18 hemorrhage hemorrhage NN cord-016871-1mlamf20 64 19 and and CC cord-016871-1mlamf20 64 20 lower low JJR cord-016871-1mlamf20 64 21 survival survival NN cord-016871-1mlamf20 64 22 rates rate NNS cord-016871-1mlamf20 64 23 [ [ -LRB- cord-016871-1mlamf20 64 24 13 13 CD cord-016871-1mlamf20 64 25 ] ] -RRB- cord-016871-1mlamf20 64 26 . . . cord-016871-1mlamf20 65 1 It -PRON- PRP cord-016871-1mlamf20 65 2 has have VBZ cord-016871-1mlamf20 65 3 been be VBN cord-016871-1mlamf20 65 4 hypothesized hypothesize VBN cord-016871-1mlamf20 65 5 that that IN cord-016871-1mlamf20 65 6 this this DT cord-016871-1mlamf20 65 7 effect effect NN cord-016871-1mlamf20 65 8 is be VBZ cord-016871-1mlamf20 65 9 due due JJ cord-016871-1mlamf20 65 10 to to IN cord-016871-1mlamf20 65 11 insuf insuf NN cord-016871-1mlamf20 65 12 fi fi NNP cord-016871-1mlamf20 65 13 cient cient NN cord-016871-1mlamf20 65 14 replenishing replenishing NN cord-016871-1mlamf20 65 15 of of IN cord-016871-1mlamf20 65 16 hemostasis hemostasis NN cord-016871-1mlamf20 65 17 factors factor NNS cord-016871-1mlamf20 65 18 , , , cord-016871-1mlamf20 65 19 and and CC cord-016871-1mlamf20 65 20 the the DT cord-016871-1mlamf20 65 21 complex complex JJ cord-016871-1mlamf20 65 22 coagulopathy coagulopathy NN cord-016871-1mlamf20 65 23 of of IN cord-016871-1mlamf20 65 24 dilution dilution NN cord-016871-1mlamf20 65 25 , , , cord-016871-1mlamf20 65 26 consumption consumption NN cord-016871-1mlamf20 65 27 of of IN cord-016871-1mlamf20 65 28 factors factor NNS cord-016871-1mlamf20 65 29 , , , cord-016871-1mlamf20 65 30 and and CC cord-016871-1mlamf20 65 31 fi fi NNP cord-016871-1mlamf20 65 32 brinolysis brinolysis NN cord-016871-1mlamf20 65 33 is be VBZ cord-016871-1mlamf20 65 34 not not RB cord-016871-1mlamf20 65 35 adequately adequately RB cord-016871-1mlamf20 65 36 addressed address VBN cord-016871-1mlamf20 65 37 . . . cord-016871-1mlamf20 66 1 MTPs MTPs NNP cord-016871-1mlamf20 66 2 also also RB cord-016871-1mlamf20 66 3 offer offer VBP cord-016871-1mlamf20 66 4 the the DT cord-016871-1mlamf20 66 5 advantage advantage NN cord-016871-1mlamf20 66 6 of of IN cord-016871-1mlamf20 66 7 reducing reduce VBG cord-016871-1mlamf20 66 8 intraoperative intraoperative JJ cord-016871-1mlamf20 66 9 crystalloid crystalloid NN cord-016871-1mlamf20 66 10 use use NN cord-016871-1mlamf20 66 11 and and CC cord-016871-1mlamf20 66 12 hence hence RB cord-016871-1mlamf20 66 13 , , , cord-016871-1mlamf20 66 14 reducing reduce VBG cord-016871-1mlamf20 66 15 opportunities opportunity NNS cord-016871-1mlamf20 66 16 for for IN cord-016871-1mlamf20 66 17 hemodilution hemodilution NN cord-016871-1mlamf20 66 18 . . . cord-016871-1mlamf20 67 1 Damage damage NN cord-016871-1mlamf20 67 2 control control NN cord-016871-1mlamf20 67 3 resuscitation resuscitation NN cord-016871-1mlamf20 67 4 ( ( -LRB- cord-016871-1mlamf20 67 5 DCR DCR NNP cord-016871-1mlamf20 67 6 ) ) -RRB- cord-016871-1mlamf20 67 7 expands expand VBZ cord-016871-1mlamf20 67 8 on on IN cord-016871-1mlamf20 67 9 the the DT cord-016871-1mlamf20 67 10 MTP MTP NNP cord-016871-1mlamf20 67 11 process process NN cord-016871-1mlamf20 67 12 and and CC cord-016871-1mlamf20 67 13 calls call NNS cord-016871-1mlamf20 67 14 for for IN cord-016871-1mlamf20 67 15 low low JJ cord-016871-1mlamf20 67 16 - - HYPH cord-016871-1mlamf20 67 17 volume volume NN cord-016871-1mlamf20 67 18 resuscitation resuscitation NN cord-016871-1mlamf20 67 19 , , , cord-016871-1mlamf20 67 20 sparing spare VBG cord-016871-1mlamf20 67 21 the the DT cord-016871-1mlamf20 67 22 patient patient NN cord-016871-1mlamf20 67 23 of of IN cord-016871-1mlamf20 67 24 resuscitation resuscitation NN cord-016871-1mlamf20 67 25 with with IN cord-016871-1mlamf20 67 26 fl fl NNP cord-016871-1mlamf20 67 27 uids uid NNS cord-016871-1mlamf20 67 28 such such JJ cord-016871-1mlamf20 67 29 as as IN cord-016871-1mlamf20 67 30 crystalloids crystalloid NNS cord-016871-1mlamf20 67 31 and and CC cord-016871-1mlamf20 67 32 colloids colloid NNS cord-016871-1mlamf20 67 33 that that WDT cord-016871-1mlamf20 67 34 are be VBP cord-016871-1mlamf20 67 35 low low JJ cord-016871-1mlamf20 67 36 in in IN cord-016871-1mlamf20 67 37 hemostasis hemostasis NN cord-016871-1mlamf20 67 38 factors factor NNS cord-016871-1mlamf20 67 39 [ [ -LRB- cord-016871-1mlamf20 67 40 14 14 CD cord-016871-1mlamf20 67 41 ] ] -RRB- cord-016871-1mlamf20 67 42 . . . cord-016871-1mlamf20 68 1 Instead instead RB cord-016871-1mlamf20 68 2 , , , cord-016871-1mlamf20 68 3 DCR DCR NNP cord-016871-1mlamf20 68 4 adheres adhere VBZ cord-016871-1mlamf20 68 5 to to IN cord-016871-1mlamf20 68 6 transfusion transfusion NN cord-016871-1mlamf20 68 7 of of IN cord-016871-1mlamf20 68 8 blood blood NN cord-016871-1mlamf20 68 9 products product NNS cord-016871-1mlamf20 68 10 in in IN cord-016871-1mlamf20 68 11 a a DT cord-016871-1mlamf20 68 12 ratio ratio NN cord-016871-1mlamf20 68 13 of of IN cord-016871-1mlamf20 68 14 plasma plasma NN cord-016871-1mlamf20 68 15 and and CC cord-016871-1mlamf20 68 16 platelets platelet NNS cord-016871-1mlamf20 68 17 to to IN cord-016871-1mlamf20 68 18 red red JJ cord-016871-1mlamf20 68 19 blood blood NN cord-016871-1mlamf20 68 20 cells cell NNS cord-016871-1mlamf20 68 21 consistent consistent JJ cord-016871-1mlamf20 68 22 with with IN cord-016871-1mlamf20 68 23 that that DT cord-016871-1mlamf20 68 24 which which WDT cord-016871-1mlamf20 68 25 is be VBZ cord-016871-1mlamf20 68 26 being be VBG cord-016871-1mlamf20 68 27 lost lose VBN cord-016871-1mlamf20 68 28 to to IN cord-016871-1mlamf20 68 29 hemorrhage hemorrhage NN cord-016871-1mlamf20 68 30 . . . cord-016871-1mlamf20 69 1 It -PRON- PRP cord-016871-1mlamf20 69 2 also also RB cord-016871-1mlamf20 69 3 involves involve VBZ cord-016871-1mlamf20 69 4 more more RBR cord-016871-1mlamf20 69 5 permissive permissive JJ cord-016871-1mlamf20 69 6 hypertension hypertension NN cord-016871-1mlamf20 69 7 , , , cord-016871-1mlamf20 69 8 and and CC cord-016871-1mlamf20 69 9 acting act VBG cord-016871-1mlamf20 69 10 preemptively preemptively RB cord-016871-1mlamf20 69 11 on on IN cord-016871-1mlamf20 69 12 the the DT cord-016871-1mlamf20 69 13 hypovolemic hypovolemic JJ cord-016871-1mlamf20 69 14 , , , cord-016871-1mlamf20 69 15 hemorrhaging hemorrhage VBG cord-016871-1mlamf20 69 16 patient patient JJ cord-016871-1mlamf20 69 17 . . . cord-016871-1mlamf20 70 1 DCR DCR NNP cord-016871-1mlamf20 70 2 is be VBZ cord-016871-1mlamf20 70 3 also also RB cord-016871-1mlamf20 70 4 supported support VBN cord-016871-1mlamf20 70 5 by by IN cord-016871-1mlamf20 70 6 fi fi NNP cord-016871-1mlamf20 70 7 ndings nding NNS cord-016871-1mlamf20 70 8 from from IN cord-016871-1mlamf20 70 9 the the DT cord-016871-1mlamf20 70 10 US US NNP cord-016871-1mlamf20 70 11 Army Army NNP cord-016871-1mlamf20 70 12 's 's POS cord-016871-1mlamf20 70 13 Institute Institute NNP cord-016871-1mlamf20 70 14 of of IN cord-016871-1mlamf20 70 15 Surgical Surgical NNP cord-016871-1mlamf20 70 16 Research Research NNP cord-016871-1mlamf20 70 17 , , , cord-016871-1mlamf20 70 18 which which WDT cord-016871-1mlamf20 70 19 demonstrated demonstrate VBD cord-016871-1mlamf20 70 20 improvement improvement NN cord-016871-1mlamf20 70 21 in in IN cord-016871-1mlamf20 70 22 outcomes outcome NNS cord-016871-1mlamf20 70 23 in in IN cord-016871-1mlamf20 70 24 severely severely RB cord-016871-1mlamf20 70 25 bleeding bleed VBG cord-016871-1mlamf20 70 26 patients patient NNS cord-016871-1mlamf20 70 27 who who WP cord-016871-1mlamf20 70 28 were be VBD cord-016871-1mlamf20 70 29 transfused transfuse VBN cord-016871-1mlamf20 70 30 in in IN cord-016871-1mlamf20 70 31 ratios ratio NNS cord-016871-1mlamf20 70 32 of of IN cord-016871-1mlamf20 70 33 products product NNS cord-016871-1mlamf20 70 34 similar similar JJ cord-016871-1mlamf20 70 35 to to IN cord-016871-1mlamf20 70 36 whole whole JJ cord-016871-1mlamf20 70 37 blood blood NN cord-016871-1mlamf20 70 38 . . . cord-016871-1mlamf20 71 1 Civilian civilian JJ cord-016871-1mlamf20 71 2 trauma trauma NN cord-016871-1mlamf20 71 3 data datum NNS cord-016871-1mlamf20 71 4 has have VBZ cord-016871-1mlamf20 71 5 also also RB cord-016871-1mlamf20 71 6 shown show VBN cord-016871-1mlamf20 71 7 that that IN cord-016871-1mlamf20 71 8 RBC RBC NNP cord-016871-1mlamf20 71 9 to to IN cord-016871-1mlamf20 71 10 plasma plasma NN cord-016871-1mlamf20 71 11 ratio ratio NN cord-016871-1mlamf20 71 12 between between IN cord-016871-1mlamf20 71 13 3:2 3:2 CD cord-016871-1mlamf20 71 14 and and CC cord-016871-1mlamf20 71 15 1:1 1:1 CD cord-016871-1mlamf20 71 16 lead lead NN cord-016871-1mlamf20 71 17 to to IN cord-016871-1mlamf20 71 18 reduced reduce VBN cord-016871-1mlamf20 71 19 30-day 30-day CD cord-016871-1mlamf20 71 20 mortality mortality NN cord-016871-1mlamf20 71 21 and and CC cord-016871-1mlamf20 71 22 increased increase VBN cord-016871-1mlamf20 71 23 odds odd NNS cord-016871-1mlamf20 71 24 of of IN cord-016871-1mlamf20 71 25 survival survival NN cord-016871-1mlamf20 71 26 [ [ -LRB- cord-016871-1mlamf20 71 27 5 5 CD cord-016871-1mlamf20 71 28 ] ] -RRB- cord-016871-1mlamf20 71 29 . . . cord-016871-1mlamf20 72 1 Fox Fox NNP cord-016871-1mlamf20 72 2 et et FW cord-016871-1mlamf20 72 3 al al NNP cord-016871-1mlamf20 72 4 . . . cord-016871-1mlamf20 73 1 found find VBD cord-016871-1mlamf20 73 2 that that IN cord-016871-1mlamf20 73 3 patients patient NNS cord-016871-1mlamf20 73 4 undergoing undergo VBG cord-016871-1mlamf20 73 5 vascular vascular JJ cord-016871-1mlamf20 73 6 surgery surgery NN cord-016871-1mlamf20 73 7 with with IN cord-016871-1mlamf20 73 8 DCR DCR NNP cord-016871-1mlamf20 73 9 had have VBD cord-016871-1mlamf20 73 10 improved improve VBN cord-016871-1mlamf20 73 11 revascularization revascularization NN cord-016871-1mlamf20 73 12 and and CC cord-016871-1mlamf20 73 13 graft graft NN cord-016871-1mlamf20 73 14 patency patency NN cord-016871-1mlamf20 73 15 . . . cord-016871-1mlamf20 74 1 Their -PRON- PRP$ cord-016871-1mlamf20 74 2 results result NNS cord-016871-1mlamf20 74 3 demonstrated demonstrate VBD cord-016871-1mlamf20 74 4 that that IN cord-016871-1mlamf20 74 5 recombinant recombinant JJ cord-016871-1mlamf20 74 6 VIIa VIIa NNS cord-016871-1mlamf20 74 7 , , , cord-016871-1mlamf20 74 8 whole whole JJ cord-016871-1mlamf20 74 9 blood blood NN cord-016871-1mlamf20 74 10 , , , cord-016871-1mlamf20 74 11 fresh fresh JJ cord-016871-1mlamf20 74 12 frozen frozen JJ cord-016871-1mlamf20 74 13 plasma plasma NN cord-016871-1mlamf20 74 14 ( ( -LRB- cord-016871-1mlamf20 74 15 FFP FFP NNP cord-016871-1mlamf20 74 16 ) ) -RRB- cord-016871-1mlamf20 74 17 , , , cord-016871-1mlamf20 74 18 platelets platelet NNS cord-016871-1mlamf20 74 19 , , , cord-016871-1mlamf20 74 20 cryoprecipitate cryoprecipitate JJ cord-016871-1mlamf20 74 21 and and CC cord-016871-1mlamf20 74 22 minimal minimal JJ cord-016871-1mlamf20 74 23 crystalloid crystalloid NN cord-016871-1mlamf20 74 24 prevented prevent VBD cord-016871-1mlamf20 74 25 early early JJ cord-016871-1mlamf20 74 26 graft graft NN cord-016871-1mlamf20 74 27 failures failure NNS cord-016871-1mlamf20 74 28 [ [ -LRB- cord-016871-1mlamf20 74 29 15 15 CD cord-016871-1mlamf20 74 30 ] ] -RRB- cord-016871-1mlamf20 74 31 . . . cord-016871-1mlamf20 75 1 While while IN cord-016871-1mlamf20 75 2 there there EX cord-016871-1mlamf20 75 3 is be VBZ cord-016871-1mlamf20 75 4 a a DT cord-016871-1mlamf20 75 5 wealth wealth NN cord-016871-1mlamf20 75 6 of of IN cord-016871-1mlamf20 75 7 data datum NNS cord-016871-1mlamf20 75 8 in in IN cord-016871-1mlamf20 75 9 the the DT cord-016871-1mlamf20 75 10 trauma trauma NN cord-016871-1mlamf20 75 11 population population NN cord-016871-1mlamf20 75 12 , , , cord-016871-1mlamf20 75 13 less less JJR cord-016871-1mlamf20 75 14 data data NN cord-016871-1mlamf20 75 15 is be VBZ cord-016871-1mlamf20 75 16 available available JJ cord-016871-1mlamf20 75 17 regarding regard VBG cord-016871-1mlamf20 75 18 coagulopathy coagulopathy NN cord-016871-1mlamf20 75 19 in in IN cord-016871-1mlamf20 75 20 the the DT cord-016871-1mlamf20 75 21 severely severely RB cord-016871-1mlamf20 75 22 bleeding bleed VBG cord-016871-1mlamf20 75 23 patient patient NN cord-016871-1mlamf20 75 24 in in IN cord-016871-1mlamf20 75 25 other other JJ cord-016871-1mlamf20 75 26 surgical surgical JJ cord-016871-1mlamf20 75 27 specialties specialty NNS cord-016871-1mlamf20 75 28 . . . cord-016871-1mlamf20 76 1 It -PRON- PRP cord-016871-1mlamf20 76 2 is be VBZ cord-016871-1mlamf20 76 3 , , , cord-016871-1mlamf20 76 4 however however RB cord-016871-1mlamf20 76 5 , , , cord-016871-1mlamf20 76 6 important important JJ cord-016871-1mlamf20 76 7 to to TO cord-016871-1mlamf20 76 8 consider consider VB cord-016871-1mlamf20 76 9 the the DT cord-016871-1mlamf20 76 10 underlying underlie VBG cord-016871-1mlamf20 76 11 pathology pathology NN cord-016871-1mlamf20 76 12 responsible responsible JJ cord-016871-1mlamf20 76 13 for for IN cord-016871-1mlamf20 76 14 exsanguination exsanguination NN cord-016871-1mlamf20 76 15 , , , cord-016871-1mlamf20 76 16 such such JJ cord-016871-1mlamf20 76 17 as as IN cord-016871-1mlamf20 76 18 in in IN cord-016871-1mlamf20 76 19 obstetric obstetric JJ cord-016871-1mlamf20 76 20 patients patient NNS cord-016871-1mlamf20 76 21 , , , cord-016871-1mlamf20 76 22 as as RB cord-016871-1mlamf20 76 23 well well RB cord-016871-1mlamf20 76 24 as as IN cord-016871-1mlamf20 76 25 related related JJ cord-016871-1mlamf20 76 26 comorbidities comorbiditie NNS cord-016871-1mlamf20 76 27 , , , cord-016871-1mlamf20 76 28 such such JJ cord-016871-1mlamf20 76 29 as as IN cord-016871-1mlamf20 76 30 uremia uremia NN cord-016871-1mlamf20 76 31 , , , cord-016871-1mlamf20 76 32 pharmacologic pharmacologic JJ cord-016871-1mlamf20 76 33 anticoagulation anticoagulation NN cord-016871-1mlamf20 76 34 , , , cord-016871-1mlamf20 76 35 in in IN cord-016871-1mlamf20 76 36 assessing assess VBG cord-016871-1mlamf20 76 37 for for IN cord-016871-1mlamf20 76 38 need need NN cord-016871-1mlamf20 76 39 of of IN cord-016871-1mlamf20 76 40 blood blood NN cord-016871-1mlamf20 76 41 products product NNS cord-016871-1mlamf20 76 42 [ [ -LRB- cord-016871-1mlamf20 76 43 5 5 CD cord-016871-1mlamf20 76 44 ] ] -RRB- cord-016871-1mlamf20 76 45 . . . cord-016871-1mlamf20 77 1 For for IN cord-016871-1mlamf20 77 2 instance instance NN cord-016871-1mlamf20 77 3 , , , cord-016871-1mlamf20 77 4 Kılıç Kılıç NNP cord-016871-1mlamf20 77 5 et et NNP cord-016871-1mlamf20 77 6 al al NNP cord-016871-1mlamf20 77 7 . . NNP cord-016871-1mlamf20 77 8 's 's POS cord-016871-1mlamf20 77 9 review review NN cord-016871-1mlamf20 77 10 of of IN cord-016871-1mlamf20 77 11 resuscitation resuscitation NN cord-016871-1mlamf20 77 12 in in IN cord-016871-1mlamf20 77 13 patients patient NNS cord-016871-1mlamf20 77 14 with with IN cord-016871-1mlamf20 77 15 gastrointestinal gastrointestinal JJ cord-016871-1mlamf20 77 16 bleeding bleeding NN cord-016871-1mlamf20 77 17 found find VBD cord-016871-1mlamf20 77 18 that that IN cord-016871-1mlamf20 77 19 1:1:1 1:1:1 CD cord-016871-1mlamf20 77 20 ratios ratio NNS cord-016871-1mlamf20 77 21 of of IN cord-016871-1mlamf20 77 22 pRBCs prbc NNS cord-016871-1mlamf20 77 23 , , , cord-016871-1mlamf20 77 24 FFPs ffp NNS cord-016871-1mlamf20 77 25 , , , cord-016871-1mlamf20 77 26 and and CC cord-016871-1mlamf20 77 27 platelets platelet NNS cord-016871-1mlamf20 77 28 reduced reduce VBD cord-016871-1mlamf20 77 29 dilutional dilutional JJ cord-016871-1mlamf20 77 30 coagulopathy coagulopathy NN cord-016871-1mlamf20 77 31 , , , cord-016871-1mlamf20 77 32 similarly similarly RB cord-016871-1mlamf20 77 33 to to IN cord-016871-1mlamf20 77 34 trauma trauma NN cord-016871-1mlamf20 77 35 patients patient NNS cord-016871-1mlamf20 77 36 [ [ -LRB- cord-016871-1mlamf20 77 37 16 16 CD cord-016871-1mlamf20 77 38 ] ] -RRB- cord-016871-1mlamf20 77 39 . . . cord-016871-1mlamf20 78 1 Patients patient NNS cord-016871-1mlamf20 78 2 undergoing undergo VBG cord-016871-1mlamf20 78 3 open open JJ cord-016871-1mlamf20 78 4 thoracoabdominal thoracoabdominal JJ cord-016871-1mlamf20 78 5 aortic aortic JJ cord-016871-1mlamf20 78 6 aneurysm aneurysm NN cord-016871-1mlamf20 78 7 repair repair NN cord-016871-1mlamf20 78 8 are be VBP cord-016871-1mlamf20 78 9 also also RB cord-016871-1mlamf20 78 10 vulnerable vulnerable JJ cord-016871-1mlamf20 78 11 to to IN cord-016871-1mlamf20 78 12 coagulopathy coagulopathy NN cord-016871-1mlamf20 78 13 due due IN cord-016871-1mlamf20 78 14 to to IN cord-016871-1mlamf20 78 15 systemic systemic JJ cord-016871-1mlamf20 78 16 heparinization heparinization NN cord-016871-1mlamf20 78 17 , , , cord-016871-1mlamf20 78 18 hypothermia hypothermia NN cord-016871-1mlamf20 78 19 , , , cord-016871-1mlamf20 78 20 and and CC cord-016871-1mlamf20 78 21 left left JJ cord-016871-1mlamf20 78 22 - - HYPH cord-016871-1mlamf20 78 23 heart heart NN cord-016871-1mlamf20 78 24 bypass bypass NN cord-016871-1mlamf20 78 25 with with IN cord-016871-1mlamf20 78 26 a a DT cord-016871-1mlamf20 78 27 centrifugal centrifugal JJ cord-016871-1mlamf20 78 28 pump pump NN cord-016871-1mlamf20 78 29 [ [ -LRB- cord-016871-1mlamf20 78 30 17 17 CD cord-016871-1mlamf20 78 31 ] ] -RRB- cord-016871-1mlamf20 78 32 . . . cord-016871-1mlamf20 79 1 As as RB cord-016871-1mlamf20 79 2 well well RB cord-016871-1mlamf20 79 3 , , , cord-016871-1mlamf20 79 4 several several JJ cord-016871-1mlamf20 79 5 authors author NNS cord-016871-1mlamf20 79 6 have have VBP cord-016871-1mlamf20 79 7 noted note VBN cord-016871-1mlamf20 79 8 its -PRON- PRP$ cord-016871-1mlamf20 79 9 bene bene NN cord-016871-1mlamf20 79 10 fi fi NN cord-016871-1mlamf20 79 11 t t NN cord-016871-1mlamf20 79 12 in in IN cord-016871-1mlamf20 79 13 the the DT cord-016871-1mlamf20 79 14 vascular vascular JJ cord-016871-1mlamf20 79 15 population population NN cord-016871-1mlamf20 79 16 [ [ -LRB- cord-016871-1mlamf20 79 17 15 15 CD cord-016871-1mlamf20 79 18 , , , cord-016871-1mlamf20 79 19 18 18 CD cord-016871-1mlamf20 79 20 , , , cord-016871-1mlamf20 79 21 19 19 CD cord-016871-1mlamf20 79 22 ] ] -RRB- cord-016871-1mlamf20 79 23 . . . cord-016871-1mlamf20 80 1 Mell Mell NNP cord-016871-1mlamf20 80 2 evaluated evaluate VBD cord-016871-1mlamf20 80 3 168 168 CD cord-016871-1mlamf20 80 4 patients patient NNS cord-016871-1mlamf20 80 5 with with IN cord-016871-1mlamf20 80 6 ruptured ruptured JJ cord-016871-1mlamf20 80 7 abdominal abdominal JJ cord-016871-1mlamf20 80 8 aortic aortic JJ cord-016871-1mlamf20 80 9 aneurysm aneurysm NN cord-016871-1mlamf20 80 10 who who WP cord-016871-1mlamf20 80 11 had have VBD cord-016871-1mlamf20 80 12 massive massive JJ cord-016871-1mlamf20 80 13 hemorrhage hemorrhage NN cord-016871-1mlamf20 80 14 in in IN cord-016871-1mlamf20 80 15 the the DT cord-016871-1mlamf20 80 16 perioperative perioperative JJ cord-016871-1mlamf20 80 17 period period NN cord-016871-1mlamf20 80 18 . . . cord-016871-1mlamf20 81 1 Their -PRON- PRP$ cord-016871-1mlamf20 81 2 fi fi NN cord-016871-1mlamf20 81 3 ndings nding NNS cord-016871-1mlamf20 81 4 showed show VBD cord-016871-1mlamf20 81 5 reduced reduce VBN cord-016871-1mlamf20 81 6 30-day 30-day CD cord-016871-1mlamf20 81 7 mortality mortality NN cord-016871-1mlamf20 81 8 in in IN cord-016871-1mlamf20 81 9 patients patient NNS cord-016871-1mlamf20 81 10 who who WP cord-016871-1mlamf20 81 11 were be VBD cord-016871-1mlamf20 81 12 transfused transfuse VBN cord-016871-1mlamf20 81 13 1:1 1:1 CD cord-016871-1mlamf20 81 14 RBC RBC NNP cord-016871-1mlamf20 81 15 to to IN cord-016871-1mlamf20 81 16 plasma plasma NN cord-016871-1mlamf20 81 17 ratios ratio NNS cord-016871-1mlamf20 81 18 . . . cord-016871-1mlamf20 82 1 These these DT cord-016871-1mlamf20 82 2 patients patient NNS cord-016871-1mlamf20 82 3 also also RB cord-016871-1mlamf20 82 4 experienced experience VBD cord-016871-1mlamf20 82 5 lower low JJR cord-016871-1mlamf20 82 6 rates rate NNS cord-016871-1mlamf20 82 7 of of IN cord-016871-1mlamf20 82 8 colonic colonic JJ cord-016871-1mlamf20 82 9 ischemia ischemia NN cord-016871-1mlamf20 82 10 . . . cord-016871-1mlamf20 83 1 The the DT cord-016871-1mlamf20 83 2 value value NN cord-016871-1mlamf20 83 3 of of IN cord-016871-1mlamf20 83 4 this this DT cord-016871-1mlamf20 83 5 study study NN cord-016871-1mlamf20 83 6 is be VBZ cord-016871-1mlamf20 83 7 that that IN cord-016871-1mlamf20 83 8 the the DT cord-016871-1mlamf20 83 9 average average JJ cord-016871-1mlamf20 83 10 age age NN cord-016871-1mlamf20 83 11 of of IN cord-016871-1mlamf20 83 12 patients patient NNS cord-016871-1mlamf20 83 13 was be VBD cord-016871-1mlamf20 83 14 73 73 CD cord-016871-1mlamf20 83 15 years year NNS cord-016871-1mlamf20 83 16 , , , cord-016871-1mlamf20 83 17 much much RB cord-016871-1mlamf20 83 18 older old JJR cord-016871-1mlamf20 83 19 than than IN cord-016871-1mlamf20 83 20 the the DT cord-016871-1mlamf20 83 21 average average JJ cord-016871-1mlamf20 83 22 trauma trauma NN cord-016871-1mlamf20 83 23 patient patient NN cord-016871-1mlamf20 83 24 , , , cord-016871-1mlamf20 83 25 demonstrating demonstrate VBG cord-016871-1mlamf20 83 26 applicability applicability NN cord-016871-1mlamf20 83 27 of of IN cord-016871-1mlamf20 83 28 MTPs mtp NNS cord-016871-1mlamf20 83 29 in in IN cord-016871-1mlamf20 83 30 different different JJ cord-016871-1mlamf20 83 31 patient patient NN cord-016871-1mlamf20 83 32 age age NN cord-016871-1mlamf20 83 33 populations population NNS cord-016871-1mlamf20 83 34 [ [ -LRB- cord-016871-1mlamf20 83 35 19 19 CD cord-016871-1mlamf20 83 36 ] ] -RRB- cord-016871-1mlamf20 83 37 . . . cord-016871-1mlamf20 84 1 Lastly lastly RB cord-016871-1mlamf20 84 2 , , , cord-016871-1mlamf20 84 3 evidence evidence NN cord-016871-1mlamf20 84 4 on on IN cord-016871-1mlamf20 84 5 MTPs mtp NNS cord-016871-1mlamf20 84 6 has have VBZ cord-016871-1mlamf20 84 7 focused focus VBN cord-016871-1mlamf20 84 8 on on IN cord-016871-1mlamf20 84 9 the the DT cord-016871-1mlamf20 84 10 acutely acutely RB cord-016871-1mlamf20 84 11 bleeding bleed VBG cord-016871-1mlamf20 84 12 surgical surgical JJ cord-016871-1mlamf20 84 13 patient patient NN cord-016871-1mlamf20 84 14 , , , cord-016871-1mlamf20 84 15 and and CC cord-016871-1mlamf20 84 16 less less JJR cord-016871-1mlamf20 84 17 is be VBZ cord-016871-1mlamf20 84 18 known know VBN cord-016871-1mlamf20 84 19 about about IN cord-016871-1mlamf20 84 20 patients patient NNS cord-016871-1mlamf20 84 21 in in IN cord-016871-1mlamf20 84 22 other other JJ cord-016871-1mlamf20 84 23 surgical surgical JJ cord-016871-1mlamf20 84 24 settings setting NNS cord-016871-1mlamf20 84 25 . . . cord-016871-1mlamf20 85 1 Due due IN cord-016871-1mlamf20 85 2 to to IN cord-016871-1mlamf20 85 3 the the DT cord-016871-1mlamf20 85 4 less less RBR cord-016871-1mlamf20 85 5 emergent emergent JJ cord-016871-1mlamf20 85 6 nature nature NN cord-016871-1mlamf20 85 7 of of IN cord-016871-1mlamf20 85 8 such such JJ cord-016871-1mlamf20 85 9 settings setting NNS cord-016871-1mlamf20 85 10 , , , cord-016871-1mlamf20 85 11 it -PRON- PRP cord-016871-1mlamf20 85 12 is be VBZ cord-016871-1mlamf20 85 13 likely likely JJ cord-016871-1mlamf20 85 14 that that IN cord-016871-1mlamf20 85 15 MTPs mtp NNS cord-016871-1mlamf20 85 16 are be VBP cord-016871-1mlamf20 85 17 activated activate VBN cord-016871-1mlamf20 85 18 more more RBR cord-016871-1mlamf20 85 19 reactively reactively RB cord-016871-1mlamf20 85 20 , , , cord-016871-1mlamf20 85 21 and and CC cord-016871-1mlamf20 85 22 it -PRON- PRP cord-016871-1mlamf20 85 23 may may MD cord-016871-1mlamf20 85 24 have have VB cord-016871-1mlamf20 85 25 a a DT cord-016871-1mlamf20 85 26 different different JJ cord-016871-1mlamf20 85 27 effect effect NN cord-016871-1mlamf20 85 28 on on IN cord-016871-1mlamf20 85 29 patient patient JJ cord-016871-1mlamf20 85 30 outcome outcome NN cord-016871-1mlamf20 85 31 [ [ -LRB- cord-016871-1mlamf20 85 32 5 5 CD cord-016871-1mlamf20 85 33 ] ] -RRB- cord-016871-1mlamf20 85 34 . . . cord-016871-1mlamf20 86 1 However however RB cord-016871-1mlamf20 86 2 , , , cord-016871-1mlamf20 86 3 some some DT cord-016871-1mlamf20 86 4 groups group NNS cord-016871-1mlamf20 86 5 have have VBP cord-016871-1mlamf20 86 6 shown show VBN cord-016871-1mlamf20 86 7 that that IN cord-016871-1mlamf20 86 8 those those DT cord-016871-1mlamf20 86 9 patients patient NNS cord-016871-1mlamf20 86 10 receiving receive VBG cord-016871-1mlamf20 86 11 less less JJR cord-016871-1mlamf20 86 12 than than IN cord-016871-1mlamf20 86 13 massive massive JJ cord-016871-1mlamf20 86 14 transfusion transfusion NN cord-016871-1mlamf20 86 15 levels level NNS cord-016871-1mlamf20 86 16 may may MD cord-016871-1mlamf20 86 17 still still RB cord-016871-1mlamf20 86 18 bene bene VB cord-016871-1mlamf20 86 19 fi fi NNP cord-016871-1mlamf20 86 20 t t NN cord-016871-1mlamf20 86 21 from from IN cord-016871-1mlamf20 86 22 higher high JJR cord-016871-1mlamf20 86 23 plasma plasma NN cord-016871-1mlamf20 86 24 to to IN cord-016871-1mlamf20 86 25 red red JJ cord-016871-1mlamf20 86 26 blood blood NN cord-016871-1mlamf20 86 27 cell cell NN cord-016871-1mlamf20 86 28 ratios ratio NNS cord-016871-1mlamf20 86 29 [ [ -LRB- cord-016871-1mlamf20 86 30 20 20 CD cord-016871-1mlamf20 86 31 ] ] -RRB- cord-016871-1mlamf20 86 32 . . . cord-016871-1mlamf20 87 1 Wafaisade Wafaisade NNP cord-016871-1mlamf20 87 2 and and CC cord-016871-1mlamf20 87 3 colleagues colleague NNS cord-016871-1mlamf20 87 4 demonstrated demonstrate VBD cord-016871-1mlamf20 87 5 decreased decrease VBD cord-016871-1mlamf20 87 6 mortality mortality NN cord-016871-1mlamf20 87 7 rates rate NNS cord-016871-1mlamf20 87 8 in in IN cord-016871-1mlamf20 87 9 such such JJ cord-016871-1mlamf20 87 10 patients patient NNS cord-016871-1mlamf20 87 11 . . . cord-016871-1mlamf20 88 1 Because because IN cord-016871-1mlamf20 88 2 of of IN cord-016871-1mlamf20 88 3 the the DT cord-016871-1mlamf20 88 4 nature nature NN cord-016871-1mlamf20 88 5 of of IN cord-016871-1mlamf20 88 6 frozen frozen JJ cord-016871-1mlamf20 88 7 plasma plasma NN cord-016871-1mlamf20 88 8 , , , cord-016871-1mlamf20 88 9 transfusion transfusion NN cord-016871-1mlamf20 88 10 delays delay NNS cord-016871-1mlamf20 88 11 of of IN cord-016871-1mlamf20 88 12 45 45 CD cord-016871-1mlamf20 88 13 min min NNS cord-016871-1mlamf20 88 14 occur occur VBP cord-016871-1mlamf20 88 15 as as IN cord-016871-1mlamf20 88 16 units unit NNS cord-016871-1mlamf20 88 17 are be VBP cord-016871-1mlamf20 88 18 thawed thaw VBN cord-016871-1mlamf20 88 19 and and CC cord-016871-1mlamf20 88 20 prepared prepare VBN cord-016871-1mlamf20 88 21 . . . cord-016871-1mlamf20 89 1 Young young JJ cord-016871-1mlamf20 89 2 and and CC cord-016871-1mlamf20 89 3 colleagues colleague NNS cord-016871-1mlamf20 89 4 surveyed survey VBD cord-016871-1mlamf20 89 5 members member NNS cord-016871-1mlamf20 89 6 of of IN cord-016871-1mlamf20 89 7 the the DT cord-016871-1mlamf20 89 8 University University NNP cord-016871-1mlamf20 89 9 Health Health NNP cord-016871-1mlamf20 89 10 System System NNP cord-016871-1mlamf20 89 11 Consortium Consortium NNP cord-016871-1mlamf20 89 12 , , , cord-016871-1mlamf20 89 13 consisting consist VBG cord-016871-1mlamf20 89 14 of of IN cord-016871-1mlamf20 89 15 107 107 CD cord-016871-1mlamf20 89 16 academic academic JJ cord-016871-1mlamf20 89 17 medical medical JJ cord-016871-1mlamf20 89 18 centers center NNS cord-016871-1mlamf20 89 19 and and CC cord-016871-1mlamf20 89 20 232 232 CD cord-016871-1mlamf20 89 21 af af NN cord-016871-1mlamf20 89 22 fi fi NN cord-016871-1mlamf20 89 23 liated liate VBN cord-016871-1mlamf20 89 24 hospitals hospital NNS cord-016871-1mlamf20 89 25 and and CC cord-016871-1mlamf20 89 26 found find VBD cord-016871-1mlamf20 89 27 that that IN cord-016871-1mlamf20 89 28 only only RB cord-016871-1mlamf20 89 29 60 60 CD cord-016871-1mlamf20 89 30 % % NN cord-016871-1mlamf20 89 31 of of IN cord-016871-1mlamf20 89 32 participating participate VBG cord-016871-1mlamf20 89 33 hospitals hospital NNS cord-016871-1mlamf20 89 34 had have VBD cord-016871-1mlamf20 89 35 thawed thaw VBN cord-016871-1mlamf20 89 36 plasma plasma NN cord-016871-1mlamf20 89 37 suf suf NN cord-016871-1mlamf20 89 38 fi fi NN cord-016871-1mlamf20 89 39 cient cient NN cord-016871-1mlamf20 89 40 for for IN cord-016871-1mlamf20 89 41 the the DT cord-016871-1mlamf20 89 42 fi fi NNP cord-016871-1mlamf20 89 43 rst rst NN cord-016871-1mlamf20 89 44 cycle cycle NN cord-016871-1mlamf20 89 45 of of IN cord-016871-1mlamf20 89 46 their -PRON- PRP$ cord-016871-1mlamf20 89 47 MTP MTP NNP cord-016871-1mlamf20 89 48 . . . cord-016871-1mlamf20 90 1 This this DT cord-016871-1mlamf20 90 2 problem problem NN cord-016871-1mlamf20 90 3 delays delay VBZ cord-016871-1mlamf20 90 4 the the DT cord-016871-1mlamf20 90 5 critical critical JJ cord-016871-1mlamf20 90 6 availability availability NN cord-016871-1mlamf20 90 7 of of IN cord-016871-1mlamf20 90 8 plasma plasma NN cord-016871-1mlamf20 90 9 in in IN cord-016871-1mlamf20 90 10 the the DT cord-016871-1mlamf20 90 11 initial initial JJ cord-016871-1mlamf20 90 12 phase phase NN cord-016871-1mlamf20 90 13 of of IN cord-016871-1mlamf20 90 14 resuscitation resuscitation NN cord-016871-1mlamf20 90 15 . . . cord-016871-1mlamf20 91 1 Reviews review NNS cord-016871-1mlamf20 91 2 of of IN cord-016871-1mlamf20 91 3 plasma plasma NN cord-016871-1mlamf20 91 4 , , , cord-016871-1mlamf20 91 5 cryoprecipitate cryoprecipitate NN cord-016871-1mlamf20 91 6 and and CC cord-016871-1mlamf20 91 7 platelet platelet NN cord-016871-1mlamf20 91 8 transfusions transfusion NNS cord-016871-1mlamf20 91 9 alongside alongside IN cord-016871-1mlamf20 91 10 massive massive JJ cord-016871-1mlamf20 91 11 blood blood NN cord-016871-1mlamf20 91 12 transfusion transfusion NN cord-016871-1mlamf20 91 13 protocols protocol NNS cord-016871-1mlamf20 91 14 have have VBP cord-016871-1mlamf20 91 15 demonstrated demonstrate VBN cord-016871-1mlamf20 91 16 that that IN cord-016871-1mlamf20 91 17 earlier early JJR cord-016871-1mlamf20 91 18 use use NN cord-016871-1mlamf20 91 19 of of IN cord-016871-1mlamf20 91 20 plasma plasma NN cord-016871-1mlamf20 91 21 and and CC cord-016871-1mlamf20 91 22 platelets platelet NNS cord-016871-1mlamf20 91 23 in in IN cord-016871-1mlamf20 91 24 trauma trauma NN cord-016871-1mlamf20 91 25 patients patient NNS cord-016871-1mlamf20 91 26 have have VBP cord-016871-1mlamf20 91 27 decreased decrease VBN cord-016871-1mlamf20 91 28 the the DT cord-016871-1mlamf20 91 29 incidence incidence NN cord-016871-1mlamf20 91 30 of of IN cord-016871-1mlamf20 91 31 coagulopathy coagulopathy NN cord-016871-1mlamf20 91 32 [ [ -LRB- cord-016871-1mlamf20 91 33 21 21 CD cord-016871-1mlamf20 91 34 ] ] -RRB- cord-016871-1mlamf20 91 35 . . . cord-016871-1mlamf20 92 1 Unfortunately unfortunately RB cord-016871-1mlamf20 92 2 , , , cord-016871-1mlamf20 92 3 by by IN cord-016871-1mlamf20 92 4 the the DT cord-016871-1mlamf20 92 5 time time NN cord-016871-1mlamf20 92 6 one one CD cord-016871-1mlamf20 92 7 or or CC cord-016871-1mlamf20 92 8 more more JJR cord-016871-1mlamf20 92 9 blood blood NN cord-016871-1mlamf20 92 10 volumes volume NNS cord-016871-1mlamf20 92 11 have have VBP cord-016871-1mlamf20 92 12 been be VBN cord-016871-1mlamf20 92 13 lost lose VBN cord-016871-1mlamf20 92 14 , , , cord-016871-1mlamf20 92 15 plasma plasma NN cord-016871-1mlamf20 92 16 may may MD cord-016871-1mlamf20 92 17 still still RB cord-016871-1mlamf20 92 18 be be VB cord-016871-1mlamf20 92 19 unavailable unavailable JJ cord-016871-1mlamf20 92 20 in in IN cord-016871-1mlamf20 92 21 the the DT cord-016871-1mlamf20 92 22 absence absence NN cord-016871-1mlamf20 92 23 of of IN cord-016871-1mlamf20 92 24 a a DT cord-016871-1mlamf20 92 25 thawed thawed JJ cord-016871-1mlamf20 92 26 or or CC cord-016871-1mlamf20 92 27 liquid liquid JJ cord-016871-1mlamf20 92 28 plasma plasma NN cord-016871-1mlamf20 92 29 program program NN cord-016871-1mlamf20 92 30 . . . cord-016871-1mlamf20 93 1 Hence hence RB cord-016871-1mlamf20 93 2 , , , cord-016871-1mlamf20 93 3 protocols protocol NNS cord-016871-1mlamf20 93 4 have have VBP cord-016871-1mlamf20 93 5 been be VBN cord-016871-1mlamf20 93 6 established establish VBN cord-016871-1mlamf20 93 7 to to TO cord-016871-1mlamf20 93 8 reduce reduce VB cord-016871-1mlamf20 93 9 wastage wastage NN cord-016871-1mlamf20 93 10 of of IN cord-016871-1mlamf20 93 11 products product NNS cord-016871-1mlamf20 93 12 and and CC cord-016871-1mlamf20 93 13 use use VB cord-016871-1mlamf20 93 14 them -PRON- PRP cord-016871-1mlamf20 93 15 for for IN cord-016871-1mlamf20 93 16 patients patient NNS cord-016871-1mlamf20 93 17 in in IN cord-016871-1mlamf20 93 18 an an DT cord-016871-1mlamf20 93 19 ef ef NNP cord-016871-1mlamf20 93 20 fi fi NNP cord-016871-1mlamf20 93 21 cacious cacious JJ cord-016871-1mlamf20 93 22 manner manner NN cord-016871-1mlamf20 93 23 [ [ -LRB- cord-016871-1mlamf20 93 24 22 22 CD cord-016871-1mlamf20 93 25 ] ] -RRB- cord-016871-1mlamf20 93 26 . . . cord-016871-1mlamf20 94 1 Red red JJ cord-016871-1mlamf20 94 2 blood blood NN cord-016871-1mlamf20 94 3 cells cell NNS cord-016871-1mlamf20 94 4 are be VBP cord-016871-1mlamf20 94 5 the the DT cord-016871-1mlamf20 94 6 component component NN cord-016871-1mlamf20 94 7 of of IN cord-016871-1mlamf20 94 8 choice choice NN cord-016871-1mlamf20 94 9 used use VBN cord-016871-1mlamf20 94 10 to to TO cord-016871-1mlamf20 94 11 restore restore VB cord-016871-1mlamf20 94 12 hemoglobin hemoglobin NN cord-016871-1mlamf20 94 13 levels level NNS cord-016871-1mlamf20 94 14 in in IN cord-016871-1mlamf20 94 15 resuscitation resuscitation NN cord-016871-1mlamf20 94 16 . . . cord-016871-1mlamf20 95 1 More More JJR cord-016871-1mlamf20 95 2 than than IN cord-016871-1mlamf20 95 3 30 30 CD cord-016871-1mlamf20 95 4 % % NN cord-016871-1mlamf20 95 5 of of IN cord-016871-1mlamf20 95 6 intensive intensive JJ cord-016871-1mlamf20 95 7 care care NN cord-016871-1mlamf20 95 8 unit unit NN cord-016871-1mlamf20 95 9 ( ( -LRB- cord-016871-1mlamf20 95 10 ICU ICU NNP cord-016871-1mlamf20 95 11 ) ) -RRB- cord-016871-1mlamf20 95 12 patients patient NNS cord-016871-1mlamf20 95 13 receive receive VBP cord-016871-1mlamf20 95 14 RBC RBC NNP cord-016871-1mlamf20 95 15 transfusions transfusion NNS cord-016871-1mlamf20 95 16 and and CC cord-016871-1mlamf20 95 17 more more JJR cord-016871-1mlamf20 95 18 than than IN cord-016871-1mlamf20 95 19 40 40 CD cord-016871-1mlamf20 95 20 % % NN cord-016871-1mlamf20 95 21 are be VBP cord-016871-1mlamf20 95 22 transfused transfuse VBN cord-016871-1mlamf20 95 23 during during IN cord-016871-1mlamf20 95 24 hospitalization hospitalization NN cord-016871-1mlamf20 95 25 [ [ -LRB- cord-016871-1mlamf20 95 26 23 23 CD cord-016871-1mlamf20 95 27 ] ] -RRB- cord-016871-1mlamf20 95 28 . . . cord-016871-1mlamf20 96 1 The the DT cord-016871-1mlamf20 96 2 Cardiovascular Cardiovascular NNP cord-016871-1mlamf20 96 3 Health Health NNP cord-016871-1mlamf20 96 4 Study Study NNP cord-016871-1mlamf20 96 5 found find VBD cord-016871-1mlamf20 96 6 that that IN cord-016871-1mlamf20 96 7 anemia anemia NN cord-016871-1mlamf20 96 8 is be VBZ cord-016871-1mlamf20 96 9 associated associate VBN cord-016871-1mlamf20 96 10 with with IN cord-016871-1mlamf20 96 11 increased increase VBN cord-016871-1mlamf20 96 12 mortality mortality NN cord-016871-1mlamf20 96 13 in in IN cord-016871-1mlamf20 96 14 elderly elderly JJ cord-016871-1mlamf20 96 15 patients patient NNS cord-016871-1mlamf20 96 16 , , , cord-016871-1mlamf20 96 17 emphasizing emphasize VBG cord-016871-1mlamf20 96 18 the the DT cord-016871-1mlamf20 96 19 importance importance NN cord-016871-1mlamf20 96 20 of of IN cord-016871-1mlamf20 96 21 treatment treatment NN cord-016871-1mlamf20 96 22 [ [ -LRB- cord-016871-1mlamf20 96 23 24 24 CD cord-016871-1mlamf20 96 24 ] ] -RRB- cord-016871-1mlamf20 96 25 . . . cord-016871-1mlamf20 97 1 However however RB cord-016871-1mlamf20 97 2 , , , cord-016871-1mlamf20 97 3 correction correction NN cord-016871-1mlamf20 97 4 of of IN cord-016871-1mlamf20 97 5 anemia anemia NN cord-016871-1mlamf20 97 6 in in IN cord-016871-1mlamf20 97 7 surgical surgical JJ cord-016871-1mlamf20 97 8 patients patient NNS cord-016871-1mlamf20 97 9 has have VBZ cord-016871-1mlamf20 97 10 not not RB cord-016871-1mlamf20 97 11 been be VBN cord-016871-1mlamf20 97 12 readily readily RB cord-016871-1mlamf20 97 13 studied study VBN cord-016871-1mlamf20 97 14 , , , cord-016871-1mlamf20 97 15 and and CC cord-016871-1mlamf20 97 16 its -PRON- PRP$ cord-016871-1mlamf20 97 17 bene bene NN cord-016871-1mlamf20 97 18 fi fi NN cord-016871-1mlamf20 97 19 ts ts NNP cord-016871-1mlamf20 97 20 remain remain VBP cord-016871-1mlamf20 97 21 controversial controversial JJ cord-016871-1mlamf20 97 22 . . . cord-016871-1mlamf20 98 1 In in IN cord-016871-1mlamf20 98 2 their -PRON- PRP$ cord-016871-1mlamf20 98 3 review review NN cord-016871-1mlamf20 98 4 , , , cord-016871-1mlamf20 98 5 Englesbe Englesbe NNP cord-016871-1mlamf20 98 6 et et NNP cord-016871-1mlamf20 98 7 al al NNP cord-016871-1mlamf20 98 8 . . . cord-016871-1mlamf20 98 9 note note VB cord-016871-1mlamf20 98 10 that that IN cord-016871-1mlamf20 98 11 there there EX cord-016871-1mlamf20 98 12 is be VBZ cord-016871-1mlamf20 98 13 not not RB cord-016871-1mlamf20 98 14 yet yet RB cord-016871-1mlamf20 98 15 a a DT cord-016871-1mlamf20 98 16 consensus consensus NN cord-016871-1mlamf20 98 17 of of IN cord-016871-1mlamf20 98 18 in in IN cord-016871-1mlamf20 98 19 what what WDT cord-016871-1mlamf20 98 20 degree degree NN cord-016871-1mlamf20 98 21 of of IN cord-016871-1mlamf20 98 22 anemia anemia NN cord-016871-1mlamf20 98 23 can can MD cord-016871-1mlamf20 98 24 RBC RBC NNP cord-016871-1mlamf20 98 25 transfusions transfusion NNS cord-016871-1mlamf20 98 26 offer offer VB cord-016871-1mlamf20 98 27 a a DT cord-016871-1mlamf20 98 28 bene bene NN cord-016871-1mlamf20 98 29 fi fi NN cord-016871-1mlamf20 98 30 t t NN cord-016871-1mlamf20 98 31 [ [ -LRB- cord-016871-1mlamf20 98 32 25 25 CD cord-016871-1mlamf20 98 33 ] ] -RRB- cord-016871-1mlamf20 98 34 . . . cord-016871-1mlamf20 99 1 They -PRON- PRP cord-016871-1mlamf20 99 2 discuss discuss VBP cord-016871-1mlamf20 99 3 the the DT cord-016871-1mlamf20 99 4 current current JJ cord-016871-1mlamf20 99 5 fi fi NN cord-016871-1mlamf20 99 6 ndings nding NNS cord-016871-1mlamf20 99 7 by by IN cord-016871-1mlamf20 99 8 various various JJ cord-016871-1mlamf20 99 9 studies study NNS cord-016871-1mlamf20 99 10 , , , cord-016871-1mlamf20 99 11 which which WDT cord-016871-1mlamf20 99 12 have have VBP cord-016871-1mlamf20 99 13 found find VBN cord-016871-1mlamf20 99 14 that that IN cord-016871-1mlamf20 99 15 survival survival NN cord-016871-1mlamf20 99 16 was be VBD cord-016871-1mlamf20 99 17 not not RB cord-016871-1mlamf20 99 18 increased increase VBN cord-016871-1mlamf20 99 19 when when WRB cord-016871-1mlamf20 99 20 postoperative postoperative JJ cord-016871-1mlamf20 99 21 patients patient NNS cord-016871-1mlamf20 99 22 were be VBD cord-016871-1mlamf20 99 23 transfused transfuse VBN cord-016871-1mlamf20 99 24 to to TO cord-016871-1mlamf20 99 25 correct correct VB cord-016871-1mlamf20 99 26 a a DT cord-016871-1mlamf20 99 27 hematocrit hematocrit NN cord-016871-1mlamf20 99 28 of of IN cord-016871-1mlamf20 99 29 25 25 CD cord-016871-1mlamf20 99 30 % % NN cord-016871-1mlamf20 99 31 , , , cord-016871-1mlamf20 99 32 and and CC cord-016871-1mlamf20 99 33 similarly similarly RB cord-016871-1mlamf20 99 34 , , , cord-016871-1mlamf20 99 35 while while IN cord-016871-1mlamf20 99 36 studies study NNS cord-016871-1mlamf20 99 37 favor favor VBP cord-016871-1mlamf20 99 38 transfusion transfusion NN cord-016871-1mlamf20 99 39 in in IN cord-016871-1mlamf20 99 40 cardiac cardiac JJ cord-016871-1mlamf20 99 41 patients patient NNS cord-016871-1mlamf20 99 42 with with IN cord-016871-1mlamf20 99 43 a a DT cord-016871-1mlamf20 99 44 hematocrit hematocrit NN cord-016871-1mlamf20 99 45 of of IN cord-016871-1mlamf20 99 46 33 33 CD cord-016871-1mlamf20 99 47 % % NN cord-016871-1mlamf20 99 48 or or CC cord-016871-1mlamf20 99 49 less less JJR cord-016871-1mlamf20 99 50 , , , cord-016871-1mlamf20 100 1 a a DT cord-016871-1mlamf20 100 2 true true JJ cord-016871-1mlamf20 100 3 bene bene FW cord-016871-1mlamf20 100 4 fi fi NN cord-016871-1mlamf20 100 5 t t NN cord-016871-1mlamf20 100 6 remains remain VBZ cord-016871-1mlamf20 100 7 to to TO cord-016871-1mlamf20 100 8 be be VB cord-016871-1mlamf20 100 9 seen see VBN cord-016871-1mlamf20 100 10 . . . cord-016871-1mlamf20 101 1 Hence hence RB cord-016871-1mlamf20 101 2 , , , cord-016871-1mlamf20 101 3 they -PRON- PRP cord-016871-1mlamf20 101 4 recommend recommend VBP cord-016871-1mlamf20 101 5 making make VBG cord-016871-1mlamf20 101 6 the the DT cord-016871-1mlamf20 101 7 decision decision NN cord-016871-1mlamf20 101 8 to to TO cord-016871-1mlamf20 101 9 transfuse transfuse VB cord-016871-1mlamf20 101 10 using use VBG cord-016871-1mlamf20 101 11 a a DT cord-016871-1mlamf20 101 12 host host NN cord-016871-1mlamf20 101 13 of of IN cord-016871-1mlamf20 101 14 physiological physiological JJ cord-016871-1mlamf20 101 15 measures measure NNS cord-016871-1mlamf20 101 16 and and CC cord-016871-1mlamf20 101 17 evaluation evaluation NN cord-016871-1mlamf20 101 18 of of IN cord-016871-1mlamf20 101 19 the the DT cord-016871-1mlamf20 101 20 patient patient NN cord-016871-1mlamf20 101 21 's 's POS cord-016871-1mlamf20 101 22 compensatory compensatory JJ cord-016871-1mlamf20 101 23 ability ability NN cord-016871-1mlamf20 101 24 , , , cord-016871-1mlamf20 101 25 not not RB cord-016871-1mlamf20 101 26 only only RB cord-016871-1mlamf20 101 27 the the DT cord-016871-1mlamf20 101 28 hematocrit hematocrit NN cord-016871-1mlamf20 101 29 . . . cord-016871-1mlamf20 102 1 They -PRON- PRP cord-016871-1mlamf20 102 2 have have VBP cord-016871-1mlamf20 102 3 used use VBN cord-016871-1mlamf20 102 4 a a DT cord-016871-1mlamf20 102 5 trigger trigger NN cord-016871-1mlamf20 102 6 of of IN cord-016871-1mlamf20 102 7 a a DT cord-016871-1mlamf20 102 8 hematocrit hematocrit NN cord-016871-1mlamf20 102 9 of of IN cord-016871-1mlamf20 102 10 16 16 CD cord-016871-1mlamf20 102 11 % % NN cord-016871-1mlamf20 102 12 for for IN cord-016871-1mlamf20 102 13 initiating initiate VBG cord-016871-1mlamf20 102 14 transfusion transfusion NN cord-016871-1mlamf20 102 15 when when WRB cord-016871-1mlamf20 102 16 the the DT cord-016871-1mlamf20 102 17 patient patient NN cord-016871-1mlamf20 102 18 has have VBZ cord-016871-1mlamf20 102 19 excellent excellent JJ cord-016871-1mlamf20 102 20 compensatory compensatory JJ cord-016871-1mlamf20 102 21 ability ability NN cord-016871-1mlamf20 102 22 , , , cord-016871-1mlamf20 102 23 and and CC cord-016871-1mlamf20 102 24 21 21 CD cord-016871-1mlamf20 102 25 % % NN cord-016871-1mlamf20 102 26 when when WRB cord-016871-1mlamf20 102 27 this this DT cord-016871-1mlamf20 102 28 is be VBZ cord-016871-1mlamf20 102 29 not not RB cord-016871-1mlamf20 102 30 the the DT cord-016871-1mlamf20 102 31 case case NN cord-016871-1mlamf20 102 32 [ [ -LRB- cord-016871-1mlamf20 102 33 25 25 CD cord-016871-1mlamf20 102 34 ] ] -RRB- cord-016871-1mlamf20 102 35 . . . cord-016871-1mlamf20 103 1 The the DT cord-016871-1mlamf20 103 2 21 21 CD cord-016871-1mlamf20 103 3 % % NN cord-016871-1mlamf20 103 4 trigger trigger NN cord-016871-1mlamf20 103 5 should should MD cord-016871-1mlamf20 103 6 also also RB cord-016871-1mlamf20 103 7 be be VB cord-016871-1mlamf20 103 8 employed employ VBN cord-016871-1mlamf20 103 9 in in IN cord-016871-1mlamf20 103 10 stable stable JJ cord-016871-1mlamf20 103 11 elderly elderly JJ cord-016871-1mlamf20 103 12 patients patient NNS cord-016871-1mlamf20 103 13 without without IN cord-016871-1mlamf20 103 14 tachycardia tachycardia NN cord-016871-1mlamf20 103 15 or or CC cord-016871-1mlamf20 103 16 hypoxia hypoxia NN cord-016871-1mlamf20 103 17 . . . cord-016871-1mlamf20 104 1 Otherwise otherwise RB cord-016871-1mlamf20 104 2 , , , cord-016871-1mlamf20 104 3 their -PRON- PRP$ cord-016871-1mlamf20 104 4 investigations investigation NNS cord-016871-1mlamf20 104 5 have have VBP cord-016871-1mlamf20 104 6 not not RB cord-016871-1mlamf20 104 7 yet yet RB cord-016871-1mlamf20 104 8 shown show VBN cord-016871-1mlamf20 104 9 bene bene NN cord-016871-1mlamf20 104 10 fi fi FW cord-016871-1mlamf20 104 11 ts ts NN cord-016871-1mlamf20 104 12 in in IN cord-016871-1mlamf20 104 13 strati strati NNP cord-016871-1mlamf20 104 14 fi fi NNP cord-016871-1mlamf20 104 15 cation cation NNP cord-016871-1mlamf20 104 16 of of IN cord-016871-1mlamf20 104 17 surgical surgical JJ cord-016871-1mlamf20 104 18 patients patient NNS cord-016871-1mlamf20 104 19 by by IN cord-016871-1mlamf20 104 20 specialty specialty NN cord-016871-1mlamf20 104 21 or or CC cord-016871-1mlamf20 104 22 procedures procedure NNS cord-016871-1mlamf20 104 23 . . . cord-016871-1mlamf20 105 1 One one CD cord-016871-1mlamf20 105 2 surgical surgical JJ cord-016871-1mlamf20 105 3 population population NN cord-016871-1mlamf20 105 4 that that WDT cord-016871-1mlamf20 105 5 has have VBZ cord-016871-1mlamf20 105 6 been be VBN cord-016871-1mlamf20 105 7 studied study VBN cord-016871-1mlamf20 105 8 with with IN cord-016871-1mlamf20 105 9 regards regard NNS cord-016871-1mlamf20 105 10 to to IN cord-016871-1mlamf20 105 11 transfusion transfusion NN cord-016871-1mlamf20 105 12 is be VBZ cord-016871-1mlamf20 105 13 patients patient NNS cord-016871-1mlamf20 105 14 undergoing undergo VBG cord-016871-1mlamf20 105 15 infrarenal infrarenal JJ cord-016871-1mlamf20 105 16 abdominal abdominal JJ cord-016871-1mlamf20 105 17 aortic aortic JJ cord-016871-1mlamf20 105 18 aneurysm aneurysm NN cord-016871-1mlamf20 105 19 surgery surgery NN cord-016871-1mlamf20 105 20 . . . cord-016871-1mlamf20 106 1 A a DT cord-016871-1mlamf20 106 2 meta meta JJ cord-016871-1mlamf20 106 3 - - HYPH cord-016871-1mlamf20 106 4 analysis analysis NN cord-016871-1mlamf20 106 5 of of IN cord-016871-1mlamf20 106 6 randomized randomized JJ cord-016871-1mlamf20 106 7 controlled control VBN cord-016871-1mlamf20 106 8 trials trial NNS cord-016871-1mlamf20 106 9 demonstrated demonstrate VBD cord-016871-1mlamf20 106 10 that that IN cord-016871-1mlamf20 106 11 intraoperative intraoperative JJ cord-016871-1mlamf20 106 12 autotransfusion autotransfusion NN cord-016871-1mlamf20 106 13 in in IN cord-016871-1mlamf20 106 14 these these DT cord-016871-1mlamf20 106 15 patients patient NNS cord-016871-1mlamf20 106 16 decreased decrease VBD cord-016871-1mlamf20 106 17 the the DT cord-016871-1mlamf20 106 18 allogeneic allogeneic NN cord-016871-1mlamf20 106 19 blood blood NN cord-016871-1mlamf20 106 20 transfusion transfusion NN cord-016871-1mlamf20 106 21 requirement requirement NN cord-016871-1mlamf20 106 22 [ [ -LRB- cord-016871-1mlamf20 106 23 26 26 CD cord-016871-1mlamf20 106 24 ] ] -RRB- cord-016871-1mlamf20 106 25 . . . cord-016871-1mlamf20 107 1 High high JJ cord-016871-1mlamf20 107 2 quality quality NN cord-016871-1mlamf20 107 3 evidence evidence NN cord-016871-1mlamf20 107 4 , , , cord-016871-1mlamf20 107 5 notably notably RB cord-016871-1mlamf20 107 6 Hébert Hébert NNP cord-016871-1mlamf20 107 7 et et NNP cord-016871-1mlamf20 107 8 al al NNP cord-016871-1mlamf20 107 9 . . NNP cord-016871-1mlamf20 107 10 's 's POS cord-016871-1mlamf20 107 11 , , , cord-016871-1mlamf20 107 12 exists exist VBZ cord-016871-1mlamf20 107 13 to to TO cord-016871-1mlamf20 107 14 support support VB cord-016871-1mlamf20 107 15 conservative conservative JJ cord-016871-1mlamf20 107 16 triggers trigger NNS cord-016871-1mlamf20 107 17 for for IN cord-016871-1mlamf20 107 18 RBC RBC NNP cord-016871-1mlamf20 107 19 transfusion transfusion NN cord-016871-1mlamf20 107 20 in in IN cord-016871-1mlamf20 107 21 critically critically RB cord-016871-1mlamf20 107 22 ill ill JJ cord-016871-1mlamf20 107 23 patients patient NNS cord-016871-1mlamf20 107 24 [ [ -LRB- cord-016871-1mlamf20 107 25 27 27 CD cord-016871-1mlamf20 107 26 ] ] -RRB- cord-016871-1mlamf20 107 27 . . . cord-016871-1mlamf20 108 1 This this DT cord-016871-1mlamf20 108 2 multicenter multicenter NN cord-016871-1mlamf20 108 3 randomized randomize VBN cord-016871-1mlamf20 108 4 , , , cord-016871-1mlamf20 108 5 controlled control VBN cord-016871-1mlamf20 108 6 , , , cord-016871-1mlamf20 108 7 clinical clinical JJ cord-016871-1mlamf20 108 8 trial trial NN cord-016871-1mlamf20 108 9 of of IN cord-016871-1mlamf20 108 10 838 838 CD cord-016871-1mlamf20 108 11 critically critically RB cord-016871-1mlamf20 108 12 ill ill JJ cord-016871-1mlamf20 108 13 patients patient NNS cord-016871-1mlamf20 108 14 compared compare VBD cord-016871-1mlamf20 108 15 the the DT cord-016871-1mlamf20 108 16 outcomes outcome NNS cord-016871-1mlamf20 108 17 of of IN cord-016871-1mlamf20 108 18 patients patient NNS cord-016871-1mlamf20 108 19 who who WP cord-016871-1mlamf20 108 20 were be VBD cord-016871-1mlamf20 108 21 transfused transfuse VBN cord-016871-1mlamf20 108 22 at at IN cord-016871-1mlamf20 108 23 hemoglobin hemoglobin NN cord-016871-1mlamf20 108 24 levels level NNS cord-016871-1mlamf20 108 25 of of IN cord-016871-1mlamf20 108 26 less less JJR cord-016871-1mlamf20 108 27 than than IN cord-016871-1mlamf20 108 28 7.0 7.0 CD cord-016871-1mlamf20 108 29 g g NN cord-016871-1mlamf20 108 30 / / SYM cord-016871-1mlamf20 108 31 dL dl NN cord-016871-1mlamf20 108 32 and and CC cord-016871-1mlamf20 108 33 those those DT cord-016871-1mlamf20 108 34 who who WP cord-016871-1mlamf20 108 35 were be VBD cord-016871-1mlamf20 108 36 transfused transfuse VBN cord-016871-1mlamf20 108 37 at at IN cord-016871-1mlamf20 108 38 hemoglobin hemoglobin NN cord-016871-1mlamf20 108 39 levels level NNS cord-016871-1mlamf20 108 40 below below IN cord-016871-1mlamf20 108 41 10.0 10.0 CD cord-016871-1mlamf20 108 42 g g NN cord-016871-1mlamf20 108 43 / / SYM cord-016871-1mlamf20 108 44 dL. dL. NNP cord-016871-1mlamf20 109 1 Their -PRON- PRP$ cord-016871-1mlamf20 109 2 study study NN cord-016871-1mlamf20 109 3 ultimately ultimately RB cord-016871-1mlamf20 109 4 found find VBD cord-016871-1mlamf20 109 5 that that IN cord-016871-1mlamf20 109 6 the the DT cord-016871-1mlamf20 109 7 more more RBR cord-016871-1mlamf20 109 8 restrictive restrictive JJ cord-016871-1mlamf20 109 9 trigger trigger NN cord-016871-1mlamf20 109 10 of of IN cord-016871-1mlamf20 109 11 7.0 7.0 CD cord-016871-1mlamf20 109 12 g g NN cord-016871-1mlamf20 109 13 / / SYM cord-016871-1mlamf20 109 14 dL dL NNP cord-016871-1mlamf20 109 15 was be VBD cord-016871-1mlamf20 109 16 superior superior JJ cord-016871-1mlamf20 109 17 to to IN cord-016871-1mlamf20 109 18 the the DT cord-016871-1mlamf20 109 19 liberal liberal JJ cord-016871-1mlamf20 109 20 one one NN cord-016871-1mlamf20 109 21 and and CC cord-016871-1mlamf20 109 22 patients patient NNS cord-016871-1mlamf20 109 23 experienced experience VBD cord-016871-1mlamf20 109 24 improved improve VBN cord-016871-1mlamf20 109 25 30-day 30-day CD cord-016871-1mlamf20 109 26 survival survival NN cord-016871-1mlamf20 109 27 rates rate NNS cord-016871-1mlamf20 109 28 . . . cord-016871-1mlamf20 110 1 Of of IN cord-016871-1mlamf20 110 2 note note NN cord-016871-1mlamf20 110 3 , , , cord-016871-1mlamf20 110 4 of of IN cord-016871-1mlamf20 110 5 the the DT cord-016871-1mlamf20 110 6 various various JJ cord-016871-1mlamf20 110 7 patient patient JJ cord-016871-1mlamf20 110 8 populations population NNS cord-016871-1mlamf20 110 9 studied study VBD cord-016871-1mlamf20 110 10 , , , cord-016871-1mlamf20 110 11 this this DT cord-016871-1mlamf20 110 12 improvement improvement NN cord-016871-1mlamf20 110 13 was be VBD cord-016871-1mlamf20 110 14 not not RB cord-016871-1mlamf20 110 15 found find VBN cord-016871-1mlamf20 110 16 to to TO cord-016871-1mlamf20 110 17 be be VB cord-016871-1mlamf20 110 18 signi signi NNP cord-016871-1mlamf20 110 19 fi fi NNP cord-016871-1mlamf20 110 20 ca can MD cord-016871-1mlamf20 110 21 nt not RB cord-016871-1mlamf20 110 22 in in IN cord-016871-1mlamf20 110 23 patients patient NNS cord-016871-1mlamf20 110 24 with with IN cord-016871-1mlamf20 110 25 acute acute JJ cord-016871-1mlamf20 110 26 myocardial myocardial JJ cord-016871-1mlamf20 110 27 infarction infarction NN cord-016871-1mlamf20 110 28 and and CC cord-016871-1mlamf20 110 29 unstable unstable JJ cord-016871-1mlamf20 110 30 angina angina NN cord-016871-1mlamf20 110 31 [ [ -LRB- cord-016871-1mlamf20 110 32 27 27 CD cord-016871-1mlamf20 110 33 ] ] -RRB- cord-016871-1mlamf20 110 34 . . . cord-016871-1mlamf20 111 1 It -PRON- PRP cord-016871-1mlamf20 111 2 is be VBZ cord-016871-1mlamf20 111 3 important important JJ cord-016871-1mlamf20 111 4 to to TO cord-016871-1mlamf20 111 5 be be VB cord-016871-1mlamf20 111 6 mindful mindful JJ cord-016871-1mlamf20 111 7 of of IN cord-016871-1mlamf20 111 8 false false JJ cord-016871-1mlamf20 111 9 triggers trigger NNS cord-016871-1mlamf20 111 10 for for IN cord-016871-1mlamf20 111 11 transfusion transfusion NN cord-016871-1mlamf20 111 12 , , , cord-016871-1mlamf20 111 13 such such JJ cord-016871-1mlamf20 111 14 as as IN cord-016871-1mlamf20 111 15 anemia anemia NN cord-016871-1mlamf20 111 16 due due IN cord-016871-1mlamf20 111 17 to to IN cord-016871-1mlamf20 111 18 hemodilution hemodilution NNP cord-016871-1mlamf20 111 19 , , , cord-016871-1mlamf20 111 20 commonly commonly RB cord-016871-1mlamf20 111 21 seen see VBN cord-016871-1mlamf20 111 22 in in IN cord-016871-1mlamf20 111 23 patients patient NNS cord-016871-1mlamf20 111 24 receiving receive VBG cord-016871-1mlamf20 111 25 fl fl JJ cord-016871-1mlamf20 111 26 uids uid NNS cord-016871-1mlamf20 111 27 during during IN cord-016871-1mlamf20 111 28 prolonged prolong VBN cord-016871-1mlamf20 111 29 hospital hospital NN cord-016871-1mlamf20 111 30 stays stay NNS cord-016871-1mlamf20 111 31 . . . cord-016871-1mlamf20 112 1 A a DT cord-016871-1mlamf20 112 2 peripheral peripheral JJ cord-016871-1mlamf20 112 3 hematocrit hematocrit NN cord-016871-1mlamf20 112 4 is be VBZ cord-016871-1mlamf20 112 5 not not RB cord-016871-1mlamf20 112 6 enough enough JJ cord-016871-1mlamf20 112 7 to to TO cord-016871-1mlamf20 112 8 determine determine VB cord-016871-1mlamf20 112 9 the the DT cord-016871-1mlamf20 112 10 patient patient NN cord-016871-1mlamf20 112 11 's 's POS cord-016871-1mlamf20 112 12 red red JJ cord-016871-1mlamf20 112 13 blood blood NN cord-016871-1mlamf20 112 14 cell cell NN cord-016871-1mlamf20 112 15 levels level NNS cord-016871-1mlamf20 112 16 , , , cord-016871-1mlamf20 112 17 and and CC cord-016871-1mlamf20 112 18 calculations calculation NNS cord-016871-1mlamf20 112 19 of of IN cord-016871-1mlamf20 112 20 total total JJ cord-016871-1mlamf20 112 21 blood blood NN cord-016871-1mlamf20 112 22 volume volume NN cord-016871-1mlamf20 112 23 , , , cord-016871-1mlamf20 112 24 red red JJ cord-016871-1mlamf20 112 25 blood blood NN cord-016871-1mlamf20 112 26 cell cell NN cord-016871-1mlamf20 112 27 volumes volume NNS cord-016871-1mlamf20 112 28 , , , cord-016871-1mlamf20 112 29 and and CC cord-016871-1mlamf20 112 30 normalized normalize VBN cord-016871-1mlamf20 112 31 hematocrit hematocrit NN cord-016871-1mlamf20 112 32 are be VBP cord-016871-1mlamf20 112 33 necessary necessary JJ cord-016871-1mlamf20 112 34 [ [ -LRB- cord-016871-1mlamf20 112 35 28 28 CD cord-016871-1mlamf20 112 36 ] ] -RRB- cord-016871-1mlamf20 112 37 . . . cord-016871-1mlamf20 113 1 Van Van NNP cord-016871-1mlamf20 113 2 et et NNP cord-016871-1mlamf20 113 3 al al NNP cord-016871-1mlamf20 113 4 . . . cord-016871-1mlamf20 114 1 report report VB cord-016871-1mlamf20 114 2 that that IN cord-016871-1mlamf20 114 3 relying rely VBG cord-016871-1mlamf20 114 4 on on IN cord-016871-1mlamf20 114 5 peripheral peripheral JJ cord-016871-1mlamf20 114 6 hematocrit hematocrit NN cord-016871-1mlamf20 114 7 alone alone RB cord-016871-1mlamf20 114 8 resulted result VBD cord-016871-1mlamf20 114 9 in in IN cord-016871-1mlamf20 114 10 overdiagnosis overdiagnosis NN cord-016871-1mlamf20 114 11 of of IN cord-016871-1mlamf20 114 12 anemia anemia NN cord-016871-1mlamf20 114 13 in in IN cord-016871-1mlamf20 114 14 23.8 23.8 CD cord-016871-1mlamf20 114 15 % % NN cord-016871-1mlamf20 114 16 of of IN cord-016871-1mlamf20 114 17 analyses analysis NNS cord-016871-1mlamf20 114 18 , , , cord-016871-1mlamf20 114 19 and and CC cord-016871-1mlamf20 114 20 this this DT cord-016871-1mlamf20 114 21 fi fi NN cord-016871-1mlamf20 114 22 nding nding NN cord-016871-1mlamf20 114 23 can can MD cord-016871-1mlamf20 114 24 lead lead VB cord-016871-1mlamf20 114 25 to to IN cord-016871-1mlamf20 114 26 unnecessary unnecessary JJ cord-016871-1mlamf20 114 27 transfusions transfusion NNS cord-016871-1mlamf20 114 28 . . . cord-016871-1mlamf20 115 1 Blood blood NN cord-016871-1mlamf20 115 2 Volume volume NN cord-016871-1mlamf20 115 3 Analyzers analyzer NNS cord-016871-1mlamf20 115 4 are be VBP cord-016871-1mlamf20 115 5 one one CD cord-016871-1mlamf20 115 6 option option NN cord-016871-1mlamf20 115 7 that that WDT cord-016871-1mlamf20 115 8 has have VBZ cord-016871-1mlamf20 115 9 been be VBN cord-016871-1mlamf20 115 10 shown show VBN cord-016871-1mlamf20 115 11 to to TO cord-016871-1mlamf20 115 12 separate separate JJ cord-016871-1mlamf20 115 13 anemia anemia NN cord-016871-1mlamf20 115 14 due due IN cord-016871-1mlamf20 115 15 to to IN cord-016871-1mlamf20 115 16 hemodilution hemodilution NN cord-016871-1mlamf20 115 17 compared compare VBN cord-016871-1mlamf20 115 18 to to IN cord-016871-1mlamf20 115 19 other other JJ cord-016871-1mlamf20 115 20 sources source NNS cord-016871-1mlamf20 115 21 such such JJ cord-016871-1mlamf20 115 22 as as IN cord-016871-1mlamf20 115 23 surgical surgical JJ cord-016871-1mlamf20 115 24 bleeding bleed VBG cord-016871-1mlamf20 115 25 [ [ -LRB- cord-016871-1mlamf20 115 26 28 28 CD cord-016871-1mlamf20 115 27 ] ] -RRB- cord-016871-1mlamf20 115 28 . . . cord-016871-1mlamf20 116 1 In in IN cord-016871-1mlamf20 116 2 patients patient NNS cord-016871-1mlamf20 116 3 with with IN cord-016871-1mlamf20 116 4 prolonged prolonged JJ cord-016871-1mlamf20 116 5 hospital hospital NN cord-016871-1mlamf20 116 6 stays stay NNS cord-016871-1mlamf20 116 7 and and CC cord-016871-1mlamf20 116 8 critically critically RB cord-016871-1mlamf20 116 9 ill ill JJ cord-016871-1mlamf20 116 10 patients patient NNS cord-016871-1mlamf20 116 11 , , , cord-016871-1mlamf20 116 12 it -PRON- PRP cord-016871-1mlamf20 116 13 is be VBZ cord-016871-1mlamf20 116 14 important important JJ cord-016871-1mlamf20 116 15 to to TO cord-016871-1mlamf20 116 16 keep keep VB cord-016871-1mlamf20 116 17 in in IN cord-016871-1mlamf20 116 18 mind mind NN cord-016871-1mlamf20 116 19 anemia anemia NN cord-016871-1mlamf20 116 20 due due IN cord-016871-1mlamf20 116 21 to to IN cord-016871-1mlamf20 116 22 phlebotomy phlebotomy NN cord-016871-1mlamf20 116 23 for for IN cord-016871-1mlamf20 116 24 various various JJ cord-016871-1mlamf20 116 25 laboratory laboratory NN cord-016871-1mlamf20 116 26 testing testing NN cord-016871-1mlamf20 116 27 and and CC cord-016871-1mlamf20 116 28 other other JJ cord-016871-1mlamf20 116 29 needs need NNS cord-016871-1mlamf20 116 30 [ [ -LRB- cord-016871-1mlamf20 116 31 23 23 CD cord-016871-1mlamf20 116 32 ] ] -RRB- cord-016871-1mlamf20 116 33 . . . cord-016871-1mlamf20 117 1 Between between IN cord-016871-1mlamf20 117 2 40 40 CD cord-016871-1mlamf20 117 3 and and CC cord-016871-1mlamf20 117 4 240 240 CD cord-016871-1mlamf20 117 5 ml ml NNS cord-016871-1mlamf20 117 6 of of IN cord-016871-1mlamf20 117 7 blood blood NN cord-016871-1mlamf20 117 8 per per IN cord-016871-1mlamf20 117 9 day day NN cord-016871-1mlamf20 117 10 is be VBZ cord-016871-1mlamf20 117 11 collected collect VBN cord-016871-1mlamf20 117 12 from from IN cord-016871-1mlamf20 117 13 ICU ICU NNP cord-016871-1mlamf20 117 14 patients patient NNS cord-016871-1mlamf20 117 15 , , , cord-016871-1mlamf20 117 16 with with IN cord-016871-1mlamf20 117 17 surgical surgical JJ cord-016871-1mlamf20 117 18 patients patient NNS cord-016871-1mlamf20 117 19 generally generally RB cord-016871-1mlamf20 117 20 on on IN cord-016871-1mlamf20 117 21 the the DT cord-016871-1mlamf20 117 22 higher high JJR cord-016871-1mlamf20 117 23 end end NN cord-016871-1mlamf20 117 24 . . . cord-016871-1mlamf20 118 1 Hence hence RB cord-016871-1mlamf20 118 2 , , , cord-016871-1mlamf20 118 3 the the DT cord-016871-1mlamf20 118 4 conservation conservation NN cord-016871-1mlamf20 118 5 of of IN cord-016871-1mlamf20 118 6 blood blood NN cord-016871-1mlamf20 118 7 and and CC cord-016871-1mlamf20 118 8 reducing reduce VBG cord-016871-1mlamf20 118 9 unnecessary unnecessary JJ cord-016871-1mlamf20 118 10 blood blood NN cord-016871-1mlamf20 118 11 draws draw NNS cord-016871-1mlamf20 118 12 is be VBZ cord-016871-1mlamf20 118 13 key key JJ cord-016871-1mlamf20 118 14 to to IN cord-016871-1mlamf20 118 15 preventing prevent VBG cord-016871-1mlamf20 118 16 a a DT cord-016871-1mlamf20 118 17 need need NN cord-016871-1mlamf20 118 18 for for IN cord-016871-1mlamf20 118 19 pRBC prbc JJ cord-016871-1mlamf20 118 20 transfusions transfusion NNS cord-016871-1mlamf20 118 21 . . . cord-016871-1mlamf20 119 1 Because because IN cord-016871-1mlamf20 119 2 RBC RBC NNP cord-016871-1mlamf20 119 3 transfusions transfusion NNS cord-016871-1mlamf20 119 4 are be VBP cord-016871-1mlamf20 119 5 associated associate VBN cord-016871-1mlamf20 119 6 with with IN cord-016871-1mlamf20 119 7 certain certain JJ cord-016871-1mlamf20 119 8 risks risk NNS cord-016871-1mlamf20 119 9 that that WDT cord-016871-1mlamf20 119 10 are be VBP cord-016871-1mlamf20 119 11 discussed discuss VBN cord-016871-1mlamf20 119 12 in in IN cord-016871-1mlamf20 119 13 a a DT cord-016871-1mlamf20 119 14 later later JJ cord-016871-1mlamf20 119 15 section section NN cord-016871-1mlamf20 119 16 , , , cord-016871-1mlamf20 119 17 it -PRON- PRP cord-016871-1mlamf20 119 18 is be VBZ cord-016871-1mlamf20 119 19 important important JJ cord-016871-1mlamf20 119 20 to to TO cord-016871-1mlamf20 119 21 also also RB cord-016871-1mlamf20 119 22 consider consider VB cord-016871-1mlamf20 119 23 possible possible JJ cord-016871-1mlamf20 119 24 alternatives alternative NNS cord-016871-1mlamf20 119 25 or or CC cord-016871-1mlamf20 119 26 treatments treatment NNS cord-016871-1mlamf20 119 27 that that WDT cord-016871-1mlamf20 119 28 reduce reduce VBP cord-016871-1mlamf20 119 29 transfusion transfusion NN cord-016871-1mlamf20 119 30 requirements requirement NNS cord-016871-1mlamf20 119 31 , , , cord-016871-1mlamf20 119 32 such such JJ cord-016871-1mlamf20 119 33 as as IN cord-016871-1mlamf20 119 34 epoetin epoetin NNP cord-016871-1mlamf20 119 35 alfa alfa NNP cord-016871-1mlamf20 119 36 . . . cord-016871-1mlamf20 120 1 Silver silver NN cord-016871-1mlamf20 120 2 et et NNP cord-016871-1mlamf20 120 3 al al NNP cord-016871-1mlamf20 120 4 . . . cord-016871-1mlamf20 121 1 's 's POS cord-016871-1mlamf20 122 1 randomized randomized JJ cord-016871-1mlamf20 122 2 , , , cord-016871-1mlamf20 122 3 double double JJ cord-016871-1mlamf20 122 4 - - HYPH cord-016871-1mlamf20 122 5 blind blind JJ cord-016871-1mlamf20 122 6 , , , cord-016871-1mlamf20 122 7 placebo placebo NN cord-016871-1mlamf20 122 8 - - HYPH cord-016871-1mlamf20 122 9 controlled control VBN cord-016871-1mlamf20 122 10 trial trial NN cord-016871-1mlamf20 122 11 investigated investigate VBD cord-016871-1mlamf20 122 12 the the DT cord-016871-1mlamf20 122 13 role role NN cord-016871-1mlamf20 122 14 of of IN cord-016871-1mlamf20 122 15 epoetin epoetin NNP cord-016871-1mlamf20 122 16 alfa alfa NNP cord-016871-1mlamf20 122 17 , , , cord-016871-1mlamf20 122 18 a a DT cord-016871-1mlamf20 122 19 recombinant recombinant JJ cord-016871-1mlamf20 122 20 erythropoietin erythropoietin NN cord-016871-1mlamf20 122 21 , , , cord-016871-1mlamf20 122 22 in in IN cord-016871-1mlamf20 122 23 reducing reduce VBG cord-016871-1mlamf20 122 24 the the DT cord-016871-1mlamf20 122 25 RBC RBC NNP cord-016871-1mlamf20 122 26 transfusion transfusion NN cord-016871-1mlamf20 122 27 requirement requirement NN cord-016871-1mlamf20 122 28 of of IN cord-016871-1mlamf20 122 29 long long JJ cord-016871-1mlamf20 122 30 - - HYPH cord-016871-1mlamf20 122 31 term term NN cord-016871-1mlamf20 122 32 acute acute JJ cord-016871-1mlamf20 122 33 care care NN cord-016871-1mlamf20 122 34 patients patient NNS cord-016871-1mlamf20 122 35 , , , cord-016871-1mlamf20 122 36 thereby thereby RB cord-016871-1mlamf20 122 37 reducing reduce VBG cord-016871-1mlamf20 122 38 risks risk NNS cord-016871-1mlamf20 122 39 associated associate VBN cord-016871-1mlamf20 122 40 with with IN cord-016871-1mlamf20 122 41 transfusions transfusion NNS cord-016871-1mlamf20 122 42 [ [ -LRB- cord-016871-1mlamf20 122 43 29 29 CD cord-016871-1mlamf20 122 44 ] ] -RRB- cord-016871-1mlamf20 122 45 . . . cord-016871-1mlamf20 123 1 Their -PRON- PRP$ cord-016871-1mlamf20 123 2 fi fi NN cord-016871-1mlamf20 123 3 ndings nding NNS cord-016871-1mlamf20 123 4 showed show VBD cord-016871-1mlamf20 123 5 that that IN cord-016871-1mlamf20 123 6 treatment treatment NN cord-016871-1mlamf20 123 7 with with IN cord-016871-1mlamf20 123 8 epoetin epoetin NNP cord-016871-1mlamf20 123 9 alfa alfa NNP cord-016871-1mlamf20 123 10 signi signi NNP cord-016871-1mlamf20 123 11 fi fi NNP cord-016871-1mlamf20 123 12 cantly cantly RB cord-016871-1mlamf20 123 13 increased increase VBN cord-016871-1mlamf20 123 14 hemoglobin hemoglobin NN cord-016871-1mlamf20 123 15 concentration concentration NN cord-016871-1mlamf20 123 16 and and CC cord-016871-1mlamf20 123 17 the the DT cord-016871-1mlamf20 123 18 odds odd NNS cord-016871-1mlamf20 123 19 ratio ratio NN cord-016871-1mlamf20 123 20 for for IN cord-016871-1mlamf20 123 21 receiving receive VBG cord-016871-1mlamf20 123 22 an an DT cord-016871-1mlamf20 123 23 RBC RBC NNP cord-016871-1mlamf20 123 24 transfusion transfusion NN cord-016871-1mlamf20 123 25 compared compare VBN cord-016871-1mlamf20 123 26 to to IN cord-016871-1mlamf20 123 27 patients patient NNS cord-016871-1mlamf20 123 28 on on IN cord-016871-1mlamf20 123 29 the the DT cord-016871-1mlamf20 123 30 placebo placebo NN cord-016871-1mlamf20 123 31 arm arm NN cord-016871-1mlamf20 123 32 was be VBD cord-016871-1mlamf20 123 33 0.28 0.28 CD cord-016871-1mlamf20 123 34 [ [ -LRB- cord-016871-1mlamf20 123 35 29 29 CD cord-016871-1mlamf20 123 36 ] ] -RRB- cord-016871-1mlamf20 123 37 . . . cord-016871-1mlamf20 124 1 Additionally additionally RB cord-016871-1mlamf20 124 2 , , , cord-016871-1mlamf20 124 3 Vincent Vincent NNP cord-016871-1mlamf20 124 4 et et NNP cord-016871-1mlamf20 124 5 al al NNP cord-016871-1mlamf20 124 6 . . . cord-016871-1mlamf20 125 1 's 's POS cord-016871-1mlamf20 125 2 randomized randomized JJ cord-016871-1mlamf20 125 3 , , , cord-016871-1mlamf20 125 4 double double JJ cord-016871-1mlamf20 125 5 - - HYPH cord-016871-1mlamf20 125 6 blind blind JJ cord-016871-1mlamf20 125 7 , , , cord-016871-1mlamf20 125 8 placebo placebo NN cord-016871-1mlamf20 125 9 - - HYPH cord-016871-1mlamf20 125 10 controlled control VBN cord-016871-1mlamf20 125 11 study study NN cord-016871-1mlamf20 125 12 demonstrated demonstrate VBD cord-016871-1mlamf20 125 13 that that IN cord-016871-1mlamf20 125 14 a a DT cord-016871-1mlamf20 125 15 once once RB cord-016871-1mlamf20 125 16 weekly weekly JJ cord-016871-1mlamf20 125 17 dose dose NN cord-016871-1mlamf20 125 18 of of IN cord-016871-1mlamf20 125 19 epoetin epoetin NNP cord-016871-1mlamf20 125 20 alfa alfa NNP cord-016871-1mlamf20 125 21 augmented augment VBD cord-016871-1mlamf20 125 22 the the DT cord-016871-1mlamf20 125 23 erythropoietin erythropoietin NN cord-016871-1mlamf20 125 24 response response NN cord-016871-1mlamf20 125 25 [ [ -LRB- cord-016871-1mlamf20 125 26 30 30 CD cord-016871-1mlamf20 125 27 ] ] -RRB- cord-016871-1mlamf20 125 28 . . . cord-016871-1mlamf20 126 1 Knight Knight NNP cord-016871-1mlamf20 126 2 et et NNP cord-016871-1mlamf20 126 3 al al NNP cord-016871-1mlamf20 126 4 . . NNP cord-016871-1mlamf20 126 5 's 's POS cord-016871-1mlamf20 126 6 review review NN cord-016871-1mlamf20 126 7 found find VBD cord-016871-1mlamf20 126 8 that that IN cord-016871-1mlamf20 126 9 patients patient NNS cord-016871-1mlamf20 126 10 with with IN cord-016871-1mlamf20 126 11 cancers cancer NNS cord-016871-1mlamf20 126 12 of of IN cord-016871-1mlamf20 126 13 various various JJ cord-016871-1mlamf20 126 14 organs organ NNS cord-016871-1mlamf20 126 15 who who WP cord-016871-1mlamf20 126 16 did do VBD cord-016871-1mlamf20 126 17 not not RB cord-016871-1mlamf20 126 18 have have VB cord-016871-1mlamf20 126 19 anemia anemia NN cord-016871-1mlamf20 126 20 , , , cord-016871-1mlamf20 126 21 most most RBS cord-016871-1mlamf20 126 22 due due JJ cord-016871-1mlamf20 126 23 to to IN cord-016871-1mlamf20 126 24 correction correction NN cord-016871-1mlamf20 126 25 with with IN cord-016871-1mlamf20 126 26 epoetin epoetin NNP cord-016871-1mlamf20 126 27 alfa alfa NNP cord-016871-1mlamf20 126 28 , , , cord-016871-1mlamf20 126 29 required require VBD cord-016871-1mlamf20 126 30 less less JJR cord-016871-1mlamf20 126 31 transfusions transfusion NNS cord-016871-1mlamf20 126 32 and and CC cord-016871-1mlamf20 126 33 experienced experience VBD cord-016871-1mlamf20 126 34 more more JJR cord-016871-1mlamf20 126 35 quality quality NN cord-016871-1mlamf20 126 36 of of IN cord-016871-1mlamf20 126 37 life life NN cord-016871-1mlamf20 126 38 [ [ -LRB- cord-016871-1mlamf20 126 39 31 31 CD cord-016871-1mlamf20 126 40 ] ] -RRB- cord-016871-1mlamf20 126 41 . . . cord-016871-1mlamf20 127 1 However however RB cord-016871-1mlamf20 127 2 , , , cord-016871-1mlamf20 127 3 epoetin epoetin NNP cord-016871-1mlamf20 127 4 alfa alfa NNP cord-016871-1mlamf20 127 5 is be VBZ cord-016871-1mlamf20 127 6 limited limit VBN cord-016871-1mlamf20 127 7 by by IN cord-016871-1mlamf20 127 8 its -PRON- PRP$ cord-016871-1mlamf20 127 9 delayed delay VBN cord-016871-1mlamf20 127 10 onset onset NN cord-016871-1mlamf20 127 11 at at IN cord-016871-1mlamf20 127 12 5 5 CD cord-016871-1mlamf20 127 13 - - SYM cord-016871-1mlamf20 127 14 7 7 CD cord-016871-1mlamf20 127 15 days day NNS cord-016871-1mlamf20 127 16 . . . cord-016871-1mlamf20 128 1 As as IN cord-016871-1mlamf20 128 2 for for IN cord-016871-1mlamf20 128 3 its -PRON- PRP$ cord-016871-1mlamf20 128 4 effects effect NNS cord-016871-1mlamf20 128 5 on on IN cord-016871-1mlamf20 128 6 mortality mortality NN cord-016871-1mlamf20 128 7 , , , cord-016871-1mlamf20 128 8 Corwin Corwin NNP cord-016871-1mlamf20 128 9 et et NNP cord-016871-1mlamf20 128 10 al al NNP cord-016871-1mlamf20 128 11 . . NNP cord-016871-1mlamf20 128 12 conducted conduct VBD cord-016871-1mlamf20 128 13 a a DT cord-016871-1mlamf20 128 14 prospective prospective NN cord-016871-1mlamf20 128 15 , , , cord-016871-1mlamf20 128 16 randomized randomized JJ cord-016871-1mlamf20 128 17 , , , cord-016871-1mlamf20 128 18 placebo placebo NN cord-016871-1mlamf20 128 19 - - HYPH cord-016871-1mlamf20 128 20 controlled control VBN cord-016871-1mlamf20 128 21 trial trial NN cord-016871-1mlamf20 128 22 of of IN cord-016871-1mlamf20 128 23 1,460 1,460 CD cord-016871-1mlamf20 128 24 medical medical JJ cord-016871-1mlamf20 128 25 , , , cord-016871-1mlamf20 128 26 surgical surgical JJ cord-016871-1mlamf20 128 27 , , , cord-016871-1mlamf20 128 28 or or CC cord-016871-1mlamf20 128 29 trauma trauma NN cord-016871-1mlamf20 128 30 patients patient NNS cord-016871-1mlamf20 128 31 [ [ -LRB- cord-016871-1mlamf20 128 32 32 32 CD cord-016871-1mlamf20 128 33 ] ] -RRB- cord-016871-1mlamf20 128 34 . . . cord-016871-1mlamf20 129 1 Weekly weekly JJ cord-016871-1mlamf20 129 2 injections injection NNS cord-016871-1mlamf20 129 3 of of IN cord-016871-1mlamf20 129 4 epoetin epoetin NNP cord-016871-1mlamf20 129 5 alfa alfa NNP cord-016871-1mlamf20 129 6 were be VBD cord-016871-1mlamf20 129 7 shown show VBN cord-016871-1mlamf20 129 8 to to TO cord-016871-1mlamf20 129 9 decrease decrease VB cord-016871-1mlamf20 129 10 mortality mortality NN cord-016871-1mlamf20 129 11 at at IN cord-016871-1mlamf20 129 12 day day NN cord-016871-1mlamf20 129 13 29 29 CD cord-016871-1mlamf20 129 14 and and CC cord-016871-1mlamf20 129 15 day day NN cord-016871-1mlamf20 129 16 140 140 CD cord-016871-1mlamf20 129 17 , , , cord-016871-1mlamf20 129 18 especially especially RB cord-016871-1mlamf20 129 19 in in IN cord-016871-1mlamf20 129 20 trauma trauma NN cord-016871-1mlamf20 129 21 patients patient NNS cord-016871-1mlamf20 129 22 compared compare VBN cord-016871-1mlamf20 129 23 to to IN cord-016871-1mlamf20 129 24 placebo placebo NN cord-016871-1mlamf20 129 25 . . . cord-016871-1mlamf20 130 1 However however RB cord-016871-1mlamf20 130 2 , , , cord-016871-1mlamf20 130 3 epoetin epoetin NNP cord-016871-1mlamf20 130 4 alfa alfa NNP cord-016871-1mlamf20 130 5 was be VBD cord-016871-1mlamf20 130 6 associated associate VBN cord-016871-1mlamf20 130 7 with with IN cord-016871-1mlamf20 130 8 an an DT cord-016871-1mlamf20 130 9 increase increase NN cord-016871-1mlamf20 130 10 in in IN cord-016871-1mlamf20 130 11 thrombotic thrombotic JJ cord-016871-1mlamf20 130 12 events event NNS cord-016871-1mlamf20 130 13 , , , cord-016871-1mlamf20 130 14 and and CC cord-016871-1mlamf20 130 15 did do VBD cord-016871-1mlamf20 130 16 not not RB cord-016871-1mlamf20 130 17 affect affect VB cord-016871-1mlamf20 130 18 the the DT cord-016871-1mlamf20 130 19 number number NN cord-016871-1mlamf20 130 20 of of IN cord-016871-1mlamf20 130 21 patients patient NNS cord-016871-1mlamf20 130 22 who who WP cord-016871-1mlamf20 130 23 received receive VBD cord-016871-1mlamf20 130 24 a a DT cord-016871-1mlamf20 130 25 transfusion transfusion NN cord-016871-1mlamf20 130 26 of of IN cord-016871-1mlamf20 130 27 RBCs rbc NNS cord-016871-1mlamf20 130 28 [ [ -LRB- cord-016871-1mlamf20 130 29 32 32 CD cord-016871-1mlamf20 130 30 ] ] -RRB- cord-016871-1mlamf20 130 31 . . . cord-016871-1mlamf20 131 1 Iron iron NN cord-016871-1mlamf20 131 2 sucrose sucrose NN cord-016871-1mlamf20 131 3 has have VBZ cord-016871-1mlamf20 131 4 also also RB cord-016871-1mlamf20 131 5 been be VBN cord-016871-1mlamf20 131 6 investigated investigate VBN cord-016871-1mlamf20 131 7 as as IN cord-016871-1mlamf20 131 8 a a DT cord-016871-1mlamf20 131 9 possible possible JJ cord-016871-1mlamf20 131 10 adjunct adjunct NN cord-016871-1mlamf20 131 11 to to IN cord-016871-1mlamf20 131 12 RBC RBC NNP cord-016871-1mlamf20 131 13 transfusions transfusion NNS cord-016871-1mlamf20 131 14 in in IN cord-016871-1mlamf20 131 15 order order NN cord-016871-1mlamf20 131 16 to to TO cord-016871-1mlamf20 131 17 reduce reduce VB cord-016871-1mlamf20 131 18 transfusion transfusion NN cord-016871-1mlamf20 131 19 requirements requirement NNS cord-016871-1mlamf20 131 20 . . . cord-016871-1mlamf20 132 1 To to TO cord-016871-1mlamf20 132 2 answer answer VB cord-016871-1mlamf20 132 3 this this DT cord-016871-1mlamf20 132 4 question question NN cord-016871-1mlamf20 132 5 in in IN cord-016871-1mlamf20 132 6 colorectal colorectal JJ cord-016871-1mlamf20 132 7 cancer cancer NN cord-016871-1mlamf20 132 8 surgery surgery NN cord-016871-1mlamf20 132 9 patients patient NNS cord-016871-1mlamf20 132 10 , , , cord-016871-1mlamf20 132 11 Edwards Edwards NNP cord-016871-1mlamf20 132 12 et et NNP cord-016871-1mlamf20 132 13 al al NNP cord-016871-1mlamf20 132 14 . . NNP cord-016871-1mlamf20 132 15 conducted conduct VBD cord-016871-1mlamf20 132 16 a a DT cord-016871-1mlamf20 132 17 randomized randomized JJ cord-016871-1mlamf20 132 18 prospective prospective JJ cord-016871-1mlamf20 132 19 blinded blinded JJ cord-016871-1mlamf20 132 20 placebo placebo NN cord-016871-1mlamf20 132 21 - - HYPH cord-016871-1mlamf20 132 22 controlled control VBN cord-016871-1mlamf20 132 23 trial trial NN cord-016871-1mlamf20 132 24 of of IN cord-016871-1mlamf20 132 25 60 60 CD cord-016871-1mlamf20 132 26 patients patient NNS cord-016871-1mlamf20 132 27 [ [ -LRB- cord-016871-1mlamf20 132 28 33 33 CD cord-016871-1mlamf20 132 29 ] ] -RRB- cord-016871-1mlamf20 132 30 . . . cord-016871-1mlamf20 133 1 Patient patient JJ cord-016871-1mlamf20 133 2 outcomes outcome NNS cord-016871-1mlamf20 133 3 , , , cord-016871-1mlamf20 133 4 which which WDT cord-016871-1mlamf20 133 5 were be VBD cord-016871-1mlamf20 133 6 assessed assess VBN cord-016871-1mlamf20 133 7 using use VBG cord-016871-1mlamf20 133 8 change change NN cord-016871-1mlamf20 133 9 in in IN cord-016871-1mlamf20 133 10 hemoglobin hemoglobin NN cord-016871-1mlamf20 133 11 levels level NNS cord-016871-1mlamf20 133 12 , , , cord-016871-1mlamf20 133 13 serum serum NN cord-016871-1mlamf20 133 14 iron iron NN cord-016871-1mlamf20 133 15 markers marker NNS cord-016871-1mlamf20 133 16 , , , cord-016871-1mlamf20 133 17 transfusion transfusion NN cord-016871-1mlamf20 133 18 rate rate NN cord-016871-1mlamf20 133 19 , , , cord-016871-1mlamf20 133 20 length length NN cord-016871-1mlamf20 133 21 of of IN cord-016871-1mlamf20 133 22 hospital hospital NN cord-016871-1mlamf20 133 23 stay stay NN cord-016871-1mlamf20 133 24 and and CC cord-016871-1mlamf20 133 25 perioperative perioperative JJ cord-016871-1mlamf20 133 26 events event NNS cord-016871-1mlamf20 133 27 , , , cord-016871-1mlamf20 133 28 were be VBD cord-016871-1mlamf20 133 29 found find VBN cord-016871-1mlamf20 133 30 to to TO cord-016871-1mlamf20 133 31 be be VB cord-016871-1mlamf20 133 32 unchanged unchanged JJ cord-016871-1mlamf20 133 33 by by IN cord-016871-1mlamf20 133 34 the the DT cord-016871-1mlamf20 133 35 addition addition NN cord-016871-1mlamf20 133 36 of of IN cord-016871-1mlamf20 133 37 600 600 CD cord-016871-1mlamf20 133 38 mg mg NN cord-016871-1mlamf20 133 39 of of IN cord-016871-1mlamf20 133 40 iron iron NN cord-016871-1mlamf20 133 41 sucrose sucrose NN cord-016871-1mlamf20 133 42 [ [ -LRB- cord-016871-1mlamf20 133 43 33 33 CD cord-016871-1mlamf20 133 44 ] ] -RRB- cord-016871-1mlamf20 133 45 . . . cord-016871-1mlamf20 134 1 Plasma plasma NN cord-016871-1mlamf20 134 2 is be VBZ cord-016871-1mlamf20 134 3 an an DT cord-016871-1mlamf20 134 4 acellular acellular JJ cord-016871-1mlamf20 134 5 blood blood NN cord-016871-1mlamf20 134 6 product product NN cord-016871-1mlamf20 134 7 consisting consist VBG cord-016871-1mlamf20 134 8 of of IN cord-016871-1mlamf20 134 9 clotting clotting NN cord-016871-1mlamf20 134 10 factors factor NNS cord-016871-1mlamf20 134 11 involved involve VBN cord-016871-1mlamf20 134 12 in in IN cord-016871-1mlamf20 134 13 coagulation coagulation NN cord-016871-1mlamf20 134 14 and and CC cord-016871-1mlamf20 134 15 fi fi NN cord-016871-1mlamf20 134 16 brinolysis brinolysis NNP cord-016871-1mlamf20 134 17 , , , cord-016871-1mlamf20 134 18 as as RB cord-016871-1mlamf20 134 19 well well RB cord-016871-1mlamf20 134 20 as as IN cord-016871-1mlamf20 134 21 proteins protein NNS cord-016871-1mlamf20 134 22 involved involve VBN cord-016871-1mlamf20 134 23 in in IN cord-016871-1mlamf20 134 24 immune immune JJ cord-016871-1mlamf20 134 25 reactions reaction NNS cord-016871-1mlamf20 134 26 and and CC cord-016871-1mlamf20 134 27 maintenance maintenance VB cord-016871-1mlamf20 134 28 the the DT cord-016871-1mlamf20 134 29 oncotic oncotic JJ cord-016871-1mlamf20 134 30 balance balance NN cord-016871-1mlamf20 134 31 of of IN cord-016871-1mlamf20 134 32 blood blood NN cord-016871-1mlamf20 134 33 . . . cord-016871-1mlamf20 135 1 Plasma plasma NN cord-016871-1mlamf20 135 2 can can MD cord-016871-1mlamf20 135 3 be be VB cord-016871-1mlamf20 135 4 obtained obtain VBN cord-016871-1mlamf20 135 5 from from IN cord-016871-1mlamf20 135 6 separation separation NN cord-016871-1mlamf20 135 7 of of IN cord-016871-1mlamf20 135 8 whole whole JJ cord-016871-1mlamf20 135 9 blood blood NN cord-016871-1mlamf20 135 10 or or CC cord-016871-1mlamf20 135 11 unique unique JJ cord-016871-1mlamf20 135 12 plasma plasma NN cord-016871-1mlamf20 135 13 donations donation NNS cord-016871-1mlamf20 135 14 from from IN cord-016871-1mlamf20 135 15 a a DT cord-016871-1mlamf20 135 16 donor donor NN cord-016871-1mlamf20 135 17 using use VBG cord-016871-1mlamf20 135 18 plasmapheresis plasmapheresis NN cord-016871-1mlamf20 135 19 . . . cord-016871-1mlamf20 136 1 Common common JJ cord-016871-1mlamf20 136 2 indications indication NNS cord-016871-1mlamf20 136 3 for for IN cord-016871-1mlamf20 136 4 plasma plasma NN cord-016871-1mlamf20 136 5 are be VBP cord-016871-1mlamf20 136 6 reversal reversal NN cord-016871-1mlamf20 136 7 of of IN cord-016871-1mlamf20 136 8 warfarin warfarin NN cord-016871-1mlamf20 136 9 - - HYPH cord-016871-1mlamf20 136 10 induced induce VBN cord-016871-1mlamf20 136 11 anticoagulation anticoagulation NN cord-016871-1mlamf20 136 12 , , , cord-016871-1mlamf20 136 13 massive massive JJ cord-016871-1mlamf20 136 14 transfusion transfusion NN cord-016871-1mlamf20 136 15 in in IN cord-016871-1mlamf20 136 16 trauma trauma NN cord-016871-1mlamf20 136 17 and and CC cord-016871-1mlamf20 136 18 surgery surgery NN cord-016871-1mlamf20 136 19 , , , cord-016871-1mlamf20 136 20 procedures procedure NNS cord-016871-1mlamf20 136 21 with with IN cord-016871-1mlamf20 136 22 limited limited JJ cord-016871-1mlamf20 136 23 bleeding bleeding NN cord-016871-1mlamf20 136 24 or or CC cord-016871-1mlamf20 136 25 risk risk NN cord-016871-1mlamf20 136 26 thereof thereof RB cord-016871-1mlamf20 136 27 , , , cord-016871-1mlamf20 136 28 liver liver NN cord-016871-1mlamf20 136 29 disease disease NN cord-016871-1mlamf20 136 30 with with IN cord-016871-1mlamf20 136 31 coagulation coagulation NN cord-016871-1mlamf20 136 32 factor factor NN cord-016871-1mlamf20 136 33 de de FW cord-016871-1mlamf20 136 34 fi fi NNP cord-016871-1mlamf20 136 35 ciencies ciencie NNS cord-016871-1mlamf20 136 36 , , , cord-016871-1mlamf20 136 37 single single JJ cord-016871-1mlamf20 136 38 coagulation coagulation NN cord-016871-1mlamf20 136 39 factor factor NN cord-016871-1mlamf20 136 40 de de FW cord-016871-1mlamf20 136 41 fi fi NNP cord-016871-1mlamf20 136 42 ciency ciency NN cord-016871-1mlamf20 136 43 , , , cord-016871-1mlamf20 136 44 and and CC cord-016871-1mlamf20 136 45 thrombotic thrombotic JJ cord-016871-1mlamf20 136 46 thrombocytopenic thrombocytopenic JJ cord-016871-1mlamf20 136 47 purpura purpura NN cord-016871-1mlamf20 136 48 ( ( -LRB- cord-016871-1mlamf20 136 49 TTP TTP NNP cord-016871-1mlamf20 136 50 ) ) -RRB- cord-016871-1mlamf20 137 1 [ [ -LRB- cord-016871-1mlamf20 137 2 34 34 CD cord-016871-1mlamf20 137 3 ] ] -RRB- cord-016871-1mlamf20 137 4 . . . cord-016871-1mlamf20 138 1 Historically historically RB cord-016871-1mlamf20 138 2 , , , cord-016871-1mlamf20 138 3 plasma plasma NN cord-016871-1mlamf20 138 4 transfusions transfusion NNS cord-016871-1mlamf20 138 5 have have VBP cord-016871-1mlamf20 138 6 been be VBN cord-016871-1mlamf20 138 7 associated associate VBN cord-016871-1mlamf20 138 8 with with IN cord-016871-1mlamf20 138 9 various various JJ cord-016871-1mlamf20 138 10 side side NN cord-016871-1mlamf20 138 11 effects effect NNS cord-016871-1mlamf20 138 12 including include VBG cord-016871-1mlamf20 138 13 transfusion transfusion NN cord-016871-1mlamf20 138 14 related relate VBN cord-016871-1mlamf20 138 15 acute acute JJ cord-016871-1mlamf20 138 16 lung lung NN cord-016871-1mlamf20 138 17 injury injury NN cord-016871-1mlamf20 138 18 ( ( -LRB- cord-016871-1mlamf20 138 19 TRALI TRALI NNP cord-016871-1mlamf20 138 20 ) ) -RRB- cord-016871-1mlamf20 139 1 [ [ -LRB- cord-016871-1mlamf20 139 2 35 35 CD cord-016871-1mlamf20 139 3 ] ] -RRB- cord-016871-1mlamf20 139 4 . . . cord-016871-1mlamf20 140 1 However however RB cord-016871-1mlamf20 140 2 , , , cord-016871-1mlamf20 140 3 these these DT cord-016871-1mlamf20 140 4 complications complication NNS cord-016871-1mlamf20 140 5 have have VBP cord-016871-1mlamf20 140 6 been be VBN cord-016871-1mlamf20 140 7 dramatically dramatically RB cord-016871-1mlamf20 140 8 reduced reduce VBN cord-016871-1mlamf20 140 9 with with IN cord-016871-1mlamf20 140 10 blood blood NN cord-016871-1mlamf20 140 11 donation donation NN cord-016871-1mlamf20 140 12 centers center NNS cord-016871-1mlamf20 140 13 transitioning transition VBG cord-016871-1mlamf20 140 14 to to IN cord-016871-1mlamf20 140 15 male male NN cord-016871-1mlamf20 140 16 only only RB cord-016871-1mlamf20 140 17 and/or and/or CC cord-016871-1mlamf20 140 18 nulliparous nulliparous JJ cord-016871-1mlamf20 140 19 female female JJ cord-016871-1mlamf20 140 20 donors donor NNS cord-016871-1mlamf20 140 21 [ [ -LRB- cord-016871-1mlamf20 140 22 36 36 CD cord-016871-1mlamf20 140 23 ] ] -RRB- cord-016871-1mlamf20 140 24 . . . cord-016871-1mlamf20 141 1 Norda Norda NNP cord-016871-1mlamf20 141 2 et et NNP cord-016871-1mlamf20 141 3 al al NNP cord-016871-1mlamf20 141 4 . . . cord-016871-1mlamf20 141 5 studied study VBD cord-016871-1mlamf20 141 6 two two CD cord-016871-1mlamf20 141 7 types type NNS cord-016871-1mlamf20 141 8 of of IN cord-016871-1mlamf20 141 9 plasma plasma NN cord-016871-1mlamf20 141 10 : : : cord-016871-1mlamf20 141 11 thawed thaw VBN cord-016871-1mlamf20 141 12 plasma plasma NN cord-016871-1mlamf20 141 13 and and CC cord-016871-1mlamf20 141 14 liquid liquid NN cord-016871-1mlamf20 141 15 plasma plasma NN cord-016871-1mlamf20 141 16 ( ( -LRB- cord-016871-1mlamf20 141 17 never never RB cord-016871-1mlamf20 141 18 frozen frozen JJ cord-016871-1mlamf20 141 19 ) ) -RRB- cord-016871-1mlamf20 141 20 . . . cord-016871-1mlamf20 142 1 Liquid liquid NN cord-016871-1mlamf20 142 2 plasma plasma NN cord-016871-1mlamf20 142 3 is be VBZ cord-016871-1mlamf20 142 4 an an DT cord-016871-1mlamf20 142 5 AABB AABB NNP cord-016871-1mlamf20 142 6 approved approve VBN cord-016871-1mlamf20 142 7 product product NN cord-016871-1mlamf20 142 8 and and CC cord-016871-1mlamf20 142 9 may may MD cord-016871-1mlamf20 142 10 be be VB cord-016871-1mlamf20 142 11 stored store VBN cord-016871-1mlamf20 142 12 at at IN cord-016871-1mlamf20 142 13 2 2 CD cord-016871-1mlamf20 142 14 - - SYM cord-016871-1mlamf20 142 15 6 6 CD cord-016871-1mlamf20 142 16 ° ° NN cord-016871-1mlamf20 142 17 C c NN cord-016871-1mlamf20 142 18 for for IN cord-016871-1mlamf20 142 19 up up IN cord-016871-1mlamf20 142 20 to to TO cord-016871-1mlamf20 142 21 26 26 CD cord-016871-1mlamf20 142 22 days day NNS cord-016871-1mlamf20 142 23 . . . cord-016871-1mlamf20 143 1 Both both DT cord-016871-1mlamf20 143 2 of of IN cord-016871-1mlamf20 143 3 these these DT cord-016871-1mlamf20 143 4 types type NNS cord-016871-1mlamf20 143 5 of of IN cord-016871-1mlamf20 143 6 plasma plasma NN cord-016871-1mlamf20 143 7 have have VBP cord-016871-1mlamf20 143 8 been be VBN cord-016871-1mlamf20 143 9 considered consider VBN cord-016871-1mlamf20 143 10 clinically clinically RB cord-016871-1mlamf20 143 11 equivalent equivalent JJ cord-016871-1mlamf20 143 12 . . . cord-016871-1mlamf20 144 1 As as IN cord-016871-1mlamf20 144 2 for for IN cord-016871-1mlamf20 144 3 their -PRON- PRP$ cord-016871-1mlamf20 144 4 individual individual JJ cord-016871-1mlamf20 144 5 components component NNS cord-016871-1mlamf20 144 6 , , , cord-016871-1mlamf20 144 7 liquid liquid JJ cord-016871-1mlamf20 144 8 plasma plasma NN cord-016871-1mlamf20 144 9 has have VBZ cord-016871-1mlamf20 144 10 been be VBN cord-016871-1mlamf20 144 11 shown show VBN cord-016871-1mlamf20 144 12 to to TO cord-016871-1mlamf20 144 13 contain contain VB cord-016871-1mlamf20 144 14 levels level NNS cord-016871-1mlamf20 144 15 of of IN cord-016871-1mlamf20 144 16 Factor factor NN cord-016871-1mlamf20 144 17 V V NNP cord-016871-1mlamf20 144 18 and and CC cord-016871-1mlamf20 144 19 von von NNP cord-016871-1mlamf20 144 20 Willebrand Willebrand NNP cord-016871-1mlamf20 144 21 factor factor NN cord-016871-1mlamf20 144 22 at at IN cord-016871-1mlamf20 144 23 levels level NNS cord-016871-1mlamf20 144 24 70 70 CD cord-016871-1mlamf20 144 25 % % NN cord-016871-1mlamf20 144 26 or or CC cord-016871-1mlamf20 144 27 greater great JJR cord-016871-1mlamf20 144 28 . . . cord-016871-1mlamf20 145 1 However however RB cord-016871-1mlamf20 145 2 , , , cord-016871-1mlamf20 145 3 studies study NNS cord-016871-1mlamf20 145 4 have have VBP cord-016871-1mlamf20 145 5 noted note VBN cord-016871-1mlamf20 145 6 that that IN cord-016871-1mlamf20 145 7 C1 C1 NNP cord-016871-1mlamf20 145 8 esterase esterase NN cord-016871-1mlamf20 145 9 inhibitor inhibitor NN cord-016871-1mlamf20 145 10 ( ( -LRB- cord-016871-1mlamf20 145 11 C1INH C1INH NNP cord-016871-1mlamf20 145 12 ) ) -RRB- cord-016871-1mlamf20 145 13 was be VBD cord-016871-1mlamf20 145 14 consumed consume VBN cord-016871-1mlamf20 145 15 by by IN cord-016871-1mlamf20 145 16 day day NN cord-016871-1mlamf20 145 17 14 14 CD cord-016871-1mlamf20 145 18 in in IN cord-016871-1mlamf20 145 19 22 22 CD cord-016871-1mlamf20 145 20 % % NN cord-016871-1mlamf20 145 21 of of IN cord-016871-1mlamf20 145 22 plasma plasma NN cord-016871-1mlamf20 145 23 products product NNS cord-016871-1mlamf20 145 24 due due JJ cord-016871-1mlamf20 145 25 to to IN cord-016871-1mlamf20 145 26 coldinduced coldinduced NNP cord-016871-1mlamf20 145 27 contact contact NN cord-016871-1mlamf20 145 28 activation activation NN cord-016871-1mlamf20 145 29 [ [ -LRB- cord-016871-1mlamf20 145 30 37 37 CD cord-016871-1mlamf20 145 31 ] ] -RRB- cord-016871-1mlamf20 145 32 . . . cord-016871-1mlamf20 146 1 In in IN cord-016871-1mlamf20 146 2 order order NN cord-016871-1mlamf20 146 3 to to TO cord-016871-1mlamf20 146 4 avoid avoid VB cord-016871-1mlamf20 146 5 this this DT cord-016871-1mlamf20 146 6 effect effect NN cord-016871-1mlamf20 146 7 that that WDT cord-016871-1mlamf20 146 8 places place VBZ cord-016871-1mlamf20 146 9 patients patient NNS cord-016871-1mlamf20 146 10 at at IN cord-016871-1mlamf20 146 11 risk risk NN cord-016871-1mlamf20 146 12 for for IN cord-016871-1mlamf20 146 13 inadequate inadequate JJ cord-016871-1mlamf20 146 14 perfusion perfusion NN cord-016871-1mlamf20 146 15 , , , cord-016871-1mlamf20 146 16 some some DT cord-016871-1mlamf20 146 17 institutions institution NNS cord-016871-1mlamf20 146 18 have have VBP cord-016871-1mlamf20 146 19 introduced introduce VBN cord-016871-1mlamf20 146 20 a a DT cord-016871-1mlamf20 146 21 maximum maximum JJ cord-016871-1mlamf20 146 22 storage storage NN cord-016871-1mlamf20 146 23 time time NN cord-016871-1mlamf20 146 24 of of IN cord-016871-1mlamf20 146 25 7 7 CD cord-016871-1mlamf20 146 26 days day NNS cord-016871-1mlamf20 146 27 for for IN cord-016871-1mlamf20 146 28 nonfrozen nonfrozen NN cord-016871-1mlamf20 146 29 plasma plasma NN cord-016871-1mlamf20 146 30 [ [ -LRB- cord-016871-1mlamf20 146 31 37 37 CD cord-016871-1mlamf20 146 32 ] ] -RRB- cord-016871-1mlamf20 146 33 . . . cord-016871-1mlamf20 147 1 Murad Murad NNP cord-016871-1mlamf20 147 2 et et NNP cord-016871-1mlamf20 147 3 al al NNP cord-016871-1mlamf20 147 4 . . . cord-016871-1mlamf20 148 1 's 's POS cord-016871-1mlamf20 149 1 meta meta NNP cord-016871-1mlamf20 149 2 - - HYPH cord-016871-1mlamf20 149 3 analysis analysis NN cord-016871-1mlamf20 149 4 of of IN cord-016871-1mlamf20 149 5 37 37 CD cord-016871-1mlamf20 149 6 studies study NNS cord-016871-1mlamf20 149 7 on on IN cord-016871-1mlamf20 149 8 adults adult NNS cord-016871-1mlamf20 149 9 transfused transfuse VBN cord-016871-1mlamf20 149 10 with with IN cord-016871-1mlamf20 149 11 plasma plasma NN cord-016871-1mlamf20 149 12 compared compare VBN cord-016871-1mlamf20 149 13 with with IN cord-016871-1mlamf20 149 14 nontransfused nontransfused JJ cord-016871-1mlamf20 149 15 controls control NNS cord-016871-1mlamf20 149 16 demonstrated demonstrate VBD cord-016871-1mlamf20 149 17 that that IN cord-016871-1mlamf20 149 18 in in IN cord-016871-1mlamf20 149 19 the the DT cord-016871-1mlamf20 149 20 setting setting NN cord-016871-1mlamf20 149 21 of of IN cord-016871-1mlamf20 149 22 massive massive JJ cord-016871-1mlamf20 149 23 transfusions transfusion NNS cord-016871-1mlamf20 149 24 in in IN cord-016871-1mlamf20 149 25 trauma trauma NN cord-016871-1mlamf20 149 26 patients patient NNS cord-016871-1mlamf20 149 27 , , , cord-016871-1mlamf20 149 28 transfusion transfusion NN cord-016871-1mlamf20 149 29 may may MD cord-016871-1mlamf20 149 30 be be VB cord-016871-1mlamf20 149 31 associated associate VBN cord-016871-1mlamf20 149 32 with with IN cord-016871-1mlamf20 149 33 increased increase VBN cord-016871-1mlamf20 149 34 survival survival NN cord-016871-1mlamf20 149 35 and and CC cord-016871-1mlamf20 149 36 decreased decrease VBD cord-016871-1mlamf20 149 37 multiorgan multiorgan NNP cord-016871-1mlamf20 149 38 failure failure NN cord-016871-1mlamf20 149 39 . . . cord-016871-1mlamf20 150 1 However however RB cord-016871-1mlamf20 150 2 , , , cord-016871-1mlamf20 150 3 they -PRON- PRP cord-016871-1mlamf20 150 4 also also RB cord-016871-1mlamf20 150 5 noted note VBD cord-016871-1mlamf20 150 6 increased increased JJ cord-016871-1mlamf20 150 7 mortality mortality NN cord-016871-1mlamf20 150 8 in in IN cord-016871-1mlamf20 150 9 patients patient NNS cord-016871-1mlamf20 150 10 who who WP cord-016871-1mlamf20 150 11 received receive VBD cord-016871-1mlamf20 150 12 plasma plasma NN cord-016871-1mlamf20 150 13 not not RB cord-016871-1mlamf20 150 14 part part NN cord-016871-1mlamf20 150 15 of of IN cord-016871-1mlamf20 150 16 a a DT cord-016871-1mlamf20 150 17 massive massive JJ cord-016871-1mlamf20 150 18 transfusion transfusion NN cord-016871-1mlamf20 150 19 protocol protocol NN cord-016871-1mlamf20 150 20 . . . cord-016871-1mlamf20 151 1 This this DT cord-016871-1mlamf20 151 2 fi fi IN cord-016871-1mlamf20 151 3 nding nding NN cord-016871-1mlamf20 151 4 may may MD cord-016871-1mlamf20 151 5 be be VB cord-016871-1mlamf20 151 6 due due JJ cord-016871-1mlamf20 151 7 to to IN cord-016871-1mlamf20 151 8 the the DT cord-016871-1mlamf20 151 9 unbalanced unbalanced JJ cord-016871-1mlamf20 151 10 ratio ratio NN cord-016871-1mlamf20 151 11 of of IN cord-016871-1mlamf20 151 12 transfusion transfusion NN cord-016871-1mlamf20 151 13 of of IN cord-016871-1mlamf20 151 14 products product NNS cord-016871-1mlamf20 151 15 , , , cord-016871-1mlamf20 151 16 unlike unlike IN cord-016871-1mlamf20 151 17 in in IN cord-016871-1mlamf20 151 18 mass mass JJ cord-016871-1mlamf20 151 19 transfusion transfusion NN cord-016871-1mlamf20 151 20 protocols protocol NNS cord-016871-1mlamf20 151 21 , , , cord-016871-1mlamf20 151 22 which which WDT cord-016871-1mlamf20 151 23 call call VBP cord-016871-1mlamf20 151 24 for for IN cord-016871-1mlamf20 151 25 1:1 1:1 CD cord-016871-1mlamf20 151 26 transfusion transfusion NN cord-016871-1mlamf20 151 27 of of IN cord-016871-1mlamf20 151 28 RBCs rbc NNS cord-016871-1mlamf20 151 29 and and CC cord-016871-1mlamf20 151 30 plasma plasma NN cord-016871-1mlamf20 151 31 . . . cord-016871-1mlamf20 152 1 In in IN cord-016871-1mlamf20 152 2 addition addition NN cord-016871-1mlamf20 152 3 , , , cord-016871-1mlamf20 152 4 plasma plasma NN cord-016871-1mlamf20 152 5 transfusion transfusion NN cord-016871-1mlamf20 152 6 was be VBD cord-016871-1mlamf20 152 7 associated associate VBN cord-016871-1mlamf20 152 8 with with IN cord-016871-1mlamf20 152 9 increased increase VBN cord-016871-1mlamf20 152 10 risk risk NN cord-016871-1mlamf20 152 11 of of IN cord-016871-1mlamf20 152 12 developing develop VBG cord-016871-1mlamf20 152 13 TRALI TRALI NNP cord-016871-1mlamf20 152 14 , , , cord-016871-1mlamf20 152 15 and and CC cord-016871-1mlamf20 152 16 by by IN cord-016871-1mlamf20 152 17 itself -PRON- PRP cord-016871-1mlamf20 152 18 did do VBD cord-016871-1mlamf20 152 19 not not RB cord-016871-1mlamf20 152 20 reduce reduce VB cord-016871-1mlamf20 152 21 transfusion transfusion NN cord-016871-1mlamf20 152 22 requirements requirement NNS cord-016871-1mlamf20 152 23 [ [ -LRB- cord-016871-1mlamf20 152 24 34 34 CD cord-016871-1mlamf20 152 25 ] ] -RRB- cord-016871-1mlamf20 152 26 . . . cord-016871-1mlamf20 153 1 Their -PRON- PRP$ cord-016871-1mlamf20 153 2 fi fi NN cord-016871-1mlamf20 153 3 ndings nding NNS cord-016871-1mlamf20 153 4 , , , cord-016871-1mlamf20 153 5 in in IN cord-016871-1mlamf20 153 6 the the DT cord-016871-1mlamf20 153 7 fi fi NNP cord-016871-1mlamf20 153 8 rst rst NNP cord-016871-1mlamf20 153 9 comprehensive comprehensive JJ cord-016871-1mlamf20 153 10 meta meta NNP cord-016871-1mlamf20 153 11 - - HYPH cord-016871-1mlamf20 153 12 analysis analysis NN cord-016871-1mlamf20 153 13 and and CC cord-016871-1mlamf20 153 14 systematic systematic JJ cord-016871-1mlamf20 153 15 review review NN cord-016871-1mlamf20 153 16 of of IN cord-016871-1mlamf20 153 17 plasma plasma NN cord-016871-1mlamf20 153 18 transfusion transfusion NN cord-016871-1mlamf20 153 19 outcomes outcome NNS cord-016871-1mlamf20 153 20 , , , cord-016871-1mlamf20 153 21 highlight highlight VBP cord-016871-1mlamf20 153 22 the the DT cord-016871-1mlamf20 153 23 need need NN cord-016871-1mlamf20 153 24 of of IN cord-016871-1mlamf20 153 25 assessing assess VBG cord-016871-1mlamf20 153 26 each each DT cord-016871-1mlamf20 153 27 patient patient NN cord-016871-1mlamf20 153 28 's 's POS cord-016871-1mlamf20 153 29 indications indication NNS cord-016871-1mlamf20 153 30 for for IN cord-016871-1mlamf20 153 31 plasma plasma NN cord-016871-1mlamf20 153 32 . . . cord-016871-1mlamf20 154 1 The the DT cord-016871-1mlamf20 154 2 maturation maturation NN cord-016871-1mlamf20 154 3 of of IN cord-016871-1mlamf20 154 4 this this DT cord-016871-1mlamf20 154 5 fi fi NNP cord-016871-1mlamf20 154 6 eld eld NNP cord-016871-1mlamf20 154 7 will will MD cord-016871-1mlamf20 154 8 be be VB cord-016871-1mlamf20 154 9 needed need VBN cord-016871-1mlamf20 154 10 to to TO cord-016871-1mlamf20 154 11 strengthen strengthen VB cord-016871-1mlamf20 154 12 the the DT cord-016871-1mlamf20 154 13 fi fi NNP cord-016871-1mlamf20 154 14 ndings nding NNS cord-016871-1mlamf20 154 15 , , , cord-016871-1mlamf20 154 16 which which WDT cord-016871-1mlamf20 154 17 the the DT cord-016871-1mlamf20 154 18 authors author NNS cord-016871-1mlamf20 154 19 did do VBD cord-016871-1mlamf20 154 20 note note VB cord-016871-1mlamf20 154 21 were be VBD cord-016871-1mlamf20 154 22 subject subject JJ cord-016871-1mlamf20 154 23 to to IN cord-016871-1mlamf20 154 24 survivor survivor NN cord-016871-1mlamf20 154 25 biases bias NNS cord-016871-1mlamf20 154 26 in in IN cord-016871-1mlamf20 154 27 some some DT cord-016871-1mlamf20 154 28 studies study NNS cord-016871-1mlamf20 154 29 . . . cord-016871-1mlamf20 155 1 However however RB cord-016871-1mlamf20 155 2 , , , cord-016871-1mlamf20 155 3 none none NN cord-016871-1mlamf20 155 4 of of IN cord-016871-1mlamf20 155 5 these these DT cord-016871-1mlamf20 155 6 studies study NNS cord-016871-1mlamf20 155 7 involved involve VBD cord-016871-1mlamf20 155 8 the the DT cord-016871-1mlamf20 155 9 use use NN cord-016871-1mlamf20 155 10 of of IN cord-016871-1mlamf20 155 11 plasma plasma NN cord-016871-1mlamf20 155 12 in in IN cord-016871-1mlamf20 155 13 patients patient NNS cord-016871-1mlamf20 155 14 with with IN cord-016871-1mlamf20 155 15 hemorrhagic hemorrhagic JJ cord-016871-1mlamf20 155 16 shock shock NN cord-016871-1mlamf20 155 17 . . . cord-016871-1mlamf20 156 1 In in IN cord-016871-1mlamf20 156 2 this this DT cord-016871-1mlamf20 156 3 population population NN cord-016871-1mlamf20 156 4 of of IN cord-016871-1mlamf20 156 5 patients patient NNS cord-016871-1mlamf20 156 6 , , , cord-016871-1mlamf20 156 7 the the DT cord-016871-1mlamf20 156 8 incidence incidence NN cord-016871-1mlamf20 156 9 of of IN cord-016871-1mlamf20 156 10 multi multi JJ cord-016871-1mlamf20 156 11 - - JJ cord-016871-1mlamf20 156 12 organ organ JJ cord-016871-1mlamf20 156 13 failure failure NN cord-016871-1mlamf20 156 14 has have VBZ cord-016871-1mlamf20 156 15 been be VBN cord-016871-1mlamf20 156 16 shown show VBN cord-016871-1mlamf20 156 17 to to TO cord-016871-1mlamf20 156 18 be be VB cord-016871-1mlamf20 156 19 lower low JJR cord-016871-1mlamf20 156 20 than than IN cord-016871-1mlamf20 156 21 comparison comparison NN cord-016871-1mlamf20 156 22 cohorts cohort NNS cord-016871-1mlamf20 156 23 ( ( -LRB- cord-016871-1mlamf20 156 24 most most RBS cord-016871-1mlamf20 156 25 likely likely JJ cord-016871-1mlamf20 156 26 as as IN cord-016871-1mlamf20 156 27 a a DT cord-016871-1mlamf20 156 28 result result NN cord-016871-1mlamf20 156 29 of of IN cord-016871-1mlamf20 156 30 less less JJR cord-016871-1mlamf20 156 31 overall overall JJ cord-016871-1mlamf20 156 32 transfusions transfusion NNS cord-016871-1mlamf20 156 33 in in IN cord-016871-1mlamf20 156 34 the the DT cord-016871-1mlamf20 156 35 higher high JJR cord-016871-1mlamf20 156 36 plasma plasma NN cord-016871-1mlamf20 156 37 group group NN cord-016871-1mlamf20 156 38 ) ) -RRB- cord-016871-1mlamf20 156 39 [ [ -LRB- cord-016871-1mlamf20 156 40 13 13 CD cord-016871-1mlamf20 156 41 , , , cord-016871-1mlamf20 156 42 14 14 CD cord-016871-1mlamf20 156 43 ] ] -RRB- cord-016871-1mlamf20 156 44 . . . cord-016871-1mlamf20 157 1 The the DT cord-016871-1mlamf20 157 2 purpose purpose NN cord-016871-1mlamf20 157 3 of of IN cord-016871-1mlamf20 157 4 platelet platelet NN cord-016871-1mlamf20 157 5 transfusions transfusion NNS cord-016871-1mlamf20 157 6 is be VBZ cord-016871-1mlamf20 157 7 to to TO cord-016871-1mlamf20 157 8 avoid avoid VB cord-016871-1mlamf20 157 9 spontaneous spontaneous JJ cord-016871-1mlamf20 157 10 hemorrhage hemorrhage NN cord-016871-1mlamf20 157 11 , , , cord-016871-1mlamf20 157 12 which which WDT cord-016871-1mlamf20 157 13 can can MD cord-016871-1mlamf20 157 14 occur occur VB cord-016871-1mlamf20 157 15 at at IN cord-016871-1mlamf20 157 16 very very RB cord-016871-1mlamf20 157 17 low low JJ cord-016871-1mlamf20 157 18 platelet platelet NN cord-016871-1mlamf20 157 19 levels level NNS cord-016871-1mlamf20 157 20 , , , cord-016871-1mlamf20 157 21 especially especially RB cord-016871-1mlamf20 157 22 in in IN cord-016871-1mlamf20 157 23 patients patient NNS cord-016871-1mlamf20 157 24 who who WP cord-016871-1mlamf20 157 25 are be VBP cord-016871-1mlamf20 157 26 already already RB cord-016871-1mlamf20 157 27 hemorrhaging hemorrhage VBG cord-016871-1mlamf20 157 28 or or CC cord-016871-1mlamf20 157 29 have have VBP cord-016871-1mlamf20 157 30 various various JJ cord-016871-1mlamf20 157 31 platelet platelet NN cord-016871-1mlamf20 157 32 de de FW cord-016871-1mlamf20 157 33 fi fi FW cord-016871-1mlamf20 157 34 ciencies ciencie NNS cord-016871-1mlamf20 157 35 and and CC cord-016871-1mlamf20 157 36 abnormalities abnormality NNS cord-016871-1mlamf20 157 37 of of IN cord-016871-1mlamf20 157 38 function function NN cord-016871-1mlamf20 157 39 . . . cord-016871-1mlamf20 158 1 Along along IN cord-016871-1mlamf20 158 2 with with IN cord-016871-1mlamf20 158 3 plasma plasma NN cord-016871-1mlamf20 158 4 and and CC cord-016871-1mlamf20 158 5 fi fi NNP cord-016871-1mlamf20 158 6 brinogen brinogen NNP cord-016871-1mlamf20 158 7 , , , cord-016871-1mlamf20 158 8 platelets platelet NNS cord-016871-1mlamf20 158 9 are be VBP cord-016871-1mlamf20 158 10 key key JJ cord-016871-1mlamf20 158 11 in in IN cord-016871-1mlamf20 158 12 achieving achieve VBG cord-016871-1mlamf20 158 13 hemostasis hemostasis NN cord-016871-1mlamf20 158 14 in in IN cord-016871-1mlamf20 158 15 the the DT cord-016871-1mlamf20 158 16 obstetric obstetric JJ cord-016871-1mlamf20 158 17 patient patient NN cord-016871-1mlamf20 158 18 with with IN cord-016871-1mlamf20 158 19 post post JJ cord-016871-1mlamf20 158 20 - - JJ cord-016871-1mlamf20 158 21 partum partum JJ cord-016871-1mlamf20 158 22 hemorrhage hemorrhage NN cord-016871-1mlamf20 158 23 [ [ -LRB- cord-016871-1mlamf20 158 24 38 38 CD cord-016871-1mlamf20 158 25 ] ] -RRB- cord-016871-1mlamf20 158 26 . . . cord-016871-1mlamf20 159 1 Approximately approximately RB cord-016871-1mlamf20 159 2 50,000 50,000 CD cord-016871-1mlamf20 159 3 cells/ cells/ CD cord-016871-1mlamf20 160 1 L l NN cord-016871-1mlamf20 160 2 of of IN cord-016871-1mlamf20 160 3 platelets platelet NNS cord-016871-1mlamf20 160 4 are be VBP cord-016871-1mlamf20 160 5 necessary necessary JJ cord-016871-1mlamf20 160 6 in in IN cord-016871-1mlamf20 160 7 order order NN cord-016871-1mlamf20 160 8 to to TO cord-016871-1mlamf20 160 9 achieve achieve VB cord-016871-1mlamf20 160 10 adequate adequate JJ cord-016871-1mlamf20 160 11 hemostasis hemostasis NN cord-016871-1mlamf20 160 12 . . . cord-016871-1mlamf20 161 1 In in IN cord-016871-1mlamf20 161 2 addition addition NN cord-016871-1mlamf20 161 3 to to IN cord-016871-1mlamf20 161 4 the the DT cord-016871-1mlamf20 161 5 total total JJ cord-016871-1mlamf20 161 6 number number NN cord-016871-1mlamf20 161 7 of of IN cord-016871-1mlamf20 161 8 platelets platelet NNS cord-016871-1mlamf20 161 9 , , , cord-016871-1mlamf20 161 10 their -PRON- PRP$ cord-016871-1mlamf20 161 11 quality quality NN cord-016871-1mlamf20 161 12 is be VBZ cord-016871-1mlamf20 161 13 also also RB cord-016871-1mlamf20 161 14 important important JJ cord-016871-1mlamf20 161 15 to to IN cord-016871-1mlamf20 161 16 overall overall JJ cord-016871-1mlamf20 161 17 hemostatic hemostatic JJ cord-016871-1mlamf20 161 18 function function NN cord-016871-1mlamf20 161 19 . . . cord-016871-1mlamf20 162 1 A a DT cord-016871-1mlamf20 162 2 patient patient NN cord-016871-1mlamf20 162 3 's 's POS cord-016871-1mlamf20 162 4 platelets platelet NNS cord-016871-1mlamf20 162 5 must must MD cord-016871-1mlamf20 162 6 be be VB cord-016871-1mlamf20 162 7 ef ef NNP cord-016871-1mlamf20 162 8 fi fi NNP cord-016871-1mlamf20 162 9 cacious cacious NNP cord-016871-1mlamf20 162 10 , , , cord-016871-1mlamf20 162 11 that that RB cord-016871-1mlamf20 162 12 is is RB cord-016871-1mlamf20 162 13 , , , cord-016871-1mlamf20 162 14 remaining remain VBG cord-016871-1mlamf20 162 15 in in IN cord-016871-1mlamf20 162 16 circulation circulation NN cord-016871-1mlamf20 162 17 and and CC cord-016871-1mlamf20 162 18 completing complete VBG cord-016871-1mlamf20 162 19 its -PRON- PRP$ cord-016871-1mlamf20 162 20 physiological physiological JJ cord-016871-1mlamf20 162 21 role role NN cord-016871-1mlamf20 162 22 in in IN cord-016871-1mlamf20 162 23 clot clot NN cord-016871-1mlamf20 162 24 formation formation NN cord-016871-1mlamf20 162 25 [ [ -LRB- cord-016871-1mlamf20 162 26 39 39 CD cord-016871-1mlamf20 162 27 ] ] -RRB- cord-016871-1mlamf20 162 28 . . . cord-016871-1mlamf20 163 1 This this DT cord-016871-1mlamf20 163 2 ef ef NNP cord-016871-1mlamf20 163 3 fi fi NN cord-016871-1mlamf20 163 4 cacy cacy NN cord-016871-1mlamf20 163 5 can can MD cord-016871-1mlamf20 163 6 be be VB cord-016871-1mlamf20 163 7 assessed assess VBN cord-016871-1mlamf20 163 8 by by IN cord-016871-1mlamf20 163 9 various various JJ cord-016871-1mlamf20 163 10 modalities modality NNS cord-016871-1mlamf20 163 11 , , , cord-016871-1mlamf20 163 12 from from IN cord-016871-1mlamf20 163 13 the the DT cord-016871-1mlamf20 163 14 traditional traditional JJ cord-016871-1mlamf20 163 15 laboratory laboratory NN cord-016871-1mlamf20 163 16 coagulation coagulation NN cord-016871-1mlamf20 163 17 studies study NNS cord-016871-1mlamf20 163 18 to to IN cord-016871-1mlamf20 163 19 the the DT cord-016871-1mlamf20 163 20 more more RBR cord-016871-1mlamf20 163 21 recent recent JJ cord-016871-1mlamf20 163 22 thrombelastograms thrombelastogram NNS cord-016871-1mlamf20 163 23 ( ( -LRB- cord-016871-1mlamf20 163 24 TEG TEG NNP cord-016871-1mlamf20 163 25 ) ) -RRB- cord-016871-1mlamf20 163 26 , , , cord-016871-1mlamf20 163 27 also also RB cord-016871-1mlamf20 163 28 known know VBN cord-016871-1mlamf20 163 29 as as IN cord-016871-1mlamf20 163 30 thromboelastography thromboelastography NNP cord-016871-1mlamf20 163 31 , , , cord-016871-1mlamf20 163 32 and and CC cord-016871-1mlamf20 163 33 this this DT cord-016871-1mlamf20 163 34 topic topic NN cord-016871-1mlamf20 163 35 is be VBZ cord-016871-1mlamf20 163 36 covered cover VBN cord-016871-1mlamf20 163 37 in in IN cord-016871-1mlamf20 163 38 the the DT cord-016871-1mlamf20 163 39 last last JJ cord-016871-1mlamf20 163 40 section section NN cord-016871-1mlamf20 163 41 . . . cord-016871-1mlamf20 164 1 Cryoprecipitate Cryoprecipitate NNP cord-016871-1mlamf20 164 2 consists consist VBZ cord-016871-1mlamf20 164 3 of of IN cord-016871-1mlamf20 164 4 von von NNP cord-016871-1mlamf20 164 5 Willebrand Willebrand NNP cord-016871-1mlamf20 164 6 factor factor NN cord-016871-1mlamf20 164 7 / / SYM cord-016871-1mlamf20 164 8 VIII VIII NNP cord-016871-1mlamf20 164 9 complex complex NN cord-016871-1mlamf20 164 10 , , , cord-016871-1mlamf20 164 11 factor factor NN cord-016871-1mlamf20 164 12 XIII XIII NNP cord-016871-1mlamf20 164 13 , , , cord-016871-1mlamf20 164 14 and and CC cord-016871-1mlamf20 164 15 fi fi NNP cord-016871-1mlamf20 164 16 brinogen brinogen NNP cord-016871-1mlamf20 164 17 . . . cord-016871-1mlamf20 165 1 It -PRON- PRP cord-016871-1mlamf20 165 2 is be VBZ cord-016871-1mlamf20 165 3 used use VBN cord-016871-1mlamf20 165 4 to to TO cord-016871-1mlamf20 165 5 supplement supplement VB cord-016871-1mlamf20 165 6 plasma plasma NN cord-016871-1mlamf20 165 7 transfusions transfusion NNS cord-016871-1mlamf20 165 8 with with IN cord-016871-1mlamf20 165 9 fi fi NNP cord-016871-1mlamf20 165 10 brinogen brinogen NNP cord-016871-1mlamf20 165 11 , , , cord-016871-1mlamf20 165 12 especially especially RB cord-016871-1mlamf20 165 13 in in IN cord-016871-1mlamf20 165 14 patients patient NNS cord-016871-1mlamf20 165 15 with with IN cord-016871-1mlamf20 165 16 fi fi NNP cord-016871-1mlamf20 165 17 brinogen brinogen NNP cord-016871-1mlamf20 165 18 levels level NNS cord-016871-1mlamf20 165 19 of of IN cord-016871-1mlamf20 165 20 less less JJR cord-016871-1mlamf20 165 21 than than IN cord-016871-1mlamf20 165 22 100 100 CD cord-016871-1mlamf20 165 23 mg mg NNP cord-016871-1mlamf20 165 24 / / SYM cord-016871-1mlamf20 165 25 dL dl NN cord-016871-1mlamf20 165 26 , , , cord-016871-1mlamf20 165 27 the the DT cord-016871-1mlamf20 165 28 level level NN cord-016871-1mlamf20 165 29 at at IN cord-016871-1mlamf20 165 30 which which WDT cord-016871-1mlamf20 165 31 hypo hypo NN cord-016871-1mlamf20 165 32 fi fi NNP cord-016871-1mlamf20 165 33 brinogenemia brinogenemia NN cord-016871-1mlamf20 165 34 results result VBZ cord-016871-1mlamf20 165 35 in in IN cord-016871-1mlamf20 165 36 bleeding bleed VBG cord-016871-1mlamf20 165 37 [ [ -LRB- cord-016871-1mlamf20 165 38 5 5 CD cord-016871-1mlamf20 165 39 ] ] -RRB- cord-016871-1mlamf20 165 40 . . . cord-016871-1mlamf20 166 1 It -PRON- PRP cord-016871-1mlamf20 166 2 is be VBZ cord-016871-1mlamf20 166 3 named name VBN cord-016871-1mlamf20 166 4 cryoprecipitate cryoprecipitate NNP cord-016871-1mlamf20 166 5 because because IN cord-016871-1mlamf20 166 6 single single JJ cord-016871-1mlamf20 166 7 units unit NNS cord-016871-1mlamf20 166 8 of of IN cord-016871-1mlamf20 166 9 plasma plasma NN cord-016871-1mlamf20 166 10 are be VBP cord-016871-1mlamf20 166 11 rapidly rapidly RB cord-016871-1mlamf20 166 12 frozen freeze VBN cord-016871-1mlamf20 166 13 to to IN cord-016871-1mlamf20 166 14 −30 −30 NNP cord-016871-1mlamf20 166 15 ° ° NN cord-016871-1mlamf20 166 16 C c NN cord-016871-1mlamf20 166 17 and and CC cord-016871-1mlamf20 166 18 are be VBP cord-016871-1mlamf20 166 19 slowly slowly RB cord-016871-1mlamf20 166 20 thawed thaw VBN cord-016871-1mlamf20 166 21 overnight overnight RB cord-016871-1mlamf20 166 22 to to IN cord-016871-1mlamf20 166 23 4 4 CD cord-016871-1mlamf20 166 24 ° ° NN cord-016871-1mlamf20 166 25 C c NN cord-016871-1mlamf20 166 26 , , , cord-016871-1mlamf20 166 27 causing cause VBG cord-016871-1mlamf20 166 28 many many JJ cord-016871-1mlamf20 166 29 clotting clotting NN cord-016871-1mlamf20 166 30 factors factor NNS cord-016871-1mlamf20 166 31 such such JJ cord-016871-1mlamf20 166 32 as as IN cord-016871-1mlamf20 166 33 fi fi NNP cord-016871-1mlamf20 166 34 brinogen brinogen NNP cord-016871-1mlamf20 166 35 to to TO cord-016871-1mlamf20 166 36 precipitate precipitate VB cord-016871-1mlamf20 166 37 out out IN cord-016871-1mlamf20 166 38 of of IN cord-016871-1mlamf20 166 39 the the DT cord-016871-1mlamf20 166 40 solution solution NN cord-016871-1mlamf20 166 41 [ [ -LRB- cord-016871-1mlamf20 166 42 35 35 CD cord-016871-1mlamf20 166 43 ] ] -RRB- cord-016871-1mlamf20 166 44 . . . cord-016871-1mlamf20 167 1 Indications indication NNS cord-016871-1mlamf20 167 2 for for IN cord-016871-1mlamf20 167 3 cryoprecipitate cryoprecipitate NNP cord-016871-1mlamf20 167 4 include include VBP cord-016871-1mlamf20 167 5 factor factor NN cord-016871-1mlamf20 167 6 VII VII NNP cord-016871-1mlamf20 167 7 de de NNP cord-016871-1mlamf20 167 8 fi fi NNP cord-016871-1mlamf20 167 9 ciency ciency NN cord-016871-1mlamf20 167 10 , , , cord-016871-1mlamf20 167 11 congenital congenital JJ cord-016871-1mlamf20 167 12 or or CC cord-016871-1mlamf20 167 13 acquired acquire VBN cord-016871-1mlamf20 167 14 hypo hypo NN cord-016871-1mlamf20 167 15 fi fi NNP cord-016871-1mlamf20 167 16 brinogenemia brinogenemia NN cord-016871-1mlamf20 167 17 , , , cord-016871-1mlamf20 167 18 disseminated disseminate VBN cord-016871-1mlamf20 167 19 intravascular intravascular JJ cord-016871-1mlamf20 167 20 coagulation coagulation NN cord-016871-1mlamf20 167 21 , , , cord-016871-1mlamf20 167 22 and and CC cord-016871-1mlamf20 167 23 massive massive JJ cord-016871-1mlamf20 167 24 transfusion transfusion NN cord-016871-1mlamf20 167 25 . . . cord-016871-1mlamf20 168 1 Unlike unlike IN cord-016871-1mlamf20 168 2 plasma plasma NN cord-016871-1mlamf20 168 3 , , , cord-016871-1mlamf20 168 4 virus virus NN cord-016871-1mlamf20 168 5 - - HYPH cord-016871-1mlamf20 168 6 inactivated inactivate VBN cord-016871-1mlamf20 168 7 cryoprecipitate cryoprecipitate NN cord-016871-1mlamf20 168 8 is be VBZ cord-016871-1mlamf20 168 9 not not RB cord-016871-1mlamf20 168 10 yet yet RB cord-016871-1mlamf20 168 11 available available JJ cord-016871-1mlamf20 168 12 , , , cord-016871-1mlamf20 168 13 and and CC cord-016871-1mlamf20 168 14 studies study NNS cord-016871-1mlamf20 168 15 on on IN cord-016871-1mlamf20 168 16 the the DT cord-016871-1mlamf20 168 17 ef ef NNP cord-016871-1mlamf20 168 18 fi fi NN cord-016871-1mlamf20 168 19 cacy cacy NN cord-016871-1mlamf20 168 20 of of IN cord-016871-1mlamf20 168 21 SD SD NNP cord-016871-1mlamf20 168 22 FFP FFP NNP cord-016871-1mlamf20 168 23 and and CC cord-016871-1mlamf20 168 24 MB MB NNP cord-016871-1mlamf20 168 25 FFP FFP NNP cord-016871-1mlamf20 168 26 have have VBP cord-016871-1mlamf20 168 27 not not RB cord-016871-1mlamf20 168 28 shown show VBN cord-016871-1mlamf20 168 29 a a DT cord-016871-1mlamf20 168 30 bene bene NN cord-016871-1mlamf20 168 31 fi fi NN cord-016871-1mlamf20 168 32 t t NN cord-016871-1mlamf20 168 33 [ [ -LRB- cord-016871-1mlamf20 168 34 35 35 CD cord-016871-1mlamf20 168 35 ] ] -RRB- cord-016871-1mlamf20 168 36 . . . cord-016871-1mlamf20 169 1 The the DT cord-016871-1mlamf20 169 2 complications complication NNS cord-016871-1mlamf20 169 3 of of IN cord-016871-1mlamf20 169 4 cryoprecipitate cryoprecipitate NNP cord-016871-1mlamf20 169 5 are be VBP cord-016871-1mlamf20 169 6 similar similar JJ cord-016871-1mlamf20 169 7 to to IN cord-016871-1mlamf20 169 8 those those DT cord-016871-1mlamf20 169 9 of of IN cord-016871-1mlamf20 169 10 plasma plasma NN cord-016871-1mlamf20 169 11 , , , cord-016871-1mlamf20 169 12 with with IN cord-016871-1mlamf20 169 13 a a DT cord-016871-1mlamf20 169 14 slightly slightly RB cord-016871-1mlamf20 169 15 lower low JJR cord-016871-1mlamf20 169 16 occurrence occurrence NN cord-016871-1mlamf20 169 17 of of IN cord-016871-1mlamf20 169 18 complications complication NNS cord-016871-1mlamf20 169 19 associated associate VBN cord-016871-1mlamf20 169 20 with with IN cord-016871-1mlamf20 169 21 higher high JJR cord-016871-1mlamf20 169 22 volumes volume NNS cord-016871-1mlamf20 169 23 of of IN cord-016871-1mlamf20 169 24 plasma plasma NN cord-016871-1mlamf20 169 25 , , , cord-016871-1mlamf20 169 26 such such JJ cord-016871-1mlamf20 169 27 as as IN cord-016871-1mlamf20 169 28 TRALI TRALI NNP cord-016871-1mlamf20 169 29 and and CC cord-016871-1mlamf20 169 30 hemolysis hemolysis NN cord-016871-1mlamf20 169 31 [ [ -LRB- cord-016871-1mlamf20 169 32 35 35 CD cord-016871-1mlamf20 169 33 ] ] -RRB- cord-016871-1mlamf20 169 34 . . . cord-016871-1mlamf20 170 1 The the DT cord-016871-1mlamf20 170 2 practice practice NN cord-016871-1mlamf20 170 3 of of IN cord-016871-1mlamf20 170 4 using use VBG cord-016871-1mlamf20 170 5 whole whole JJ cord-016871-1mlamf20 170 6 blood blood NN cord-016871-1mlamf20 170 7 is be VBZ cord-016871-1mlamf20 170 8 largely largely RB cord-016871-1mlamf20 170 9 uncommon uncommon JJ cord-016871-1mlamf20 170 10 due due IN cord-016871-1mlamf20 170 11 to to IN cord-016871-1mlamf20 170 12 the the DT cord-016871-1mlamf20 170 13 separation separation NN cord-016871-1mlamf20 170 14 of of IN cord-016871-1mlamf20 170 15 blood blood NN cord-016871-1mlamf20 170 16 components component NNS cord-016871-1mlamf20 170 17 for for IN cord-016871-1mlamf20 170 18 targeting target VBG cord-016871-1mlamf20 170 19 speci speci NNP cord-016871-1mlamf20 170 20 fi fi NNP cord-016871-1mlamf20 170 21 c c NN cord-016871-1mlamf20 170 22 de de FW cord-016871-1mlamf20 170 23 fi fi NNP cord-016871-1mlamf20 170 24 ciencies ciencies NNP cord-016871-1mlamf20 170 25 currently currently RB cord-016871-1mlamf20 170 26 supported support VBN cord-016871-1mlamf20 170 27 by by IN cord-016871-1mlamf20 170 28 evidencebased evidencebased JJ cord-016871-1mlamf20 170 29 medicine medicine NN cord-016871-1mlamf20 170 30 . . . cord-016871-1mlamf20 171 1 Decision decision NN cord-016871-1mlamf20 171 2 - - HYPH cord-016871-1mlamf20 171 3 making making NN cord-016871-1mlamf20 171 4 for for IN cord-016871-1mlamf20 171 5 each each DT cord-016871-1mlamf20 171 6 transfusion transfusion NN cord-016871-1mlamf20 171 7 requires require VBZ cord-016871-1mlamf20 171 8 laboratory laboratory NN cord-016871-1mlamf20 171 9 testing testing NN cord-016871-1mlamf20 171 10 , , , cord-016871-1mlamf20 171 11 and and CC cord-016871-1mlamf20 171 12 each each DT cord-016871-1mlamf20 171 13 product product NN cord-016871-1mlamf20 171 14 must must MD cord-016871-1mlamf20 171 15 carefully carefully RB cord-016871-1mlamf20 171 16 be be VB cord-016871-1mlamf20 171 17 stored store VBN cord-016871-1mlamf20 171 18 and and CC cord-016871-1mlamf20 171 19 transported transport VBN cord-016871-1mlamf20 171 20 to to IN cord-016871-1mlamf20 171 21 the the DT cord-016871-1mlamf20 171 22 site site NN cord-016871-1mlamf20 171 23 of of IN cord-016871-1mlamf20 171 24 need need NN cord-016871-1mlamf20 171 25 . . . cord-016871-1mlamf20 172 1 When when WRB cord-016871-1mlamf20 172 2 this this DT cord-016871-1mlamf20 172 3 is be VBZ cord-016871-1mlamf20 172 4 not not RB cord-016871-1mlamf20 172 5 possible possible JJ cord-016871-1mlamf20 172 6 , , , cord-016871-1mlamf20 172 7 such such JJ cord-016871-1mlamf20 172 8 as as IN cord-016871-1mlamf20 172 9 in in IN cord-016871-1mlamf20 172 10 acute acute JJ cord-016871-1mlamf20 172 11 settings setting NNS cord-016871-1mlamf20 172 12 with with IN cord-016871-1mlamf20 172 13 limited limited JJ cord-016871-1mlamf20 172 14 resources resource NNS cord-016871-1mlamf20 172 15 , , , cord-016871-1mlamf20 172 16 whole whole JJ cord-016871-1mlamf20 172 17 blood blood NN cord-016871-1mlamf20 172 18 transfusions transfusion NNS cord-016871-1mlamf20 172 19 can can MD cord-016871-1mlamf20 172 20 adequately adequately RB cord-016871-1mlamf20 172 21 resuscitate resuscitate VB cord-016871-1mlamf20 172 22 certain certain JJ cord-016871-1mlamf20 172 23 patients patient NNS cord-016871-1mlamf20 172 24 . . . cord-016871-1mlamf20 173 1 Grosso Grosso NNP cord-016871-1mlamf20 173 2 et et NNP cord-016871-1mlamf20 173 3 al al NNP cord-016871-1mlamf20 173 4 . . . cord-016871-1mlamf20 174 1 recount recount VB cord-016871-1mlamf20 174 2 a a DT cord-016871-1mlamf20 174 3 case case NN cord-016871-1mlamf20 174 4 of of IN cord-016871-1mlamf20 174 5 collecting collect VBG cord-016871-1mlamf20 174 6 whole whole JJ cord-016871-1mlamf20 174 7 blood blood NN cord-016871-1mlamf20 174 8 from from IN cord-016871-1mlamf20 174 9 hospital hospital NN cord-016871-1mlamf20 174 10 personnel personnel NNS cord-016871-1mlamf20 174 11 donors donor NNS cord-016871-1mlamf20 174 12 in in IN cord-016871-1mlamf20 174 13 a a DT cord-016871-1mlamf20 174 14 US US NNP cord-016871-1mlamf20 174 15 fi fi NN cord-016871-1mlamf20 174 16 eld eld NN cord-016871-1mlamf20 174 17 surgical surgical JJ cord-016871-1mlamf20 174 18 hospital hospital NN cord-016871-1mlamf20 174 19 in in IN cord-016871-1mlamf20 174 20 Kosovo Kosovo NNP cord-016871-1mlamf20 174 21 [ [ -LRB- cord-016871-1mlamf20 174 22 40 40 CD cord-016871-1mlamf20 174 23 ] ] -RRB- cord-016871-1mlamf20 174 24 . . . cord-016871-1mlamf20 175 1 This this DT cord-016871-1mlamf20 175 2 whole whole JJ cord-016871-1mlamf20 175 3 blood blood NN cord-016871-1mlamf20 175 4 was be VBD cord-016871-1mlamf20 175 5 used use VBN cord-016871-1mlamf20 175 6 to to TO cord-016871-1mlamf20 175 7 treat treat VB cord-016871-1mlamf20 175 8 exsanguinating exsanguinate VBG cord-016871-1mlamf20 175 9 coagulopathy coagulopathy NN cord-016871-1mlamf20 175 10 in in IN cord-016871-1mlamf20 175 11 an an DT cord-016871-1mlamf20 175 12 acutely acutely RB cord-016871-1mlamf20 175 13 bleeding bleeding JJ cord-016871-1mlamf20 175 14 patient patient NN cord-016871-1mlamf20 175 15 . . . cord-016871-1mlamf20 176 1 The the DT cord-016871-1mlamf20 176 2 advantage advantage NN cord-016871-1mlamf20 176 3 of of IN cord-016871-1mlamf20 176 4 whole whole JJ cord-016871-1mlamf20 176 5 blood blood NN cord-016871-1mlamf20 176 6 is be VBZ cord-016871-1mlamf20 176 7 its -PRON- PRP$ cord-016871-1mlamf20 176 8 ability ability NN cord-016871-1mlamf20 176 9 to to TO cord-016871-1mlamf20 176 10 increase increase VB cord-016871-1mlamf20 176 11 hemoglobin hemoglobin NN cord-016871-1mlamf20 176 12 levels level NNS cord-016871-1mlamf20 176 13 , , , cord-016871-1mlamf20 176 14 similarly similarly RB cord-016871-1mlamf20 176 15 to to IN cord-016871-1mlamf20 176 16 red red JJ cord-016871-1mlamf20 176 17 blood blood NN cord-016871-1mlamf20 176 18 cells cell NNS cord-016871-1mlamf20 176 19 , , , cord-016871-1mlamf20 176 20 and and CC cord-016871-1mlamf20 176 21 its -PRON- PRP$ cord-016871-1mlamf20 176 22 ability ability NN cord-016871-1mlamf20 176 23 to to TO cord-016871-1mlamf20 176 24 restore restore VB cord-016871-1mlamf20 176 25 blood blood NN cord-016871-1mlamf20 176 26 volumes volume NNS cord-016871-1mlamf20 176 27 , , , cord-016871-1mlamf20 176 28 similarly similarly RB cord-016871-1mlamf20 176 29 to to IN cord-016871-1mlamf20 176 30 crystalloids crystalloids NNP cord-016871-1mlamf20 176 31 [ [ -LRB- cord-016871-1mlamf20 176 32 40 40 CD cord-016871-1mlamf20 176 33 ] ] -RRB- cord-016871-1mlamf20 176 34 . . . cord-016871-1mlamf20 177 1 Because because IN cord-016871-1mlamf20 177 2 of of IN cord-016871-1mlamf20 177 3 its -PRON- PRP$ cord-016871-1mlamf20 177 4 physiological physiological JJ cord-016871-1mlamf20 177 5 ratios ratio NNS cord-016871-1mlamf20 177 6 of of IN cord-016871-1mlamf20 177 7 each each DT cord-016871-1mlamf20 177 8 blood blood NN cord-016871-1mlamf20 177 9 component component NN cord-016871-1mlamf20 177 10 , , , cord-016871-1mlamf20 177 11 it -PRON- PRP cord-016871-1mlamf20 177 12 may may MD cord-016871-1mlamf20 177 13 hold hold VB cord-016871-1mlamf20 177 14 an an DT cord-016871-1mlamf20 177 15 advantage advantage NN cord-016871-1mlamf20 177 16 over over IN cord-016871-1mlamf20 177 17 individual individual JJ cord-016871-1mlamf20 177 18 blood blood NN cord-016871-1mlamf20 177 19 component component NN cord-016871-1mlamf20 177 20 transfusions transfusion NNS cord-016871-1mlamf20 177 21 , , , cord-016871-1mlamf20 177 22 but but CC cord-016871-1mlamf20 177 23 more more JJR cord-016871-1mlamf20 177 24 work work NN cord-016871-1mlamf20 177 25 is be VBZ cord-016871-1mlamf20 177 26 necessary necessary JJ cord-016871-1mlamf20 177 27 to to TO cord-016871-1mlamf20 177 28 substantiate substantiate VB cord-016871-1mlamf20 177 29 this this DT cord-016871-1mlamf20 177 30 idea idea NN cord-016871-1mlamf20 177 31 . . . cord-016871-1mlamf20 178 1 Recombinant recombinant JJ cord-016871-1mlamf20 178 2 activated activate VBN cord-016871-1mlamf20 178 3 factor factor NN cord-016871-1mlamf20 178 4 VII VII NNP cord-016871-1mlamf20 178 5 ( ( -LRB- cord-016871-1mlamf20 178 6 rFVIIa rfviia NN cord-016871-1mlamf20 178 7 ) ) -RRB- cord-016871-1mlamf20 178 8 , , , cord-016871-1mlamf20 178 9 originally originally RB cord-016871-1mlamf20 178 10 developed develop VBN cord-016871-1mlamf20 178 11 for for IN cord-016871-1mlamf20 178 12 use use NN cord-016871-1mlamf20 178 13 in in IN cord-016871-1mlamf20 178 14 hemophilia hemophilia NN cord-016871-1mlamf20 178 15 A a NN cord-016871-1mlamf20 178 16 and and CC cord-016871-1mlamf20 178 17 B b NN cord-016871-1mlamf20 178 18 patients patient NNS cord-016871-1mlamf20 178 19 , , , cord-016871-1mlamf20 178 20 has have VBZ cord-016871-1mlamf20 178 21 recently recently RB cord-016871-1mlamf20 178 22 been be VBN cord-016871-1mlamf20 178 23 explored explore VBN cord-016871-1mlamf20 178 24 in in IN cord-016871-1mlamf20 178 25 various various JJ cord-016871-1mlamf20 178 26 off off JJ cord-016871-1mlamf20 178 27 - - HYPH cord-016871-1mlamf20 178 28 label label NN cord-016871-1mlamf20 178 29 uses use NNS cord-016871-1mlamf20 178 30 , , , cord-016871-1mlamf20 178 31 such such JJ cord-016871-1mlamf20 178 32 as as IN cord-016871-1mlamf20 178 33 stemming stem VBG cord-016871-1mlamf20 178 34 acute acute JJ cord-016871-1mlamf20 178 35 bleeding bleed VBG cord-016871-1mlamf20 178 36 alongside alongside IN cord-016871-1mlamf20 178 37 standard standard JJ cord-016871-1mlamf20 178 38 replacement replacement NN cord-016871-1mlamf20 178 39 therapy therapy NN cord-016871-1mlamf20 178 40 . . . cord-016871-1mlamf20 179 1 Mayo Mayo NNP cord-016871-1mlamf20 179 2 et et NNP cord-016871-1mlamf20 179 3 al al NNP cord-016871-1mlamf20 179 4 . . . cord-016871-1mlamf20 180 1 demonstrate demonstrate VB cord-016871-1mlamf20 180 2 the the DT cord-016871-1mlamf20 180 3 use use NN cord-016871-1mlamf20 180 4 of of IN cord-016871-1mlamf20 180 5 a a DT cord-016871-1mlamf20 180 6 coagulopathy coagulopathy NN cord-016871-1mlamf20 180 7 score score NN cord-016871-1mlamf20 180 8 that that WDT cord-016871-1mlamf20 180 9 they -PRON- PRP cord-016871-1mlamf20 180 10 found find VBD cord-016871-1mlamf20 180 11 to to TO cord-016871-1mlamf20 180 12 be be VB cord-016871-1mlamf20 180 13 statistically statistically RB cord-016871-1mlamf20 180 14 correlated correlate VBN cord-016871-1mlamf20 180 15 to to TO cord-016871-1mlamf20 180 16 rFVIIa rfviia NN cord-016871-1mlamf20 180 17 response response NN cord-016871-1mlamf20 180 18 and and CC cord-016871-1mlamf20 180 19 survival survival NN cord-016871-1mlamf20 180 20 in in IN cord-016871-1mlamf20 180 21 13 13 CD cord-016871-1mlamf20 180 22 trauma trauma NN cord-016871-1mlamf20 180 23 patients patient NNS cord-016871-1mlamf20 180 24 in in IN cord-016871-1mlamf20 180 25 Israel Israel NNP cord-016871-1mlamf20 180 26 [ [ -LRB- cord-016871-1mlamf20 180 27 41 41 CD cord-016871-1mlamf20 180 28 ] ] -RRB- cord-016871-1mlamf20 180 29 . . . cord-016871-1mlamf20 181 1 This this DT cord-016871-1mlamf20 181 2 fi fi NN cord-016871-1mlamf20 181 3 nding nding NN cord-016871-1mlamf20 181 4 was be VBD cord-016871-1mlamf20 181 5 a a DT cord-016871-1mlamf20 181 6 turning turning NN cord-016871-1mlamf20 181 7 point point NN cord-016871-1mlamf20 181 8 in in IN cord-016871-1mlamf20 181 9 the the DT cord-016871-1mlamf20 181 10 understanding understanding NN cord-016871-1mlamf20 181 11 of of IN cord-016871-1mlamf20 181 12 rFVIIa rfviia NN cord-016871-1mlamf20 181 13 indications indication NNS cord-016871-1mlamf20 181 14 due due JJ cord-016871-1mlamf20 181 15 to to IN cord-016871-1mlamf20 181 16 its -PRON- PRP$ cord-016871-1mlamf20 181 17 previous previous JJ cord-016871-1mlamf20 181 18 contraindication contraindication NN cord-016871-1mlamf20 181 19 in in IN cord-016871-1mlamf20 181 20 coagulopathy coagulopathy NN cord-016871-1mlamf20 181 21 . . . cord-016871-1mlamf20 182 1 Other other JJ cord-016871-1mlamf20 182 2 uses use NNS cord-016871-1mlamf20 182 3 for for IN cord-016871-1mlamf20 182 4 rFVIIa rfviia NN cord-016871-1mlamf20 182 5 are be VBP cord-016871-1mlamf20 182 6 factor factor NN cord-016871-1mlamf20 182 7 VII VII NNP cord-016871-1mlamf20 182 8 de de NNP cord-016871-1mlamf20 182 9 fi fi NNP cord-016871-1mlamf20 182 10 ciency ciency NN cord-016871-1mlamf20 182 11 , , , cord-016871-1mlamf20 182 12 thrombocytopenia thrombocytopenia NN cord-016871-1mlamf20 182 13 , , , cord-016871-1mlamf20 182 14 functional functional JJ cord-016871-1mlamf20 182 15 platelet platelet NN cord-016871-1mlamf20 182 16 disorders disorder NNS cord-016871-1mlamf20 182 17 , , , cord-016871-1mlamf20 182 18 von von NNP cord-016871-1mlamf20 182 19 Willebrand Willebrand NNP cord-016871-1mlamf20 182 20 disease disease NN cord-016871-1mlamf20 182 21 , , , cord-016871-1mlamf20 182 22 intracranial intracranial JJ cord-016871-1mlamf20 182 23 bleeding bleeding NN cord-016871-1mlamf20 182 24 , , , cord-016871-1mlamf20 182 25 and and CC cord-016871-1mlamf20 182 26 reversal reversal NN cord-016871-1mlamf20 182 27 of of IN cord-016871-1mlamf20 182 28 warfarin warfarin JJ cord-016871-1mlamf20 182 29 overdose overdose NN cord-016871-1mlamf20 182 30 , , , cord-016871-1mlamf20 182 31 liver liver NN cord-016871-1mlamf20 182 32 disease disease NN cord-016871-1mlamf20 182 33 , , , cord-016871-1mlamf20 182 34 and and CC cord-016871-1mlamf20 182 35 transplantation transplantation NN cord-016871-1mlamf20 182 36 . . . cord-016871-1mlamf20 183 1 However however RB cord-016871-1mlamf20 183 2 , , , cord-016871-1mlamf20 183 3 little little JJ cord-016871-1mlamf20 183 4 evidence evidence NN cord-016871-1mlamf20 183 5 is be VBZ cord-016871-1mlamf20 183 6 currently currently RB cord-016871-1mlamf20 183 7 available available JJ cord-016871-1mlamf20 183 8 to to TO cord-016871-1mlamf20 183 9 support support VB cord-016871-1mlamf20 183 10 these these DT cord-016871-1mlamf20 183 11 uses use NNS cord-016871-1mlamf20 183 12 [ [ -LRB- cord-016871-1mlamf20 183 13 41 41 CD cord-016871-1mlamf20 183 14 ] ] -RRB- cord-016871-1mlamf20 183 15 . . . cord-016871-1mlamf20 184 1 Before before IN cord-016871-1mlamf20 184 2 entering enter VBG cord-016871-1mlamf20 184 3 the the DT cord-016871-1mlamf20 184 4 discussion discussion NN cord-016871-1mlamf20 184 5 on on IN cord-016871-1mlamf20 184 6 complications complication NNS cord-016871-1mlamf20 184 7 related relate VBN cord-016871-1mlamf20 184 8 to to IN cord-016871-1mlamf20 184 9 transfusions transfusion NNS cord-016871-1mlamf20 184 10 , , , cord-016871-1mlamf20 184 11 the the DT cord-016871-1mlamf20 184 12 dif dif NNP cord-016871-1mlamf20 184 13 fi fi NNP cord-016871-1mlamf20 184 14 culty culty FW cord-016871-1mlamf20 184 15 of of IN cord-016871-1mlamf20 184 16 study study NN cord-016871-1mlamf20 184 17 design design NN cord-016871-1mlamf20 184 18 to to TO cord-016871-1mlamf20 184 19 answer answer VB cord-016871-1mlamf20 184 20 such such JJ cord-016871-1mlamf20 184 21 questions question NNS cord-016871-1mlamf20 184 22 must must MD cord-016871-1mlamf20 184 23 be be VB cord-016871-1mlamf20 184 24 appreciated appreciate VBN cord-016871-1mlamf20 184 25 . . . cord-016871-1mlamf20 185 1 There there EX cord-016871-1mlamf20 185 2 are be VBP cord-016871-1mlamf20 185 3 ethical ethical JJ cord-016871-1mlamf20 185 4 obstacles obstacle NNS cord-016871-1mlamf20 185 5 to to IN cord-016871-1mlamf20 185 6 randomizing randomize VBG cord-016871-1mlamf20 185 7 patients patient NNS cord-016871-1mlamf20 185 8 to to IN cord-016871-1mlamf20 185 9 transfusion transfusion NN cord-016871-1mlamf20 185 10 and and CC cord-016871-1mlamf20 185 11 non non JJ cord-016871-1mlamf20 185 12 - - JJ cord-016871-1mlamf20 185 13 transfusion transfusion JJ cord-016871-1mlamf20 185 14 arms arm NNS cord-016871-1mlamf20 185 15 . . . cord-016871-1mlamf20 186 1 Hence hence RB cord-016871-1mlamf20 186 2 , , , cord-016871-1mlamf20 186 3 many many JJ cord-016871-1mlamf20 186 4 trials trial NNS cord-016871-1mlamf20 186 5 show show VBP cord-016871-1mlamf20 186 6 patients patient NNS cord-016871-1mlamf20 186 7 who who WP cord-016871-1mlamf20 186 8 received receive VBD cord-016871-1mlamf20 186 9 more more JJR cord-016871-1mlamf20 186 10 blood blood NN cord-016871-1mlamf20 186 11 component component NN cord-016871-1mlamf20 186 12 transfusions transfusion NNS cord-016871-1mlamf20 186 13 fared fare VBD cord-016871-1mlamf20 186 14 worse worse RBR cord-016871-1mlamf20 186 15 than than IN cord-016871-1mlamf20 186 16 patients patient NNS cord-016871-1mlamf20 186 17 who who WP cord-016871-1mlamf20 186 18 did do VBD cord-016871-1mlamf20 186 19 not not RB cord-016871-1mlamf20 186 20 , , , cord-016871-1mlamf20 186 21 but but CC cord-016871-1mlamf20 186 22 this this DT cord-016871-1mlamf20 186 23 may may MD cord-016871-1mlamf20 186 24 be be VB cord-016871-1mlamf20 186 25 entirely entirely RB cord-016871-1mlamf20 186 26 because because IN cord-016871-1mlamf20 186 27 of of IN cord-016871-1mlamf20 186 28 the the DT cord-016871-1mlamf20 186 29 condition condition NN cord-016871-1mlamf20 186 30 of of IN cord-016871-1mlamf20 186 31 the the DT cord-016871-1mlamf20 186 32 patients patient NNS cord-016871-1mlamf20 186 33 that that WDT cord-016871-1mlamf20 186 34 necessitated necessitate VBD cord-016871-1mlamf20 186 35 the the DT cord-016871-1mlamf20 186 36 transfusions transfusion NNS cord-016871-1mlamf20 186 37 [ [ -LRB- cord-016871-1mlamf20 186 38 25 25 CD cord-016871-1mlamf20 186 39 ] ] -RRB- cord-016871-1mlamf20 186 40 . . . cord-016871-1mlamf20 187 1 Khorana Khorana NNP cord-016871-1mlamf20 187 2 et et FW cord-016871-1mlamf20 187 3 al al NNP cord-016871-1mlamf20 187 4 . . NNP cord-016871-1mlamf20 187 5 's 's POS cord-016871-1mlamf20 187 6 retrospective retrospective JJ cord-016871-1mlamf20 187 7 cohort cohort NN cord-016871-1mlamf20 187 8 study study NN cord-016871-1mlamf20 187 9 of of IN cord-016871-1mlamf20 187 10 504,208 504,208 CD cord-016871-1mlamf20 187 11 patients patient NNS cord-016871-1mlamf20 187 12 hospitalized hospitalize VBN cord-016871-1mlamf20 187 13 with with IN cord-016871-1mlamf20 187 14 cancer cancer NN cord-016871-1mlamf20 187 15 demonstrated demonstrate VBD cord-016871-1mlamf20 187 16 that that IN cord-016871-1mlamf20 187 17 RBC RBC NNP cord-016871-1mlamf20 187 18 and and CC cord-016871-1mlamf20 187 19 platelet platelet NN cord-016871-1mlamf20 187 20 transfusions transfusion NNS cord-016871-1mlamf20 187 21 were be VBD cord-016871-1mlamf20 187 22 associated associate VBN cord-016871-1mlamf20 187 23 with with IN cord-016871-1mlamf20 187 24 increased increase VBN cord-016871-1mlamf20 187 25 mortality mortality NN cord-016871-1mlamf20 187 26 , , , cord-016871-1mlamf20 187 27 as as RB cord-016871-1mlamf20 187 28 well well RB cord-016871-1mlamf20 187 29 as as IN cord-016871-1mlamf20 187 30 venous venous JJ cord-016871-1mlamf20 187 31 and and CC cord-016871-1mlamf20 187 32 arterial arterial JJ cord-016871-1mlamf20 187 33 thrombotic thrombotic JJ cord-016871-1mlamf20 187 34 events event NNS cord-016871-1mlamf20 187 35 [ [ -LRB- cord-016871-1mlamf20 187 36 42 42 CD cord-016871-1mlamf20 187 37 ] ] -RRB- cord-016871-1mlamf20 187 38 . . . cord-016871-1mlamf20 188 1 However however RB cord-016871-1mlamf20 188 2 , , , cord-016871-1mlamf20 188 3 it -PRON- PRP cord-016871-1mlamf20 188 4 is be VBZ cord-016871-1mlamf20 188 5 unclear unclear JJ cord-016871-1mlamf20 188 6 if if IN cord-016871-1mlamf20 188 7 this this DT cord-016871-1mlamf20 188 8 is be VBZ cord-016871-1mlamf20 188 9 a a DT cord-016871-1mlamf20 188 10 causal causal JJ cord-016871-1mlamf20 188 11 relationship relationship NN cord-016871-1mlamf20 188 12 . . . cord-016871-1mlamf20 189 1 As as IN cord-016871-1mlamf20 189 2 with with IN cord-016871-1mlamf20 189 3 large large JJ cord-016871-1mlamf20 189 4 - - HYPH cord-016871-1mlamf20 189 5 scale scale NN cord-016871-1mlamf20 189 6 introduction introduction NN cord-016871-1mlamf20 189 7 of of IN cord-016871-1mlamf20 189 8 exogenous exogenous JJ cord-016871-1mlamf20 189 9 elements element NNS cord-016871-1mlamf20 189 10 to to IN cord-016871-1mlamf20 189 11 the the DT cord-016871-1mlamf20 189 12 body body NN cord-016871-1mlamf20 189 13 , , , cord-016871-1mlamf20 189 14 immune immune JJ cord-016871-1mlamf20 189 15 reactions reaction NNS cord-016871-1mlamf20 189 16 can can MD cord-016871-1mlamf20 189 17 develop develop VB cord-016871-1mlamf20 189 18 , , , cord-016871-1mlamf20 189 19 a a DT cord-016871-1mlamf20 189 20 sequela sequela NN cord-016871-1mlamf20 189 21 that that WDT cord-016871-1mlamf20 189 22 is be VBZ cord-016871-1mlamf20 189 23 notorious notorious JJ cord-016871-1mlamf20 189 24 in in IN cord-016871-1mlamf20 189 25 blood blood NN cord-016871-1mlamf20 189 26 products product NNS cord-016871-1mlamf20 189 27 . . . cord-016871-1mlamf20 190 1 This this DT cord-016871-1mlamf20 190 2 complication complication NN cord-016871-1mlamf20 190 3 is be VBZ cord-016871-1mlamf20 190 4 particularly particularly RB cord-016871-1mlamf20 190 5 devastating devastating JJ cord-016871-1mlamf20 190 6 in in IN cord-016871-1mlamf20 190 7 severely severely RB cord-016871-1mlamf20 190 8 ill ill JJ cord-016871-1mlamf20 190 9 patients patient NNS cord-016871-1mlamf20 190 10 . . . cord-016871-1mlamf20 191 1 The the DT cord-016871-1mlamf20 191 2 most most RBS cord-016871-1mlamf20 191 3 notorious notorious JJ cord-016871-1mlamf20 191 4 of of IN cord-016871-1mlamf20 191 5 these these DT cord-016871-1mlamf20 191 6 immune immune JJ cord-016871-1mlamf20 191 7 reactions reaction NNS cord-016871-1mlamf20 191 8 are be VBP cord-016871-1mlamf20 191 9 hemolytic hemolytic JJ cord-016871-1mlamf20 191 10 reactions reaction NNS cord-016871-1mlamf20 191 11 . . . cord-016871-1mlamf20 192 1 In in IN cord-016871-1mlamf20 192 2 order order NN cord-016871-1mlamf20 192 3 to to TO cord-016871-1mlamf20 192 4 prevent prevent VB cord-016871-1mlamf20 192 5 this this DT cord-016871-1mlamf20 192 6 event event NN cord-016871-1mlamf20 192 7 , , , cord-016871-1mlamf20 192 8 it -PRON- PRP cord-016871-1mlamf20 192 9 is be VBZ cord-016871-1mlamf20 192 10 important important JJ cord-016871-1mlamf20 192 11 to to TO cord-016871-1mlamf20 192 12 cross cross VB cord-016871-1mlamf20 192 13 - - JJ cord-016871-1mlamf20 192 14 match match VB cord-016871-1mlamf20 192 15 patient patient NN cord-016871-1mlamf20 192 16 and and CC cord-016871-1mlamf20 192 17 donor donor NN cord-016871-1mlamf20 192 18 blood blood NN cord-016871-1mlamf20 192 19 whenever whenever WRB cord-016871-1mlamf20 192 20 possible possible JJ cord-016871-1mlamf20 192 21 . . . cord-016871-1mlamf20 193 1 The the DT cord-016871-1mlamf20 193 2 most most RBS cord-016871-1mlamf20 193 3 common common JJ cord-016871-1mlamf20 193 4 cause cause NN cord-016871-1mlamf20 193 5 of of IN cord-016871-1mlamf20 193 6 hemolytic hemolytic JJ cord-016871-1mlamf20 193 7 reactions reaction NNS cord-016871-1mlamf20 193 8 due due JJ cord-016871-1mlamf20 193 9 to to IN cord-016871-1mlamf20 193 10 transfusion transfusion NN cord-016871-1mlamf20 193 11 of of IN cord-016871-1mlamf20 193 12 an an DT cord-016871-1mlamf20 193 13 incorrect incorrect JJ cord-016871-1mlamf20 193 14 match match NN cord-016871-1mlamf20 193 15 is be VBZ cord-016871-1mlamf20 193 16 clerical clerical JJ cord-016871-1mlamf20 193 17 error error NN cord-016871-1mlamf20 193 18 . . . cord-016871-1mlamf20 194 1 Hemolytic hemolytic JJ cord-016871-1mlamf20 194 2 reactions reaction NNS cord-016871-1mlamf20 194 3 in in IN cord-016871-1mlamf20 194 4 blood blood NN cord-016871-1mlamf20 194 5 transfusions transfusion NNS cord-016871-1mlamf20 194 6 occur occur VBP cord-016871-1mlamf20 194 7 because because IN cord-016871-1mlamf20 194 8 each each DT cord-016871-1mlamf20 194 9 individual individual NN cord-016871-1mlamf20 194 10 carries carry VBZ cord-016871-1mlamf20 194 11 antibodies antibody NNS cord-016871-1mlamf20 194 12 against against IN cord-016871-1mlamf20 194 13 the the DT cord-016871-1mlamf20 194 14 blood blood NN cord-016871-1mlamf20 194 15 group group NN cord-016871-1mlamf20 194 16 ( ( -LRB- cord-016871-1mlamf20 194 17 A a NN cord-016871-1mlamf20 194 18 or or CC cord-016871-1mlamf20 194 19 B b NN cord-016871-1mlamf20 194 20 ) ) -RRB- cord-016871-1mlamf20 194 21 that that IN cord-016871-1mlamf20 194 22 it -PRON- PRP cord-016871-1mlamf20 194 23 does do VBZ cord-016871-1mlamf20 194 24 not not RB cord-016871-1mlamf20 194 25 express express VB cord-016871-1mlamf20 194 26 endogenously endogenously RB cord-016871-1mlamf20 194 27 . . . cord-016871-1mlamf20 195 1 Hence hence RB cord-016871-1mlamf20 195 2 , , , cord-016871-1mlamf20 195 3 when when WRB cord-016871-1mlamf20 195 4 products product NNS cord-016871-1mlamf20 195 5 containing contain VBG cord-016871-1mlamf20 195 6 anti anti JJ cord-016871-1mlamf20 195 7 - - JJ cord-016871-1mlamf20 195 8 A a JJ cord-016871-1mlamf20 195 9 or or CC cord-016871-1mlamf20 195 10 anti anti JJ cord-016871-1mlamf20 195 11 - - JJ cord-016871-1mlamf20 195 12 B b JJ cord-016871-1mlamf20 195 13 antibodies antibody NNS cord-016871-1mlamf20 195 14 in in IN cord-016871-1mlamf20 195 15 plasma plasma NN cord-016871-1mlamf20 195 16 , , , cord-016871-1mlamf20 195 17 such such JJ cord-016871-1mlamf20 195 18 as as IN cord-016871-1mlamf20 195 19 plasma plasma NN cord-016871-1mlamf20 195 20 , , , cord-016871-1mlamf20 195 21 are be VBP cord-016871-1mlamf20 195 22 transfused transfuse VBN cord-016871-1mlamf20 195 23 to to IN cord-016871-1mlamf20 195 24 patients patient NNS cord-016871-1mlamf20 195 25 of of IN cord-016871-1mlamf20 195 26 A a NN cord-016871-1mlamf20 195 27 , , , cord-016871-1mlamf20 195 28 B b NN cord-016871-1mlamf20 195 29 , , , cord-016871-1mlamf20 195 30 or or CC cord-016871-1mlamf20 195 31 both both DT cord-016871-1mlamf20 195 32 blood blood NN cord-016871-1mlamf20 195 33 groups group NNS cord-016871-1mlamf20 195 34 , , , cord-016871-1mlamf20 195 35 the the DT cord-016871-1mlamf20 195 36 donor donor NN cord-016871-1mlamf20 195 37 antibodies antibody NNS cord-016871-1mlamf20 195 38 stage stage VBP cord-016871-1mlamf20 195 39 an an DT cord-016871-1mlamf20 195 40 attack attack NN cord-016871-1mlamf20 195 41 on on IN cord-016871-1mlamf20 195 42 the the DT cord-016871-1mlamf20 195 43 patient patient NN cord-016871-1mlamf20 195 44 's 's POS cord-016871-1mlamf20 195 45 red red JJ cord-016871-1mlamf20 195 46 blood blood NN cord-016871-1mlamf20 195 47 cells cell NNS cord-016871-1mlamf20 195 48 . . . cord-016871-1mlamf20 196 1 Allergic allergic JJ cord-016871-1mlamf20 196 2 reactions reaction NNS cord-016871-1mlamf20 196 3 are be VBP cord-016871-1mlamf20 196 4 another another DT cord-016871-1mlamf20 196 5 common common JJ cord-016871-1mlamf20 196 6 immune immune NN cord-016871-1mlamf20 196 7 - - HYPH cord-016871-1mlamf20 196 8 mediated mediate VBN cord-016871-1mlamf20 196 9 complication complication NN cord-016871-1mlamf20 196 10 of of IN cord-016871-1mlamf20 196 11 transfusions transfusion NNS cord-016871-1mlamf20 196 12 . . . cord-016871-1mlamf20 197 1 Severely severely RB cord-016871-1mlamf20 197 2 anaphylactic anaphylactic JJ cord-016871-1mlamf20 197 3 reactions reaction NNS cord-016871-1mlamf20 197 4 are be VBP cord-016871-1mlamf20 197 5 more more RBR cord-016871-1mlamf20 197 6 common common JJ cord-016871-1mlamf20 197 7 after after IN cord-016871-1mlamf20 197 8 plasma plasma NN cord-016871-1mlamf20 197 9 compared compare VBN cord-016871-1mlamf20 197 10 to to IN cord-016871-1mlamf20 197 11 RBC RBC NNP cord-016871-1mlamf20 197 12 transfusion transfusion NN cord-016871-1mlamf20 197 13 [ [ -LRB- cord-016871-1mlamf20 197 14 35 35 CD cord-016871-1mlamf20 197 15 ] ] -RRB- cord-016871-1mlamf20 197 16 . . . cord-016871-1mlamf20 198 1 Patients patient NNS cord-016871-1mlamf20 198 2 present present JJ cord-016871-1mlamf20 198 3 with with IN cord-016871-1mlamf20 198 4 wheeze wheeze NN cord-016871-1mlamf20 198 5 , , , cord-016871-1mlamf20 198 6 hypotension hypotension NN cord-016871-1mlamf20 198 7 , , , cord-016871-1mlamf20 198 8 tachycardia tachycardia NN cord-016871-1mlamf20 198 9 , , , cord-016871-1mlamf20 198 10 laryngeal laryngeal NN cord-016871-1mlamf20 198 11 edema edema NN cord-016871-1mlamf20 198 12 , , , cord-016871-1mlamf20 198 13 and and CC cord-016871-1mlamf20 198 14 urticarial urticarial JJ cord-016871-1mlamf20 198 15 rash rash NN cord-016871-1mlamf20 198 16 . . . cord-016871-1mlamf20 199 1 TRALI TRALI NNP cord-016871-1mlamf20 199 2 is be VBZ cord-016871-1mlamf20 199 3 de de FW cord-016871-1mlamf20 199 4 fi fi NNP cord-016871-1mlamf20 199 5 ned ned NNP cord-016871-1mlamf20 199 6 as as IN cord-016871-1mlamf20 199 7 acute acute JJ cord-016871-1mlamf20 199 8 lung lung NN cord-016871-1mlamf20 199 9 injury injury NN cord-016871-1mlamf20 199 10 occurring occur VBG cord-016871-1mlamf20 199 11 within within IN cord-016871-1mlamf20 199 12 6 6 CD cord-016871-1mlamf20 199 13 h h NN cord-016871-1mlamf20 199 14 of of IN cord-016871-1mlamf20 199 15 transfusion transfusion NN cord-016871-1mlamf20 199 16 with with IN cord-016871-1mlamf20 199 17 a a DT cord-016871-1mlamf20 199 18 blood blood NN cord-016871-1mlamf20 199 19 product product NN cord-016871-1mlamf20 199 20 , , , cord-016871-1mlamf20 199 21 with with IN cord-016871-1mlamf20 199 22 most most JJS cord-016871-1mlamf20 199 23 commonly commonly RB cord-016871-1mlamf20 199 24 reported report VBN cord-016871-1mlamf20 199 25 cases case NNS cord-016871-1mlamf20 199 26 occurring occur VBG cord-016871-1mlamf20 199 27 due due IN cord-016871-1mlamf20 199 28 to to IN cord-016871-1mlamf20 199 29 FFP FFP NNP cord-016871-1mlamf20 199 30 [ [ -LRB- cord-016871-1mlamf20 199 31 43 43 CD cord-016871-1mlamf20 199 32 ] ] -RRB- cord-016871-1mlamf20 199 33 . . . cord-016871-1mlamf20 200 1 TRALI TRALI NNP cord-016871-1mlamf20 200 2 is be VBZ cord-016871-1mlamf20 200 3 the the DT cord-016871-1mlamf20 200 4 most most RBS cord-016871-1mlamf20 200 5 common common JJ cord-016871-1mlamf20 200 6 cause cause NN cord-016871-1mlamf20 200 7 of of IN cord-016871-1mlamf20 200 8 death death NN cord-016871-1mlamf20 200 9 due due IN cord-016871-1mlamf20 200 10 to to IN cord-016871-1mlamf20 200 11 transfusion transfusion NN cord-016871-1mlamf20 200 12 [ [ -LRB- cord-016871-1mlamf20 200 13 35 35 CD cord-016871-1mlamf20 200 14 ] ] -RRB- cord-016871-1mlamf20 200 15 . . . cord-016871-1mlamf20 201 1 TRALI TRALI NNP cord-016871-1mlamf20 201 2 is be VBZ cord-016871-1mlamf20 201 3 characterized characterize VBN cord-016871-1mlamf20 201 4 by by IN cord-016871-1mlamf20 201 5 respiratory respiratory JJ cord-016871-1mlamf20 201 6 insuf insuf NN cord-016871-1mlamf20 201 7 fi fi NN cord-016871-1mlamf20 201 8 ciency ciency NNP cord-016871-1mlamf20 201 9 , , , cord-016871-1mlamf20 201 10 not not RB cord-016871-1mlamf20 201 11 limited limit VBN cord-016871-1mlamf20 201 12 to to IN cord-016871-1mlamf20 201 13 but but CC cord-016871-1mlamf20 201 14 including include VBG cord-016871-1mlamf20 201 15 tachypnea tachypnea NNP cord-016871-1mlamf20 201 16 , , , cord-016871-1mlamf20 201 17 cyanosis cyanosis NN cord-016871-1mlamf20 201 18 , , , cord-016871-1mlamf20 201 19 dyspnea dyspnea NN cord-016871-1mlamf20 201 20 , , , cord-016871-1mlamf20 201 21 and and CC cord-016871-1mlamf20 201 22 acute acute JJ cord-016871-1mlamf20 201 23 hypoxemia hypoxemia NN cord-016871-1mlamf20 201 24 [ [ -LRB- cord-016871-1mlamf20 201 25 43 43 CD cord-016871-1mlamf20 201 26 ] ] -RRB- cord-016871-1mlamf20 201 27 . . . cord-016871-1mlamf20 202 1 Unfortunately unfortunately RB cord-016871-1mlamf20 202 2 , , , cord-016871-1mlamf20 202 3 the the DT cord-016871-1mlamf20 202 4 occurrence occurrence NN cord-016871-1mlamf20 202 5 of of IN cord-016871-1mlamf20 202 6 TRALI TRALI NNP cord-016871-1mlamf20 202 7 in in IN cord-016871-1mlamf20 202 8 critically critically RB cord-016871-1mlamf20 202 9 ill ill JJ cord-016871-1mlamf20 202 10 patients patient NNS cord-016871-1mlamf20 202 11 who who WP cord-016871-1mlamf20 202 12 received receive VBD cord-016871-1mlamf20 202 13 a a DT cord-016871-1mlamf20 202 14 blood blood NN cord-016871-1mlamf20 202 15 transfusion transfusion NN cord-016871-1mlamf20 202 16 is be VBZ cord-016871-1mlamf20 202 17 estimated estimate VBN cord-016871-1mlamf20 202 18 to to TO cord-016871-1mlamf20 202 19 be be VB cord-016871-1mlamf20 202 20 around around RB cord-016871-1mlamf20 202 21 25 25 CD cord-016871-1mlamf20 202 22 % % NN cord-016871-1mlamf20 202 23 and and CC cord-016871-1mlamf20 202 24 increases increase NNS cord-016871-1mlamf20 202 25 with with IN cord-016871-1mlamf20 202 26 each each DT cord-016871-1mlamf20 202 27 subsequent subsequent JJ cord-016871-1mlamf20 202 28 transfusion transfusion NN cord-016871-1mlamf20 202 29 , , , cord-016871-1mlamf20 202 30 has have VBZ cord-016871-1mlamf20 202 31 a a DT cord-016871-1mlamf20 202 32 mortality mortality NN cord-016871-1mlamf20 202 33 rate rate NN cord-016871-1mlamf20 202 34 of of IN cord-016871-1mlamf20 202 35 approximately approximately RB cord-016871-1mlamf20 202 36 40 40 CD cord-016871-1mlamf20 202 37 % % NN cord-016871-1mlamf20 202 38 , , , cord-016871-1mlamf20 202 39 and and CC cord-016871-1mlamf20 202 40 it -PRON- PRP cord-016871-1mlamf20 202 41 is be VBZ cord-016871-1mlamf20 202 42 the the DT cord-016871-1mlamf20 202 43 most most RBS cord-016871-1mlamf20 202 44 common common JJ cord-016871-1mlamf20 202 45 transfusion transfusion NN cord-016871-1mlamf20 202 46 - - HYPH cord-016871-1mlamf20 202 47 related relate VBN cord-016871-1mlamf20 202 48 complication complication NN cord-016871-1mlamf20 202 49 [ [ -LRB- cord-016871-1mlamf20 202 50 16 16 CD cord-016871-1mlamf20 202 51 ] ] -RRB- cord-016871-1mlamf20 202 52 . . . cord-016871-1mlamf20 203 1 Eighty eighty CD cord-016871-1mlamf20 203 2 - - HYPH cord-016871-1mlamf20 203 3 fi fi NNP cord-016871-1mlamf20 203 4 ve ve VBD cord-016871-1mlamf20 203 5 percent percent NN cord-016871-1mlamf20 203 6 of of IN cord-016871-1mlamf20 203 7 patients patient NNS cord-016871-1mlamf20 203 8 with with IN cord-016871-1mlamf20 203 9 bleeding bleed VBG cord-016871-1mlamf20 203 10 varices varix NNS cord-016871-1mlamf20 203 11 receive receive VBP cord-016871-1mlamf20 203 12 blood blood NN cord-016871-1mlamf20 203 13 transfusions transfusion NNS cord-016871-1mlamf20 203 14 , , , cord-016871-1mlamf20 203 15 and and CC cord-016871-1mlamf20 203 16 the the DT cord-016871-1mlamf20 203 17 trigger trigger NN cord-016871-1mlamf20 203 18 for for IN cord-016871-1mlamf20 203 19 transfusions transfusion NNS cord-016871-1mlamf20 203 20 is be VBZ cord-016871-1mlamf20 203 21 much much RB cord-016871-1mlamf20 203 22 debated debate VBN cord-016871-1mlamf20 203 23 . . . cord-016871-1mlamf20 204 1 In in IN cord-016871-1mlamf20 204 2 patients patient NNS cord-016871-1mlamf20 204 3 with with IN cord-016871-1mlamf20 204 4 gastrointestinal gastrointestinal JJ cord-016871-1mlamf20 204 5 bleeding bleeding NN cord-016871-1mlamf20 204 6 , , , cord-016871-1mlamf20 204 7 TRALI TRALI NNP cord-016871-1mlamf20 204 8 is be VBZ cord-016871-1mlamf20 204 9 further far RBR cord-016871-1mlamf20 204 10 exacerbated exacerbate VBN cord-016871-1mlamf20 204 11 by by IN cord-016871-1mlamf20 204 12 the the DT cord-016871-1mlamf20 204 13 presence presence NN cord-016871-1mlamf20 204 14 of of IN cord-016871-1mlamf20 204 15 end end NN cord-016871-1mlamf20 204 16 - - HYPH cord-016871-1mlamf20 204 17 stage stage NN cord-016871-1mlamf20 204 18 liver liver NN cord-016871-1mlamf20 204 19 disease disease NN cord-016871-1mlamf20 204 20 . . . cord-016871-1mlamf20 205 1 Proposed propose VBN cord-016871-1mlamf20 205 2 mechanisms mechanism NNS cord-016871-1mlamf20 205 3 for for IN cord-016871-1mlamf20 205 4 this this DT cord-016871-1mlamf20 205 5 phenomenon phenomenon NN cord-016871-1mlamf20 205 6 have have VBP cord-016871-1mlamf20 205 7 included include VBN cord-016871-1mlamf20 205 8 antibody antibody NN cord-016871-1mlamf20 205 9 - - HYPH cord-016871-1mlamf20 205 10 mediated mediate VBN cord-016871-1mlamf20 205 11 reactions reaction NNS cord-016871-1mlamf20 205 12 , , , cord-016871-1mlamf20 205 13 but but CC cord-016871-1mlamf20 205 14 these these DT cord-016871-1mlamf20 205 15 fi fi NNP cord-016871-1mlamf20 205 16 ndings nding NNS cord-016871-1mlamf20 205 17 are be VBP cord-016871-1mlamf20 205 18 not not RB cord-016871-1mlamf20 205 19 de de FW cord-016871-1mlamf20 205 20 fi fi NNP cord-016871-1mlamf20 205 21 nitive nitive JJ cord-016871-1mlamf20 205 22 and and CC cord-016871-1mlamf20 205 23 many many JJ cord-016871-1mlamf20 205 24 are be VBP cord-016871-1mlamf20 205 25 subject subject JJ cord-016871-1mlamf20 205 26 to to IN cord-016871-1mlamf20 205 27 selection selection NN cord-016871-1mlamf20 205 28 bias bias NN cord-016871-1mlamf20 205 29 due due IN cord-016871-1mlamf20 205 30 to to IN cord-016871-1mlamf20 205 31 no no DT cord-016871-1mlamf20 205 32 screening screening NN cord-016871-1mlamf20 205 33 in in IN cord-016871-1mlamf20 205 34 the the DT cord-016871-1mlamf20 205 35 asymptomatic asymptomatic JJ cord-016871-1mlamf20 205 36 population population NN cord-016871-1mlamf20 205 37 [ [ -LRB- cord-016871-1mlamf20 205 38 43 43 CD cord-016871-1mlamf20 205 39 ] ] -RRB- cord-016871-1mlamf20 205 40 . . . cord-016871-1mlamf20 206 1 Autopsies autopsy NNS cord-016871-1mlamf20 206 2 and and CC cord-016871-1mlamf20 206 3 animal animal NN cord-016871-1mlamf20 206 4 models model NNS cord-016871-1mlamf20 206 5 have have VBP cord-016871-1mlamf20 206 6 suggested suggest VBN cord-016871-1mlamf20 206 7 hyperactive hyperactive JJ cord-016871-1mlamf20 206 8 PMN PMN NNP cord-016871-1mlamf20 206 9 involvement involvement NN cord-016871-1mlamf20 206 10 , , , cord-016871-1mlamf20 206 11 since since IN cord-016871-1mlamf20 206 12 mass mass NN cord-016871-1mlamf20 206 13 in in IN cord-016871-1mlamf20 206 14 fi fi NNP cord-016871-1mlamf20 206 15 ltration ltration NN cord-016871-1mlamf20 206 16 was be VBD cord-016871-1mlamf20 206 17 noted note VBN cord-016871-1mlamf20 206 18 [ [ -LRB- cord-016871-1mlamf20 206 19 43 43 CD cord-016871-1mlamf20 206 20 ] ] -RRB- cord-016871-1mlamf20 206 21 . . . cord-016871-1mlamf20 207 1 A a DT cord-016871-1mlamf20 207 2 two two CD cord-016871-1mlamf20 207 3 - - HYPH cord-016871-1mlamf20 207 4 event event NN cord-016871-1mlamf20 207 5 model model NN cord-016871-1mlamf20 207 6 has have VBZ cord-016871-1mlamf20 207 7 also also RB cord-016871-1mlamf20 207 8 been be VBN cord-016871-1mlamf20 207 9 proposed propose VBN cord-016871-1mlamf20 207 10 , , , cord-016871-1mlamf20 207 11 with with IN cord-016871-1mlamf20 207 12 the the DT cord-016871-1mlamf20 207 13 fi fi NNP cord-016871-1mlamf20 207 14 rst rst NN cord-016871-1mlamf20 207 15 event event NN cord-016871-1mlamf20 207 16 dictated dictate VBN cord-016871-1mlamf20 207 17 by by IN cord-016871-1mlamf20 207 18 the the DT cord-016871-1mlamf20 207 19 clinical clinical JJ cord-016871-1mlamf20 207 20 health health NN cord-016871-1mlamf20 207 21 of of IN cord-016871-1mlamf20 207 22 the the DT cord-016871-1mlamf20 207 23 patient patient NN cord-016871-1mlamf20 207 24 and and CC cord-016871-1mlamf20 207 25 the the DT cord-016871-1mlamf20 207 26 second second JJ cord-016871-1mlamf20 207 27 event event NN cord-016871-1mlamf20 207 28 by by IN cord-016871-1mlamf20 207 29 the the DT cord-016871-1mlamf20 207 30 quality quality NN cord-016871-1mlamf20 207 31 ( ( -LRB- cord-016871-1mlamf20 207 32 affected affect VBN cord-016871-1mlamf20 207 33 by by IN cord-016871-1mlamf20 207 34 storage storage NN cord-016871-1mlamf20 207 35 , , , cord-016871-1mlamf20 207 36 donor donor NN cord-016871-1mlamf20 207 37 immunologic immunologic JJ cord-016871-1mlamf20 207 38 components component NNS cord-016871-1mlamf20 207 39 ) ) -RRB- cord-016871-1mlamf20 207 40 of of IN cord-016871-1mlamf20 207 41 the the DT cord-016871-1mlamf20 207 42 blood blood NN cord-016871-1mlamf20 207 43 product product NN cord-016871-1mlamf20 207 44 [ [ -LRB- cord-016871-1mlamf20 207 45 43 43 CD cord-016871-1mlamf20 207 46 ] ] -RRB- cord-016871-1mlamf20 207 47 . . . cord-016871-1mlamf20 208 1 The the DT cord-016871-1mlamf20 208 2 treatment treatment NN cord-016871-1mlamf20 208 3 of of IN cord-016871-1mlamf20 208 4 TRALI TRALI NNP cord-016871-1mlamf20 208 5 is be VBZ cord-016871-1mlamf20 208 6 aggressive aggressive JJ cord-016871-1mlamf20 208 7 respiratory respiratory JJ cord-016871-1mlamf20 208 8 support support NN cord-016871-1mlamf20 208 9 and and CC cord-016871-1mlamf20 208 10 ventilation ventilation NN cord-016871-1mlamf20 208 11 in in IN cord-016871-1mlamf20 208 12 more more JJR cord-016871-1mlamf20 208 13 severe severe JJ cord-016871-1mlamf20 208 14 cases case NNS cord-016871-1mlamf20 208 15 , , , cord-016871-1mlamf20 208 16 such such JJ cord-016871-1mlamf20 208 17 as as IN cord-016871-1mlamf20 208 18 in in IN cord-016871-1mlamf20 208 19 critically critically RB cord-016871-1mlamf20 208 20 ill ill JJ cord-016871-1mlamf20 208 21 patients patient NNS cord-016871-1mlamf20 208 22 [ [ -LRB- cord-016871-1mlamf20 208 23 43 43 CD cord-016871-1mlamf20 208 24 ] ] -RRB- cord-016871-1mlamf20 208 25 . . . cord-016871-1mlamf20 209 1 Practices practice NNS cord-016871-1mlamf20 209 2 to to TO cord-016871-1mlamf20 209 3 reduce reduce VB cord-016871-1mlamf20 209 4 the the DT cord-016871-1mlamf20 209 5 risk risk NN cord-016871-1mlamf20 209 6 of of IN cord-016871-1mlamf20 209 7 TRALI TRALI NNP cord-016871-1mlamf20 209 8 include include VBP cord-016871-1mlamf20 209 9 prestorage prestorage NN cord-016871-1mlamf20 209 10 leukoreduction leukoreduction NN cord-016871-1mlamf20 209 11 as as RB cord-016871-1mlamf20 209 12 well well RB cord-016871-1mlamf20 209 13 as as IN cord-016871-1mlamf20 209 14 avoiding avoid VBG cord-016871-1mlamf20 209 15 the the DT cord-016871-1mlamf20 209 16 use use NN cord-016871-1mlamf20 209 17 of of IN cord-016871-1mlamf20 209 18 old old JJ cord-016871-1mlamf20 209 19 blood blood NN cord-016871-1mlamf20 209 20 products product NNS cord-016871-1mlamf20 209 21 , , , cord-016871-1mlamf20 209 22 de de FW cord-016871-1mlamf20 209 23 fi fi NNP cord-016871-1mlamf20 209 24 ned ned NNP cord-016871-1mlamf20 209 25 as as IN cord-016871-1mlamf20 209 26 older old JJR cord-016871-1mlamf20 209 27 than than IN cord-016871-1mlamf20 209 28 14 14 CD cord-016871-1mlamf20 209 29 days day NNS cord-016871-1mlamf20 209 30 for for IN cord-016871-1mlamf20 209 31 RBCs rbc NNS cord-016871-1mlamf20 209 32 and and CC cord-016871-1mlamf20 209 33 older old JJR cord-016871-1mlamf20 209 34 than than IN cord-016871-1mlamf20 209 35 2 2 CD cord-016871-1mlamf20 209 36 days day NNS cord-016871-1mlamf20 209 37 for for IN cord-016871-1mlamf20 209 38 platelet platelet NN cord-016871-1mlamf20 209 39 concentrates concentrate NNS cord-016871-1mlamf20 209 40 . . . cord-016871-1mlamf20 210 1 Another another DT cord-016871-1mlamf20 210 2 prevention prevention NN cord-016871-1mlamf20 210 3 strategy strategy NN cord-016871-1mlamf20 210 4 is be VBZ cord-016871-1mlamf20 210 5 using use VBG cord-016871-1mlamf20 210 6 only only RB cord-016871-1mlamf20 210 7 male male JJ cord-016871-1mlamf20 210 8 donors donor NNS cord-016871-1mlamf20 210 9 or or CC cord-016871-1mlamf20 210 10 donors donor NNS cord-016871-1mlamf20 210 11 who who WP cord-016871-1mlamf20 210 12 have have VBP cord-016871-1mlamf20 210 13 never never RB cord-016871-1mlamf20 210 14 been be VBN cord-016871-1mlamf20 210 15 pregnant pregnant JJ cord-016871-1mlamf20 210 16 due due IN cord-016871-1mlamf20 210 17 to to TO cord-016871-1mlamf20 210 18 look look VB cord-016871-1mlamf20 210 19 back back RB cord-016871-1mlamf20 210 20 studies study NNS cord-016871-1mlamf20 210 21 showing show VBG cord-016871-1mlamf20 210 22 fewer few JJR cord-016871-1mlamf20 210 23 TRALI TRALI NNP cord-016871-1mlamf20 210 24 events event NNS cord-016871-1mlamf20 210 25 in in IN cord-016871-1mlamf20 210 26 blood blood NN cord-016871-1mlamf20 210 27 donations donation NNS cord-016871-1mlamf20 210 28 from from IN cord-016871-1mlamf20 210 29 those those DT cord-016871-1mlamf20 210 30 populations population NNS cord-016871-1mlamf20 210 31 [ [ -LRB- cord-016871-1mlamf20 210 32 16 16 CD cord-016871-1mlamf20 210 33 ] ] -RRB- cord-016871-1mlamf20 210 34 . . . cord-016871-1mlamf20 211 1 Eder Eder NNP cord-016871-1mlamf20 211 2 et et NNP cord-016871-1mlamf20 211 3 al al NNP cord-016871-1mlamf20 211 4 . . NNP cord-016871-1mlamf20 211 5 demonstrated demonstrate VBD cord-016871-1mlamf20 211 6 that that IN cord-016871-1mlamf20 211 7 preferential preferential JJ cord-016871-1mlamf20 211 8 distribution distribution NN cord-016871-1mlamf20 211 9 of of IN cord-016871-1mlamf20 211 10 plasma plasma NN cord-016871-1mlamf20 211 11 from from IN cord-016871-1mlamf20 211 12 male male JJ cord-016871-1mlamf20 211 13 donors donor NNS cord-016871-1mlamf20 211 14 reduced reduce VBD cord-016871-1mlamf20 211 15 the the DT cord-016871-1mlamf20 211 16 reported reported JJ cord-016871-1mlamf20 211 17 number number NN cord-016871-1mlamf20 211 18 of of IN cord-016871-1mlamf20 211 19 TRALI TRALI NNP cord-016871-1mlamf20 211 20 cases case NNS cord-016871-1mlamf20 211 21 [ [ -LRB- cord-016871-1mlamf20 211 22 44 44 CD cord-016871-1mlamf20 211 23 ] ] -RRB- cord-016871-1mlamf20 211 24 . . . cord-016871-1mlamf20 212 1 Transfusion transfusion NN cord-016871-1mlamf20 212 2 - - HYPH cord-016871-1mlamf20 212 3 associated associate VBN cord-016871-1mlamf20 212 4 immunomodulation immunomodulation NN cord-016871-1mlamf20 212 5 refers refer VBZ cord-016871-1mlamf20 212 6 to to IN cord-016871-1mlamf20 212 7 the the DT cord-016871-1mlamf20 212 8 immunosuppression immunosuppression NN cord-016871-1mlamf20 212 9 resulting result VBG cord-016871-1mlamf20 212 10 from from IN cord-016871-1mlamf20 212 11 the the DT cord-016871-1mlamf20 212 12 introduction introduction NN cord-016871-1mlamf20 212 13 of of IN cord-016871-1mlamf20 212 14 foreign foreign JJ cord-016871-1mlamf20 212 15 antigens antigen NNS cord-016871-1mlamf20 212 16 via via IN cord-016871-1mlamf20 212 17 blood blood NN cord-016871-1mlamf20 212 18 products product NNS cord-016871-1mlamf20 212 19 to to IN cord-016871-1mlamf20 212 20 the the DT cord-016871-1mlamf20 212 21 host host NN cord-016871-1mlamf20 212 22 [ [ -LRB- cord-016871-1mlamf20 212 23 25 25 CD cord-016871-1mlamf20 212 24 ] ] -RRB- cord-016871-1mlamf20 212 25 . . . cord-016871-1mlamf20 213 1 The the DT cord-016871-1mlamf20 213 2 exact exact JJ cord-016871-1mlamf20 213 3 mechanism mechanism NN cord-016871-1mlamf20 213 4 of of IN cord-016871-1mlamf20 213 5 this this DT cord-016871-1mlamf20 213 6 effect effect NN cord-016871-1mlamf20 213 7 has have VBZ cord-016871-1mlamf20 213 8 not not RB cord-016871-1mlamf20 213 9 yet yet RB cord-016871-1mlamf20 213 10 been be VBN cord-016871-1mlamf20 213 11 elucidated elucidate VBN cord-016871-1mlamf20 213 12 , , , cord-016871-1mlamf20 213 13 but but CC cord-016871-1mlamf20 213 14 plasma plasma NN cord-016871-1mlamf20 213 15 components component NNS cord-016871-1mlamf20 213 16 , , , cord-016871-1mlamf20 213 17 white white JJ cord-016871-1mlamf20 213 18 blood blood NN cord-016871-1mlamf20 213 19 cells cell NNS cord-016871-1mlamf20 213 20 ( ( -LRB- cord-016871-1mlamf20 213 21 WBCs WBCs NNP cord-016871-1mlamf20 213 22 ) ) -RRB- cord-016871-1mlamf20 213 23 , , , cord-016871-1mlamf20 213 24 metabolic metabolic JJ cord-016871-1mlamf20 213 25 products product NNS cord-016871-1mlamf20 213 26 from from IN cord-016871-1mlamf20 213 27 storage storage NN cord-016871-1mlamf20 213 28 processes process NNS cord-016871-1mlamf20 213 29 are be VBP cord-016871-1mlamf20 213 30 thought think VBN cord-016871-1mlamf20 213 31 to to TO cord-016871-1mlamf20 213 32 play play VB cord-016871-1mlamf20 213 33 a a DT cord-016871-1mlamf20 213 34 role role NN cord-016871-1mlamf20 213 35 . . . cord-016871-1mlamf20 214 1 This this DT cord-016871-1mlamf20 214 2 effect effect NN cord-016871-1mlamf20 214 3 may may MD cord-016871-1mlamf20 214 4 be be VB cord-016871-1mlamf20 214 5 responsible responsible JJ cord-016871-1mlamf20 214 6 for for IN cord-016871-1mlamf20 214 7 the the DT cord-016871-1mlamf20 214 8 immunosuppressive immunosuppressive JJ cord-016871-1mlamf20 214 9 effects effect NNS cord-016871-1mlamf20 214 10 of of IN cord-016871-1mlamf20 214 11 transfusions transfusion NNS cord-016871-1mlamf20 214 12 on on IN cord-016871-1mlamf20 214 13 severely severely RB cord-016871-1mlamf20 214 14 ill ill JJ cord-016871-1mlamf20 214 15 patients patient NNS cord-016871-1mlamf20 214 16 . . . cord-016871-1mlamf20 215 1 Transfusions transfusion NNS cord-016871-1mlamf20 215 2 can can MD cord-016871-1mlamf20 215 3 cause cause VB cord-016871-1mlamf20 215 4 sensitization sensitization NN cord-016871-1mlamf20 215 5 to to IN cord-016871-1mlamf20 215 6 HLA HLA NNP cord-016871-1mlamf20 215 7 antigens antigen NNS cord-016871-1mlamf20 215 8 , , , cord-016871-1mlamf20 215 9 creating create VBG cord-016871-1mlamf20 215 10 a a DT cord-016871-1mlamf20 215 11 unique unique JJ cord-016871-1mlamf20 215 12 problem problem NN cord-016871-1mlamf20 215 13 in in IN cord-016871-1mlamf20 215 14 potential potential JJ cord-016871-1mlamf20 215 15 kidney kidney NN cord-016871-1mlamf20 215 16 transplant transplant NN cord-016871-1mlamf20 215 17 patients patient NNS cord-016871-1mlamf20 215 18 . . . cord-016871-1mlamf20 216 1 Studies study NNS cord-016871-1mlamf20 216 2 have have VBP cord-016871-1mlamf20 216 3 demonstrated demonstrate VBN cord-016871-1mlamf20 216 4 increased increase VBN cord-016871-1mlamf20 216 5 sensitization sensitization NN cord-016871-1mlamf20 216 6 of of IN cord-016871-1mlamf20 216 7 patients patient NNS cord-016871-1mlamf20 216 8 on on IN cord-016871-1mlamf20 216 9 a a DT cord-016871-1mlamf20 216 10 kidney kidney NN cord-016871-1mlamf20 216 11 transplant transplant NN cord-016871-1mlamf20 216 12 waiting waiting NN cord-016871-1mlamf20 216 13 list list NN cord-016871-1mlamf20 216 14 after after IN cord-016871-1mlamf20 216 15 transfusion transfusion NN cord-016871-1mlamf20 216 16 , , , cord-016871-1mlamf20 216 17 rendering render VBG cord-016871-1mlamf20 216 18 them -PRON- PRP cord-016871-1mlamf20 216 19 unsuitable unsuitable JJ cord-016871-1mlamf20 216 20 candidates candidate NNS cord-016871-1mlamf20 216 21 for for IN cord-016871-1mlamf20 216 22 living live VBG cord-016871-1mlamf20 216 23 donation donation NN cord-016871-1mlamf20 216 24 . . . cord-016871-1mlamf20 217 1 Their -PRON- PRP$ cord-016871-1mlamf20 217 2 only only RB cord-016871-1mlamf20 217 3 remaining remain VBG cord-016871-1mlamf20 217 4 alternative alternative NN cord-016871-1mlamf20 217 5 once once IN cord-016871-1mlamf20 217 6 this this DT cord-016871-1mlamf20 217 7 has have VBZ cord-016871-1mlamf20 217 8 occurred occur VBN cord-016871-1mlamf20 217 9 is be VBZ cord-016871-1mlamf20 217 10 to to TO cord-016871-1mlamf20 217 11 wait wait VB cord-016871-1mlamf20 217 12 for for IN cord-016871-1mlamf20 217 13 a a DT cord-016871-1mlamf20 217 14 cadaveric cadaveric JJ cord-016871-1mlamf20 217 15 graft graft NN cord-016871-1mlamf20 217 16 , , , cord-016871-1mlamf20 217 17 which which WDT cord-016871-1mlamf20 217 18 takes take VBZ cord-016871-1mlamf20 217 19 up up RP cord-016871-1mlamf20 217 20 to to TO cord-016871-1mlamf20 217 21 four four CD cord-016871-1mlamf20 217 22 times time NNS cord-016871-1mlamf20 217 23 longer long RBR cord-016871-1mlamf20 217 24 , , , cord-016871-1mlamf20 217 25 and and CC cord-016871-1mlamf20 217 26 may may MD cord-016871-1mlamf20 217 27 never never RB cord-016871-1mlamf20 217 28 receive receive VB cord-016871-1mlamf20 217 29 a a DT cord-016871-1mlamf20 217 30 transplant transplant NN cord-016871-1mlamf20 217 31 . . . cord-016871-1mlamf20 218 1 Hence hence RB cord-016871-1mlamf20 218 2 , , , cord-016871-1mlamf20 218 3 non non JJ cord-016871-1mlamf20 218 4 - - JJ cord-016871-1mlamf20 218 5 life life JJ cord-016871-1mlamf20 218 6 - - HYPH cord-016871-1mlamf20 218 7 sustaining sustain VBG cord-016871-1mlamf20 218 8 transfusions transfusion NNS cord-016871-1mlamf20 218 9 should should MD cord-016871-1mlamf20 218 10 be be VB cord-016871-1mlamf20 218 11 avoided avoid VBN cord-016871-1mlamf20 218 12 in in IN cord-016871-1mlamf20 218 13 potential potential JJ cord-016871-1mlamf20 218 14 kidney kidney NN cord-016871-1mlamf20 218 15 transplant transplant NN cord-016871-1mlamf20 218 16 recipients recipient NNS cord-016871-1mlamf20 218 17 [ [ -LRB- cord-016871-1mlamf20 218 18 25 25 CD cord-016871-1mlamf20 218 19 ] ] -RRB- cord-016871-1mlamf20 218 20 . . . cord-016871-1mlamf20 219 1 Red red JJ cord-016871-1mlamf20 219 2 blood blood NN cord-016871-1mlamf20 219 3 cell cell NN cord-016871-1mlamf20 219 4 transfusion transfusion NN cord-016871-1mlamf20 219 5 is be VBZ cord-016871-1mlamf20 219 6 an an DT cord-016871-1mlamf20 219 7 independent independent JJ cord-016871-1mlamf20 219 8 predictor predictor NN cord-016871-1mlamf20 219 9 of of IN cord-016871-1mlamf20 219 10 systemic systemic NN cord-016871-1mlamf20 219 11 in in IN cord-016871-1mlamf20 219 12 fl fl NNP cord-016871-1mlamf20 219 13 ammatory ammatory NNP cord-016871-1mlamf20 219 14 response response NN cord-016871-1mlamf20 219 15 syndrome syndrome NN cord-016871-1mlamf20 219 16 ( ( -LRB- cord-016871-1mlamf20 219 17 SIRS SIRS NNP cord-016871-1mlamf20 219 18 ) ) -RRB- cord-016871-1mlamf20 219 19 , , , cord-016871-1mlamf20 219 20 ICU ICU NNP cord-016871-1mlamf20 219 21 admission admission NN cord-016871-1mlamf20 219 22 , , , cord-016871-1mlamf20 219 23 mortality mortality NN cord-016871-1mlamf20 219 24 , , , cord-016871-1mlamf20 219 25 and and CC cord-016871-1mlamf20 219 26 length length NN cord-016871-1mlamf20 219 27 of of IN cord-016871-1mlamf20 219 28 hospital hospital NN cord-016871-1mlamf20 219 29 stay stay NN cord-016871-1mlamf20 219 30 , , , cord-016871-1mlamf20 219 31 and and CC cord-016871-1mlamf20 219 32 the the DT cord-016871-1mlamf20 219 33 development development NN cord-016871-1mlamf20 219 34 of of IN cord-016871-1mlamf20 219 35 multiple multiple JJ cord-016871-1mlamf20 219 36 organ organ NN cord-016871-1mlamf20 219 37 failure failure NN cord-016871-1mlamf20 219 38 ( ( -LRB- cord-016871-1mlamf20 219 39 MOF MOF NNP cord-016871-1mlamf20 219 40 ) ) -RRB- cord-016871-1mlamf20 219 41 [ [ -LRB- cord-016871-1mlamf20 219 42 45 45 CD cord-016871-1mlamf20 219 43 ] ] -RRB- cord-016871-1mlamf20 219 44 . . . cord-016871-1mlamf20 220 1 In in IN cord-016871-1mlamf20 220 2 particular particular JJ cord-016871-1mlamf20 220 3 , , , cord-016871-1mlamf20 220 4 the the DT cord-016871-1mlamf20 220 5 age age NN cord-016871-1mlamf20 220 6 of of IN cord-016871-1mlamf20 220 7 the the DT cord-016871-1mlamf20 220 8 blood blood NN cord-016871-1mlamf20 220 9 plays play VBZ cord-016871-1mlamf20 220 10 an an DT cord-016871-1mlamf20 220 11 important important JJ cord-016871-1mlamf20 220 12 role role NN cord-016871-1mlamf20 220 13 , , , cord-016871-1mlamf20 220 14 with with IN cord-016871-1mlamf20 220 15 increased increase VBN cord-016871-1mlamf20 220 16 age age NN cord-016871-1mlamf20 220 17 of of IN cord-016871-1mlamf20 220 18 RBCs rbc NNS cord-016871-1mlamf20 220 19 resulting result VBG cord-016871-1mlamf20 220 20 in in IN cord-016871-1mlamf20 220 21 increased increase VBN cord-016871-1mlamf20 220 22 instances instance NNS cord-016871-1mlamf20 220 23 of of IN cord-016871-1mlamf20 220 24 MOF MOF NNP cord-016871-1mlamf20 220 25 . . . cord-016871-1mlamf20 221 1 RBCs rbc NNS cord-016871-1mlamf20 221 2 are be VBP cord-016871-1mlamf20 221 3 not not RB cord-016871-1mlamf20 221 4 alone alone JJ cord-016871-1mlamf20 221 5 in in IN cord-016871-1mlamf20 221 6 this this DT cord-016871-1mlamf20 221 7 adverse adverse JJ cord-016871-1mlamf20 221 8 event event NN cord-016871-1mlamf20 221 9 . . . cord-016871-1mlamf20 222 1 A a DT cord-016871-1mlamf20 222 2 multicenter multicenter JJ cord-016871-1mlamf20 222 3 prospective prospective JJ cord-016871-1mlamf20 222 4 cohort cohort NN cord-016871-1mlamf20 222 5 study study NN cord-016871-1mlamf20 222 6 demonstrated demonstrate VBD cord-016871-1mlamf20 222 7 that that IN cord-016871-1mlamf20 222 8 FFP FFP NNP cord-016871-1mlamf20 222 9 was be VBD cord-016871-1mlamf20 222 10 independently independently RB cord-016871-1mlamf20 222 11 associated associate VBN cord-016871-1mlamf20 222 12 with with IN cord-016871-1mlamf20 222 13 increased increase VBN cord-016871-1mlamf20 222 14 risk risk NN cord-016871-1mlamf20 222 15 of of IN cord-016871-1mlamf20 222 16 MOF MOF NNP cord-016871-1mlamf20 222 17 and and CC cord-016871-1mlamf20 222 18 acute acute JJ cord-016871-1mlamf20 222 19 respiratory respiratory JJ cord-016871-1mlamf20 222 20 distress distress NN cord-016871-1mlamf20 222 21 syndrome syndrome NN cord-016871-1mlamf20 222 22 ( ( -LRB- cord-016871-1mlamf20 222 23 ARDS ARDS NNP cord-016871-1mlamf20 222 24 ) ) -RRB- cord-016871-1mlamf20 222 25 of of IN cord-016871-1mlamf20 222 26 2.1 2.1 CD cord-016871-1mlamf20 222 27 % % NN cord-016871-1mlamf20 222 28 and and CC cord-016871-1mlamf20 222 29 2.5 2.5 CD cord-016871-1mlamf20 222 30 % % NN cord-016871-1mlamf20 222 31 [ [ -LRB- cord-016871-1mlamf20 222 32 46 46 CD cord-016871-1mlamf20 222 33 ] ] -RRB- cord-016871-1mlamf20 222 34 . . . cord-016871-1mlamf20 223 1 The the DT cord-016871-1mlamf20 223 2 same same JJ cord-016871-1mlamf20 223 3 study study NN cord-016871-1mlamf20 223 4 found find VBD cord-016871-1mlamf20 223 5 , , , cord-016871-1mlamf20 223 6 however however RB cord-016871-1mlamf20 223 7 , , , cord-016871-1mlamf20 223 8 decreased decrease VBD cord-016871-1mlamf20 223 9 risk risk NN cord-016871-1mlamf20 223 10 of of IN cord-016871-1mlamf20 223 11 MOF MOF NNP cord-016871-1mlamf20 223 12 per per IN cord-016871-1mlamf20 223 13 unit unit NN cord-016871-1mlamf20 223 14 of of IN cord-016871-1mlamf20 223 15 cryoprecipitate cryoprecipitate NNP cord-016871-1mlamf20 223 16 , , , cord-016871-1mlamf20 223 17 and and CC cord-016871-1mlamf20 223 18 platelets platelet NNS cord-016871-1mlamf20 223 19 were be VBD cord-016871-1mlamf20 223 20 not not RB cord-016871-1mlamf20 223 21 found find VBN cord-016871-1mlamf20 223 22 to to TO cord-016871-1mlamf20 223 23 be be VB cord-016871-1mlamf20 223 24 associated associate VBN cord-016871-1mlamf20 223 25 with with IN cord-016871-1mlamf20 223 26 MOF MOF NNP cord-016871-1mlamf20 223 27 or or CC cord-016871-1mlamf20 223 28 ARDS ARDS NNP cord-016871-1mlamf20 223 29 [ [ -LRB- cord-016871-1mlamf20 223 30 46 46 CD cord-016871-1mlamf20 223 31 ] ] -RRB- cord-016871-1mlamf20 223 32 . . . cord-016871-1mlamf20 224 1 In in IN cord-016871-1mlamf20 224 2 addition addition NN cord-016871-1mlamf20 224 3 to to IN cord-016871-1mlamf20 224 4 MOF MOF NNP cord-016871-1mlamf20 224 5 , , , cord-016871-1mlamf20 224 6 blood blood NN cord-016871-1mlamf20 224 7 transfusions transfusion NNS cord-016871-1mlamf20 224 8 are be VBP cord-016871-1mlamf20 224 9 notorious notorious JJ cord-016871-1mlamf20 224 10 in in IN cord-016871-1mlamf20 224 11 lay lay JJ cord-016871-1mlamf20 224 12 media medium NNS cord-016871-1mlamf20 224 13 for for IN cord-016871-1mlamf20 224 14 their -PRON- PRP$ cord-016871-1mlamf20 224 15 association association NN cord-016871-1mlamf20 224 16 with with IN cord-016871-1mlamf20 224 17 infectious infectious JJ cord-016871-1mlamf20 224 18 agents agent NNS cord-016871-1mlamf20 224 19 . . . cord-016871-1mlamf20 225 1 In in IN cord-016871-1mlamf20 225 2 their -PRON- PRP$ cord-016871-1mlamf20 225 3 review review NN cord-016871-1mlamf20 225 4 of of IN cord-016871-1mlamf20 225 5 the the DT cord-016871-1mlamf20 225 6 current current JJ cord-016871-1mlamf20 225 7 literature literature NN cord-016871-1mlamf20 225 8 , , , cord-016871-1mlamf20 225 9 Englesbe Englesbe NNP cord-016871-1mlamf20 225 10 et et NNP cord-016871-1mlamf20 225 11 al al NNP cord-016871-1mlamf20 225 12 . . NNP cord-016871-1mlamf20 225 13 found find VBD cord-016871-1mlamf20 225 14 that that IN cord-016871-1mlamf20 225 15 patients patient NNS cord-016871-1mlamf20 225 16 who who WP cord-016871-1mlamf20 225 17 received receive VBD cord-016871-1mlamf20 225 18 transfusions transfusion NNS cord-016871-1mlamf20 225 19 compared compare VBN cord-016871-1mlamf20 225 20 to to IN cord-016871-1mlamf20 225 21 those those DT cord-016871-1mlamf20 225 22 who who WP cord-016871-1mlamf20 225 23 did do VBD cord-016871-1mlamf20 225 24 not not RB cord-016871-1mlamf20 225 25 experienced experience VBN cord-016871-1mlamf20 225 26 signi signi NNP cord-016871-1mlamf20 225 27 fi fi NN cord-016871-1mlamf20 225 28 ca can MD cord-016871-1mlamf20 225 29 nt not RB cord-016871-1mlamf20 225 30 increase increase VB cord-016871-1mlamf20 225 31 nosocomial nosocomial JJ cord-016871-1mlamf20 225 32 infection infection NN cord-016871-1mlamf20 225 33 rates rate NNS cord-016871-1mlamf20 225 34 , , , cord-016871-1mlamf20 225 35 and and CC cord-016871-1mlamf20 225 36 each each DT cord-016871-1mlamf20 225 37 additional additional JJ cord-016871-1mlamf20 225 38 pRBC prbc JJ cord-016871-1mlamf20 225 39 transfused transfuse VBN cord-016871-1mlamf20 225 40 correlated correlate VBN cord-016871-1mlamf20 225 41 to to IN cord-016871-1mlamf20 225 42 increased increase VBN cord-016871-1mlamf20 225 43 infection infection NN cord-016871-1mlamf20 225 44 risk risk NN cord-016871-1mlamf20 225 45 [ [ -LRB- cord-016871-1mlamf20 225 46 25 25 CD cord-016871-1mlamf20 225 47 ] ] -RRB- cord-016871-1mlamf20 225 48 . . . cord-016871-1mlamf20 226 1 Staphylococcus Staphylococcus NNP cord-016871-1mlamf20 226 2 aureus aureus NN cord-016871-1mlamf20 226 3 is be VBZ cord-016871-1mlamf20 226 4 the the DT cord-016871-1mlamf20 226 5 most most RBS cord-016871-1mlamf20 226 6 commonly commonly RB cord-016871-1mlamf20 226 7 transmitted transmit VBN cord-016871-1mlamf20 226 8 bacterial bacterial JJ cord-016871-1mlamf20 226 9 pathogen pathogen NN cord-016871-1mlamf20 226 10 [ [ -LRB- cord-016871-1mlamf20 226 11 16 16 CD cord-016871-1mlamf20 226 12 ] ] -RRB- cord-016871-1mlamf20 226 13 . . . cord-016871-1mlamf20 227 1 Bacterial bacterial JJ cord-016871-1mlamf20 227 2 pathogen pathogen NN cord-016871-1mlamf20 227 3 in in IN cord-016871-1mlamf20 227 4 blood blood NN cord-016871-1mlamf20 227 5 products product NNS cord-016871-1mlamf20 227 6 arise arise VBP cord-016871-1mlamf20 227 7 mainly mainly RB cord-016871-1mlamf20 227 8 from from IN cord-016871-1mlamf20 227 9 donor donor NN cord-016871-1mlamf20 227 10 skin skin NN cord-016871-1mlamf20 227 11 , , , cord-016871-1mlamf20 227 12 and and CC cord-016871-1mlamf20 227 13 platelets platelet NNS cord-016871-1mlamf20 227 14 are be VBP cord-016871-1mlamf20 227 15 especially especially RB cord-016871-1mlamf20 227 16 prone prone JJ cord-016871-1mlamf20 227 17 to to IN cord-016871-1mlamf20 227 18 these these DT cord-016871-1mlamf20 227 19 contaminants contaminant NNS cord-016871-1mlamf20 227 20 [ [ -LRB- cord-016871-1mlamf20 227 21 35 35 CD cord-016871-1mlamf20 227 22 ] ] -RRB- cord-016871-1mlamf20 227 23 . . . cord-016871-1mlamf20 228 1 However however RB cord-016871-1mlamf20 228 2 , , , cord-016871-1mlamf20 228 3 bacterial bacterial JJ cord-016871-1mlamf20 228 4 infections infection NNS cord-016871-1mlamf20 228 5 are be VBP cord-016871-1mlamf20 228 6 less less RBR cord-016871-1mlamf20 228 7 common common JJ cord-016871-1mlamf20 228 8 than than IN cord-016871-1mlamf20 228 9 viral viral JJ cord-016871-1mlamf20 228 10 infections infection NNS cord-016871-1mlamf20 228 11 in in IN cord-016871-1mlamf20 228 12 blood blood NN cord-016871-1mlamf20 228 13 transfusions transfusion NNS cord-016871-1mlamf20 228 14 . . . cord-016871-1mlamf20 229 1 Despite despite IN cord-016871-1mlamf20 229 2 increased increase VBN cord-016871-1mlamf20 229 3 screening screening NN cord-016871-1mlamf20 229 4 and and CC cord-016871-1mlamf20 229 5 testing testing NN cord-016871-1mlamf20 229 6 , , , cord-016871-1mlamf20 229 7 each each DT cord-016871-1mlamf20 229 8 RBC RBC NNP cord-016871-1mlamf20 229 9 transfusion transfusion NN cord-016871-1mlamf20 229 10 is be VBZ cord-016871-1mlamf20 229 11 associated associate VBN cord-016871-1mlamf20 229 12 with with IN cord-016871-1mlamf20 229 13 a a DT cord-016871-1mlamf20 229 14 risk risk NN cord-016871-1mlamf20 229 15 for for IN cord-016871-1mlamf20 229 16 viral viral JJ cord-016871-1mlamf20 229 17 infections infection NNS cord-016871-1mlamf20 229 18 such such JJ cord-016871-1mlamf20 229 19 as as IN cord-016871-1mlamf20 229 20 hepatitis hepatitis NNP cord-016871-1mlamf20 229 21 [ [ -LRB- cord-016871-1mlamf20 229 22 29 29 CD cord-016871-1mlamf20 229 23 ] ] -RRB- cord-016871-1mlamf20 229 24 . . . cord-016871-1mlamf20 230 1 Virus virus NN cord-016871-1mlamf20 230 2 risks risk VBZ cord-016871-1mlamf20 230 3 in in IN cord-016871-1mlamf20 230 4 the the DT cord-016871-1mlamf20 230 5 UK UK NNP cord-016871-1mlamf20 230 6 in in IN cord-016871-1mlamf20 230 7 FFP FFP NNP cord-016871-1mlamf20 230 8 have have VBP cord-016871-1mlamf20 230 9 been be VBN cord-016871-1mlamf20 230 10 estimated estimate VBN cord-016871-1mlamf20 230 11 at at IN cord-016871-1mlamf20 230 12 1 1 CD cord-016871-1mlamf20 230 13 in in IN cord-016871-1mlamf20 230 14 8 8 CD cord-016871-1mlamf20 230 15 million million CD cord-016871-1mlamf20 230 16 for for IN cord-016871-1mlamf20 230 17 HIV HIV NNP cord-016871-1mlamf20 230 18 , , , cord-016871-1mlamf20 230 19 1 1 CD cord-016871-1mlamf20 230 20 in in IN cord-016871-1mlamf20 230 21 30 30 CD cord-016871-1mlamf20 230 22 million million CD cord-016871-1mlamf20 230 23 for for IN cord-016871-1mlamf20 230 24 HCV HCV NNP cord-016871-1mlamf20 230 25 and and CC cord-016871-1mlamf20 230 26 1 1 CD cord-016871-1mlamf20 230 27 in in IN cord-016871-1mlamf20 230 28 900,000 900,000 CD cord-016871-1mlamf20 230 29 for for IN cord-016871-1mlamf20 230 30 HBV HBV NNP cord-016871-1mlamf20 230 31 [ [ -LRB- cord-016871-1mlamf20 230 32 35 35 CD cord-016871-1mlamf20 230 33 ] ] -RRB- cord-016871-1mlamf20 230 34 . . . cord-016871-1mlamf20 231 1 Since since IN cord-016871-1mlamf20 231 2 up up IN cord-016871-1mlamf20 231 3 to to TO cord-016871-1mlamf20 231 4 50 50 CD cord-016871-1mlamf20 231 5 % % NN cord-016871-1mlamf20 231 6 of of IN cord-016871-1mlamf20 231 7 adult adult NN cord-016871-1mlamf20 231 8 donors donor NNS cord-016871-1mlamf20 231 9 are be VBP cord-016871-1mlamf20 231 10 cytomegalovirus cytomegalovirus JJ cord-016871-1mlamf20 231 11 ( ( -LRB- cord-016871-1mlamf20 231 12 CMV CMV NNP cord-016871-1mlamf20 231 13 ) ) -RRB- cord-016871-1mlamf20 231 14 carriers carrier NNS cord-016871-1mlamf20 231 15 , , , cord-016871-1mlamf20 231 16 there there EX cord-016871-1mlamf20 231 17 is be VBZ cord-016871-1mlamf20 231 18 a a DT cord-016871-1mlamf20 231 19 risk risk NN cord-016871-1mlamf20 231 20 of of IN cord-016871-1mlamf20 231 21 transmission transmission NN cord-016871-1mlamf20 231 22 of of IN cord-016871-1mlamf20 231 23 this this DT cord-016871-1mlamf20 231 24 virus virus NN cord-016871-1mlamf20 231 25 to to IN cord-016871-1mlamf20 231 26 patients patient NNS cord-016871-1mlamf20 231 27 , , , cord-016871-1mlamf20 231 28 especially especially RB cord-016871-1mlamf20 231 29 the the DT cord-016871-1mlamf20 231 30 immunosuppressed immunosuppressed JJ cord-016871-1mlamf20 231 31 , , , cord-016871-1mlamf20 231 32 transplant transplant NN cord-016871-1mlamf20 231 33 patients patient NNS cord-016871-1mlamf20 231 34 and and CC cord-016871-1mlamf20 231 35 neonates neonate NNS cord-016871-1mlamf20 231 36 [ [ -LRB- cord-016871-1mlamf20 231 37 35 35 CD cord-016871-1mlamf20 231 38 ] ] -RRB- cord-016871-1mlamf20 231 39 . . . cord-016871-1mlamf20 232 1 Compared compare VBN cord-016871-1mlamf20 232 2 to to IN cord-016871-1mlamf20 232 3 viral viral JJ cord-016871-1mlamf20 232 4 causes cause NNS cord-016871-1mlamf20 232 5 , , , cord-016871-1mlamf20 232 6 bacterial bacterial JJ cord-016871-1mlamf20 232 7 , , , cord-016871-1mlamf20 232 8 endotoxin endotoxin NN cord-016871-1mlamf20 232 9 and and CC cord-016871-1mlamf20 232 10 prion prion NN cord-016871-1mlamf20 232 11 contamination contamination NN cord-016871-1mlamf20 232 12 rates rate NNS cord-016871-1mlamf20 232 13 are be VBP cord-016871-1mlamf20 232 14 more more RBR cord-016871-1mlamf20 232 15 rare rare JJ cord-016871-1mlamf20 232 16 [ [ -LRB- cord-016871-1mlamf20 232 17 35 35 CD cord-016871-1mlamf20 232 18 ] ] -RRB- cord-016871-1mlamf20 232 19 . . . cord-016871-1mlamf20 233 1 In in IN cord-016871-1mlamf20 233 2 order order NN cord-016871-1mlamf20 233 3 to to TO cord-016871-1mlamf20 233 4 avoid avoid VB cord-016871-1mlamf20 233 5 this this DT cord-016871-1mlamf20 233 6 deleterious deleterious JJ cord-016871-1mlamf20 233 7 complication complication NN cord-016871-1mlamf20 233 8 , , , cord-016871-1mlamf20 233 9 virus virus NN cord-016871-1mlamf20 233 10 - - HYPH cord-016871-1mlamf20 233 11 inactivated inactivate VBN cord-016871-1mlamf20 233 12 preparations preparation NNS cord-016871-1mlamf20 233 13 of of IN cord-016871-1mlamf20 233 14 plasma plasma NN cord-016871-1mlamf20 233 15 exist exist VBP cord-016871-1mlamf20 233 16 , , , cord-016871-1mlamf20 233 17 such such JJ cord-016871-1mlamf20 233 18 as as IN cord-016871-1mlamf20 233 19 methylene methylene NN cord-016871-1mlamf20 233 20 blue blue JJ cord-016871-1mlamf20 233 21 and and CC cord-016871-1mlamf20 233 22 solventdetergent solventdetergent JJ cord-016871-1mlamf20 233 23 treated treat VBN cord-016871-1mlamf20 233 24 products product NNS cord-016871-1mlamf20 233 25 . . . cord-016871-1mlamf20 234 1 While while IN cord-016871-1mlamf20 234 2 these these DT cord-016871-1mlamf20 234 3 options option NNS cord-016871-1mlamf20 234 4 may may MD cord-016871-1mlamf20 234 5 offer offer VB cord-016871-1mlamf20 234 6 increased increase VBN cord-016871-1mlamf20 234 7 viral viral JJ cord-016871-1mlamf20 234 8 protection protection NN cord-016871-1mlamf20 234 9 , , , cord-016871-1mlamf20 234 10 they -PRON- PRP cord-016871-1mlamf20 234 11 have have VBP cord-016871-1mlamf20 234 12 been be VBN cord-016871-1mlamf20 234 13 associated associate VBN cord-016871-1mlamf20 234 14 with with IN cord-016871-1mlamf20 234 15 loss loss NN cord-016871-1mlamf20 234 16 of of IN cord-016871-1mlamf20 234 17 clotting clotting NN cord-016871-1mlamf20 234 18 factors factor NNS cord-016871-1mlamf20 234 19 [ [ -LRB- cord-016871-1mlamf20 234 20 35 35 CD cord-016871-1mlamf20 234 21 ] ] -RRB- cord-016871-1mlamf20 234 22 . . . cord-016871-1mlamf20 235 1 The the DT cord-016871-1mlamf20 235 2 most most RBS cord-016871-1mlamf20 235 3 stringent stringent JJ cord-016871-1mlamf20 235 4 testing testing NN cord-016871-1mlamf20 235 5 protocols protocol NNS cord-016871-1mlamf20 235 6 and and CC cord-016871-1mlamf20 235 7 sensitive sensitive JJ cord-016871-1mlamf20 235 8 tests test NNS cord-016871-1mlamf20 235 9 may may MD cord-016871-1mlamf20 235 10 not not RB cord-016871-1mlamf20 235 11 ever ever RB cord-016871-1mlamf20 235 12 eradicate eradicate VB cord-016871-1mlamf20 235 13 the the DT cord-016871-1mlamf20 235 14 risk risk NN cord-016871-1mlamf20 235 15 of of IN cord-016871-1mlamf20 235 16 infectious infectious JJ cord-016871-1mlamf20 235 17 agent agent NN cord-016871-1mlamf20 235 18 transmission transmission NN cord-016871-1mlamf20 235 19 due due IN cord-016871-1mlamf20 235 20 to to IN cord-016871-1mlamf20 235 21 several several JJ cord-016871-1mlamf20 235 22 reasons reason NNS cord-016871-1mlamf20 235 23 . . . cord-016871-1mlamf20 236 1 First first RB cord-016871-1mlamf20 236 2 , , , cord-016871-1mlamf20 236 3 new new JJ cord-016871-1mlamf20 236 4 pathogens pathogen NNS cord-016871-1mlamf20 236 5 of of IN cord-016871-1mlamf20 236 6 unknown unknown JJ cord-016871-1mlamf20 236 7 methods method NNS cord-016871-1mlamf20 236 8 of of IN cord-016871-1mlamf20 236 9 spread spread NN cord-016871-1mlamf20 236 10 are be VBP cord-016871-1mlamf20 236 11 constantly constantly RB cord-016871-1mlamf20 236 12 emerging emerge VBG cord-016871-1mlamf20 236 13 and and CC cord-016871-1mlamf20 236 14 may may MD cord-016871-1mlamf20 236 15 not not RB cord-016871-1mlamf20 236 16 actively actively RB cord-016871-1mlamf20 236 17 be be VB cord-016871-1mlamf20 236 18 screened screen VBN cord-016871-1mlamf20 236 19 for for IN cord-016871-1mlamf20 236 20 in in IN cord-016871-1mlamf20 236 21 its -PRON- PRP$ cord-016871-1mlamf20 236 22 early early JJ cord-016871-1mlamf20 236 23 emergence emergence NN cord-016871-1mlamf20 236 24 , , , cord-016871-1mlamf20 236 25 such such JJ cord-016871-1mlamf20 236 26 as as IN cord-016871-1mlamf20 236 27 human human JJ cord-016871-1mlamf20 236 28 immunode immunode NNP cord-016871-1mlamf20 236 29 fi fi NNP cord-016871-1mlamf20 236 30 ciency ciency NNP cord-016871-1mlamf20 236 31 virus virus NN cord-016871-1mlamf20 236 32 ( ( -LRB- cord-016871-1mlamf20 236 33 HIV HIV NNP cord-016871-1mlamf20 236 34 ) ) -RRB- cord-016871-1mlamf20 236 35 and and CC cord-016871-1mlamf20 236 36 West West NNP cord-016871-1mlamf20 236 37 Nile Nile NNP cord-016871-1mlamf20 236 38 virus virus NN cord-016871-1mlamf20 236 39 . . . cord-016871-1mlamf20 237 1 Another another DT cord-016871-1mlamf20 237 2 obstacle obstacle NN cord-016871-1mlamf20 237 3 in in IN cord-016871-1mlamf20 237 4 prevention prevention NN cord-016871-1mlamf20 237 5 is be VBZ cord-016871-1mlamf20 237 6 the the DT cord-016871-1mlamf20 237 7 incubation incubation NN cord-016871-1mlamf20 237 8 period period NN cord-016871-1mlamf20 237 9 of of IN cord-016871-1mlamf20 237 10 pathogens pathogen NNS cord-016871-1mlamf20 237 11 before before IN cord-016871-1mlamf20 237 12 seroconversion seroconversion NN cord-016871-1mlamf20 237 13 of of IN cord-016871-1mlamf20 237 14 blood blood NN cord-016871-1mlamf20 237 15 [ [ -LRB- cord-016871-1mlamf20 237 16 29 29 CD cord-016871-1mlamf20 237 17 ] ] -RRB- cord-016871-1mlamf20 237 18 . . . cord-016871-1mlamf20 238 1 Prion prion NN cord-016871-1mlamf20 238 2 diseases disease NNS cord-016871-1mlamf20 238 3 transmitted transmit VBN cord-016871-1mlamf20 238 4 by by IN cord-016871-1mlamf20 238 5 transfusion transfusion NN cord-016871-1mlamf20 238 6 has have VBZ cord-016871-1mlamf20 238 7 been be VBN cord-016871-1mlamf20 238 8 a a DT cord-016871-1mlamf20 238 9 concern concern NN cord-016871-1mlamf20 238 10 in in IN cord-016871-1mlamf20 238 11 the the DT cord-016871-1mlamf20 238 12 UK UK NNP cord-016871-1mlamf20 238 13 , , , cord-016871-1mlamf20 238 14 following follow VBG cord-016871-1mlamf20 238 15 the the DT cord-016871-1mlamf20 238 16 bovine bovine JJ cord-016871-1mlamf20 238 17 spongiform spongiform JJ cord-016871-1mlamf20 238 18 encephalopathy encephalopathy NN cord-016871-1mlamf20 238 19 ( ( -LRB- cord-016871-1mlamf20 238 20 BSE BSE NNP cord-016871-1mlamf20 238 21 ) ) -RRB- cord-016871-1mlamf20 238 22 epidemic epidemic NN cord-016871-1mlamf20 238 23 . . . cord-016871-1mlamf20 239 1 Unfortunately unfortunately RB cord-016871-1mlamf20 239 2 , , , cord-016871-1mlamf20 239 3 no no DT cord-016871-1mlamf20 239 4 screening screening NN cord-016871-1mlamf20 239 5 test test NN cord-016871-1mlamf20 239 6 for for IN cord-016871-1mlamf20 239 7 this this DT cord-016871-1mlamf20 239 8 condition condition NN cord-016871-1mlamf20 239 9 has have VBZ cord-016871-1mlamf20 239 10 been be VBN cord-016871-1mlamf20 239 11 established establish VBN cord-016871-1mlamf20 239 12 , , , cord-016871-1mlamf20 239 13 and and CC cord-016871-1mlamf20 239 14 the the DT cord-016871-1mlamf20 239 15 occurrence occurrence NN cord-016871-1mlamf20 239 16 of of IN cord-016871-1mlamf20 239 17 prion prion NN cord-016871-1mlamf20 239 18 diseases disease NNS cord-016871-1mlamf20 239 19 in in IN cord-016871-1mlamf20 239 20 blood blood NN cord-016871-1mlamf20 239 21 products product NNS cord-016871-1mlamf20 239 22 in in IN cord-016871-1mlamf20 239 23 the the DT cord-016871-1mlamf20 239 24 UK UK NNP cord-016871-1mlamf20 239 25 is be VBZ cord-016871-1mlamf20 239 26 largely largely RB cord-016871-1mlamf20 239 27 unknown unknown JJ cord-016871-1mlamf20 239 28 . . . cord-016871-1mlamf20 240 1 In in IN cord-016871-1mlamf20 240 2 order order NN cord-016871-1mlamf20 240 3 to to TO cord-016871-1mlamf20 240 4 avoid avoid VB cord-016871-1mlamf20 240 5 transfusions transfusion NNS cord-016871-1mlamf20 240 6 with with IN cord-016871-1mlamf20 240 7 prion prion NN cord-016871-1mlamf20 240 8 disease disease NN cord-016871-1mlamf20 240 9 , , , cord-016871-1mlamf20 240 10 plasma plasma NN cord-016871-1mlamf20 240 11 has have VBZ cord-016871-1mlamf20 240 12 been be VBN cord-016871-1mlamf20 240 13 imported import VBN cord-016871-1mlamf20 240 14 from from IN cord-016871-1mlamf20 240 15 the the DT cord-016871-1mlamf20 240 16 USA USA NNP cord-016871-1mlamf20 240 17 since since IN cord-016871-1mlamf20 240 18 2002 2002 CD cord-016871-1mlamf20 240 19 for for IN cord-016871-1mlamf20 240 20 pediatric pediatric JJ cord-016871-1mlamf20 240 21 transfusions transfusion NNS cord-016871-1mlamf20 240 22 [ [ -LRB- cord-016871-1mlamf20 240 23 35 35 CD cord-016871-1mlamf20 240 24 ] ] -RRB- cord-016871-1mlamf20 240 25 . . . cord-016871-1mlamf20 241 1 Another another DT cord-016871-1mlamf20 241 2 concerning concern VBG cord-016871-1mlamf20 241 3 complication complication NN cord-016871-1mlamf20 241 4 is be VBZ cord-016871-1mlamf20 241 5 the the DT cord-016871-1mlamf20 241 6 loss loss NN cord-016871-1mlamf20 241 7 of of IN cord-016871-1mlamf20 241 8 ef ef NNP cord-016871-1mlamf20 241 9 fi fi NN cord-016871-1mlamf20 241 10 cacy cacy NN cord-016871-1mlamf20 241 11 in in IN cord-016871-1mlamf20 241 12 stored store VBN cord-016871-1mlamf20 241 13 blood blood NN cord-016871-1mlamf20 241 14 , , , cord-016871-1mlamf20 241 15 and and CC cord-016871-1mlamf20 241 16 the the DT cord-016871-1mlamf20 241 17 adverse adverse JJ cord-016871-1mlamf20 241 18 effects effect NNS cord-016871-1mlamf20 241 19 it -PRON- PRP cord-016871-1mlamf20 241 20 causes cause VBZ cord-016871-1mlamf20 241 21 . . . cord-016871-1mlamf20 242 1 These these DT cord-016871-1mlamf20 242 2 consequences consequence NNS cord-016871-1mlamf20 242 3 of of IN cord-016871-1mlamf20 242 4 the the DT cord-016871-1mlamf20 242 5 storage storage NN cord-016871-1mlamf20 242 6 process process NN cord-016871-1mlamf20 242 7 are be VBP cord-016871-1mlamf20 242 8 known know VBN cord-016871-1mlamf20 242 9 as as IN cord-016871-1mlamf20 242 10 a a DT cord-016871-1mlamf20 242 11 storage storage NN cord-016871-1mlamf20 242 12 lesion lesion NN cord-016871-1mlamf20 242 13 . . . cord-016871-1mlamf20 243 1 With with IN cord-016871-1mlamf20 243 2 current current JJ cord-016871-1mlamf20 243 3 technology technology NN cord-016871-1mlamf20 243 4 , , , cord-016871-1mlamf20 243 5 the the DT cord-016871-1mlamf20 243 6 shelf shelf NN cord-016871-1mlamf20 243 7 life life NN cord-016871-1mlamf20 243 8 of of IN cord-016871-1mlamf20 243 9 red red JJ cord-016871-1mlamf20 243 10 blood blood NN cord-016871-1mlamf20 243 11 cells cell NNS cord-016871-1mlamf20 243 12 can can MD cord-016871-1mlamf20 243 13 not not RB cord-016871-1mlamf20 243 14 be be VB cord-016871-1mlamf20 243 15 extended extend VBN cord-016871-1mlamf20 243 16 further far RBR cord-016871-1mlamf20 243 17 than than IN cord-016871-1mlamf20 243 18 its -PRON- PRP$ cord-016871-1mlamf20 243 19 physiological physiological JJ cord-016871-1mlamf20 243 20 shelf shelf NN cord-016871-1mlamf20 243 21 life life NN cord-016871-1mlamf20 243 22 of of IN cord-016871-1mlamf20 243 23 120 120 CD cord-016871-1mlamf20 243 24 days day NNS cord-016871-1mlamf20 243 25 , , , cord-016871-1mlamf20 243 26 and and CC cord-016871-1mlamf20 243 27 35 35 CD cord-016871-1mlamf20 243 28 and and CC cord-016871-1mlamf20 243 29 42 42 CD cord-016871-1mlamf20 243 30 days day NNS cord-016871-1mlamf20 243 31 is be VBZ cord-016871-1mlamf20 243 32 the the DT cord-016871-1mlamf20 243 33 limit limit NN cord-016871-1mlamf20 243 34 of of IN cord-016871-1mlamf20 243 35 viability viability NN cord-016871-1mlamf20 243 36 in in IN cord-016871-1mlamf20 243 37 whole whole JJ cord-016871-1mlamf20 243 38 blood blood NN cord-016871-1mlamf20 243 39 and and CC cord-016871-1mlamf20 243 40 adenine adenine NN cord-016871-1mlamf20 243 41 - - HYPH cord-016871-1mlamf20 243 42 saline saline NN cord-016871-1mlamf20 243 43 preservation preservation NN cord-016871-1mlamf20 243 44 , , , cord-016871-1mlamf20 243 45 respectively respectively RB cord-016871-1mlamf20 243 46 [ [ -LRB- cord-016871-1mlamf20 243 47 29 29 CD cord-016871-1mlamf20 243 48 ] ] -RRB- cord-016871-1mlamf20 243 49 . . . cord-016871-1mlamf20 244 1 Even even RB cord-016871-1mlamf20 244 2 this this DT cord-016871-1mlamf20 244 3 length length NN cord-016871-1mlamf20 244 4 of of IN cord-016871-1mlamf20 244 5 shelf shelf NN cord-016871-1mlamf20 244 6 - - HYPH cord-016871-1mlamf20 244 7 life life NN cord-016871-1mlamf20 244 8 results result NNS cord-016871-1mlamf20 244 9 in in IN cord-016871-1mlamf20 244 10 counterproductive counterproductive JJ cord-016871-1mlamf20 244 11 transfusions transfusion NNS cord-016871-1mlamf20 244 12 . . . cord-016871-1mlamf20 245 1 Speci Speci NNP cord-016871-1mlamf20 245 2 fi fi NNP cord-016871-1mlamf20 245 3 cally cally NNP cord-016871-1mlamf20 245 4 , , , cord-016871-1mlamf20 245 5 RBC RBC NNP cord-016871-1mlamf20 245 6 products product NNS cord-016871-1mlamf20 245 7 older old JJR cord-016871-1mlamf20 245 8 than than IN cord-016871-1mlamf20 245 9 2 2 CD cord-016871-1mlamf20 245 10 weeks week NNS cord-016871-1mlamf20 245 11 have have VBP cord-016871-1mlamf20 245 12 been be VBN cord-016871-1mlamf20 245 13 shown show VBN cord-016871-1mlamf20 245 14 to to TO cord-016871-1mlamf20 245 15 not not RB cord-016871-1mlamf20 245 16 improve improve VB cord-016871-1mlamf20 245 17 oxygen oxygen NN cord-016871-1mlamf20 245 18 uptake uptake NN cord-016871-1mlamf20 245 19 in in IN cord-016871-1mlamf20 245 20 septic septic JJ cord-016871-1mlamf20 245 21 patients patient NNS cord-016871-1mlamf20 245 22 . . . cord-016871-1mlamf20 246 1 In in IN cord-016871-1mlamf20 246 2 fact fact NN cord-016871-1mlamf20 246 3 , , , cord-016871-1mlamf20 246 4 RBCs rbc NNS cord-016871-1mlamf20 246 5 of of IN cord-016871-1mlamf20 246 6 that that DT cord-016871-1mlamf20 246 7 age age NN cord-016871-1mlamf20 246 8 have have VBP cord-016871-1mlamf20 246 9 been be VBN cord-016871-1mlamf20 246 10 associated associate VBN cord-016871-1mlamf20 246 11 with with IN cord-016871-1mlamf20 246 12 higher high JJR cord-016871-1mlamf20 246 13 mortality mortality NN cord-016871-1mlamf20 246 14 , , , cord-016871-1mlamf20 246 15 increased increase VBD cord-016871-1mlamf20 246 16 adverse adverse JJ cord-016871-1mlamf20 246 17 events event NNS cord-016871-1mlamf20 246 18 , , , cord-016871-1mlamf20 246 19 extended extended JJ cord-016871-1mlamf20 246 20 hospital hospital NN cord-016871-1mlamf20 246 21 stay stay NN cord-016871-1mlamf20 246 22 , , , cord-016871-1mlamf20 246 23 and and CC cord-016871-1mlamf20 246 24 electrolyte electrolyte JJ cord-016871-1mlamf20 246 25 imbalances imbalance NNS cord-016871-1mlamf20 246 26 . . . cord-016871-1mlamf20 247 1 This this DT cord-016871-1mlamf20 247 2 reduction reduction NN cord-016871-1mlamf20 247 3 in in IN cord-016871-1mlamf20 247 4 ef ef NNP cord-016871-1mlamf20 247 5 fi fi NNP cord-016871-1mlamf20 247 6 cacy cacy NN cord-016871-1mlamf20 247 7 may may MD cord-016871-1mlamf20 247 8 be be VB cord-016871-1mlamf20 247 9 due due JJ cord-016871-1mlamf20 247 10 to to IN cord-016871-1mlamf20 247 11 decreased decrease VBN cord-016871-1mlamf20 247 12 ability ability NN cord-016871-1mlamf20 247 13 of of IN cord-016871-1mlamf20 247 14 the the DT cord-016871-1mlamf20 247 15 older old JJR cord-016871-1mlamf20 247 16 RBCs rbc NNS cord-016871-1mlamf20 247 17 to to TO cord-016871-1mlamf20 247 18 unload unload VB cord-016871-1mlamf20 247 19 oxygen oxygen NN cord-016871-1mlamf20 247 20 [ [ -LRB- cord-016871-1mlamf20 247 21 29 29 CD cord-016871-1mlamf20 247 22 ] ] -RRB- cord-016871-1mlamf20 247 23 . . . cord-016871-1mlamf20 248 1 Another another DT cord-016871-1mlamf20 248 2 proposed propose VBN cord-016871-1mlamf20 248 3 mechanism mechanism NN cord-016871-1mlamf20 248 4 is be VBZ cord-016871-1mlamf20 248 5 that that IN cord-016871-1mlamf20 248 6 since since IN cord-016871-1mlamf20 248 7 stored store VBN cord-016871-1mlamf20 248 8 RBCs rbc NNS cord-016871-1mlamf20 248 9 have have VBP cord-016871-1mlamf20 248 10 depleted deplete VBN cord-016871-1mlamf20 248 11 nitric nitric JJ cord-016871-1mlamf20 248 12 oxide oxide NN cord-016871-1mlamf20 248 13 , , , cord-016871-1mlamf20 248 14 this this DT cord-016871-1mlamf20 248 15 may may MD cord-016871-1mlamf20 248 16 have have VB cord-016871-1mlamf20 248 17 a a DT cord-016871-1mlamf20 248 18 vasoconstrictive vasoconstrictive JJ cord-016871-1mlamf20 248 19 effect effect NN cord-016871-1mlamf20 248 20 , , , cord-016871-1mlamf20 248 21 leading lead VBG cord-016871-1mlamf20 248 22 to to IN cord-016871-1mlamf20 248 23 thrombosis thrombosis NN cord-016871-1mlamf20 248 24 and and CC cord-016871-1mlamf20 248 25 the the DT cord-016871-1mlamf20 248 26 observed observed JJ cord-016871-1mlamf20 248 27 increases increase NNS cord-016871-1mlamf20 248 28 in in IN cord-016871-1mlamf20 248 29 venous venous JJ cord-016871-1mlamf20 248 30 and and CC cord-016871-1mlamf20 248 31 arterial arterial JJ cord-016871-1mlamf20 248 32 thrombotic thrombotic JJ cord-016871-1mlamf20 248 33 events event NNS cord-016871-1mlamf20 248 34 in in IN cord-016871-1mlamf20 248 35 patients patient NNS cord-016871-1mlamf20 248 36 with with IN cord-016871-1mlamf20 248 37 increased increase VBN cord-016871-1mlamf20 248 38 pRBC prbc JJ cord-016871-1mlamf20 248 39 and and CC cord-016871-1mlamf20 248 40 platelet platelet NN cord-016871-1mlamf20 248 41 transfusions transfusion NNS cord-016871-1mlamf20 248 42 [ [ -LRB- cord-016871-1mlamf20 248 43 42 42 CD cord-016871-1mlamf20 248 44 ] ] -RRB- cord-016871-1mlamf20 248 45 . . . cord-016871-1mlamf20 249 1 The the DT cord-016871-1mlamf20 249 2 question question NN cord-016871-1mlamf20 249 3 is be VBZ cord-016871-1mlamf20 249 4 how how WRB cord-016871-1mlamf20 249 5 realistic realistic JJ cord-016871-1mlamf20 249 6 it -PRON- PRP cord-016871-1mlamf20 249 7 is be VBZ cord-016871-1mlamf20 249 8 to to TO cord-016871-1mlamf20 249 9 maintain maintain VB cord-016871-1mlamf20 249 10 strict strict JJ cord-016871-1mlamf20 249 11 storage storage NN cord-016871-1mlamf20 249 12 age age NN cord-016871-1mlamf20 249 13 in in IN cord-016871-1mlamf20 249 14 a a DT cord-016871-1mlamf20 249 15 fi fi NN cord-016871-1mlamf20 249 16 nite nite NN cord-016871-1mlamf20 249 17 and and CC cord-016871-1mlamf20 249 18 scarce scarce JJ cord-016871-1mlamf20 249 19 resource resource NN cord-016871-1mlamf20 249 20 such such JJ cord-016871-1mlamf20 249 21 as as IN cord-016871-1mlamf20 249 22 blood blood NN cord-016871-1mlamf20 249 23 . . . cord-016871-1mlamf20 250 1 A a DT cord-016871-1mlamf20 250 2 doubleblind doubleblind NN cord-016871-1mlamf20 250 3 , , , cord-016871-1mlamf20 250 4 prospective prospective JJ cord-016871-1mlamf20 250 5 randomized randomized JJ cord-016871-1mlamf20 250 6 pilot pilot NN cord-016871-1mlamf20 250 7 study study NN cord-016871-1mlamf20 250 8 demonstrated demonstrate VBD cord-016871-1mlamf20 250 9 that that IN cord-016871-1mlamf20 250 10 controlling control VBG cord-016871-1mlamf20 250 11 the the DT cord-016871-1mlamf20 250 12 storage storage NN cord-016871-1mlamf20 250 13 age age NN cord-016871-1mlamf20 250 14 of of IN cord-016871-1mlamf20 250 15 RBCs rbc NNS cord-016871-1mlamf20 250 16 in in IN cord-016871-1mlamf20 250 17 transfusion transfusion NN cord-016871-1mlamf20 250 18 compared compare VBN cord-016871-1mlamf20 250 19 to to IN cord-016871-1mlamf20 250 20 the the DT cord-016871-1mlamf20 250 21 current current JJ cord-016871-1mlamf20 250 22 standard standard NN cord-016871-1mlamf20 250 23 of of IN cord-016871-1mlamf20 250 24 care care NN cord-016871-1mlamf20 250 25 is be VBZ cord-016871-1mlamf20 250 26 feasible feasible JJ cord-016871-1mlamf20 250 27 and and CC cord-016871-1mlamf20 250 28 results result NNS cord-016871-1mlamf20 250 29 in in IN cord-016871-1mlamf20 250 30 decreased decrease VBN cord-016871-1mlamf20 250 31 exposure exposure NN cord-016871-1mlamf20 250 32 to to IN cord-016871-1mlamf20 250 33 older old JJR cord-016871-1mlamf20 250 34 blood blood NN cord-016871-1mlamf20 250 35 [ [ -LRB- cord-016871-1mlamf20 250 36 47 47 CD cord-016871-1mlamf20 250 37 ] ] -RRB- cord-016871-1mlamf20 250 38 . . . cord-016871-1mlamf20 251 1 More More JJR cord-016871-1mlamf20 251 2 evidence evidence NN cord-016871-1mlamf20 251 3 is be VBZ cord-016871-1mlamf20 251 4 needed need VBN cord-016871-1mlamf20 251 5 to to TO cord-016871-1mlamf20 251 6 determine determine VB cord-016871-1mlamf20 251 7 precisely precisely RB cord-016871-1mlamf20 251 8 the the DT cord-016871-1mlamf20 251 9 cut cut NN cord-016871-1mlamf20 251 10 off off RP cord-016871-1mlamf20 251 11 age age NN cord-016871-1mlamf20 251 12 of of IN cord-016871-1mlamf20 251 13 RBCs rbc NNS cord-016871-1mlamf20 251 14 in in IN cord-016871-1mlamf20 251 15 their -PRON- PRP$ cord-016871-1mlamf20 251 16 ef ef NN cord-016871-1mlamf20 251 17 fi fi NN cord-016871-1mlamf20 251 18 cacy cacy NN cord-016871-1mlamf20 251 19 and and CC cord-016871-1mlamf20 251 20 availability availability NN cord-016871-1mlamf20 251 21 . . . cord-016871-1mlamf20 252 1 In in IN cord-016871-1mlamf20 252 2 stored stored JJ cord-016871-1mlamf20 252 3 platelets platelet NNS cord-016871-1mlamf20 252 4 , , , cord-016871-1mlamf20 252 5 it -PRON- PRP cord-016871-1mlamf20 252 6 has have VBZ cord-016871-1mlamf20 252 7 been be VBN cord-016871-1mlamf20 252 8 estimated estimate VBN cord-016871-1mlamf20 252 9 that that IN cord-016871-1mlamf20 252 10 the the DT cord-016871-1mlamf20 252 11 recovery recovery NN cord-016871-1mlamf20 252 12 rate rate NN cord-016871-1mlamf20 252 13 of of IN cord-016871-1mlamf20 252 14 5-day 5-day JJ cord-016871-1mlamf20 252 15 old old JJ cord-016871-1mlamf20 252 16 platelets platelet NNS cord-016871-1mlamf20 252 17 is be VBZ cord-016871-1mlamf20 252 18 about about RB cord-016871-1mlamf20 252 19 50 50 CD cord-016871-1mlamf20 252 20 % % NN cord-016871-1mlamf20 252 21 , , , cord-016871-1mlamf20 252 22 with with IN cord-016871-1mlamf20 252 23 many many JJ cord-016871-1mlamf20 252 24 nonviable nonviable JJ cord-016871-1mlamf20 252 25 platelets platelet NNS cord-016871-1mlamf20 252 26 being be VBG cord-016871-1mlamf20 252 27 sequestered sequester VBN cord-016871-1mlamf20 252 28 into into IN cord-016871-1mlamf20 252 29 the the DT cord-016871-1mlamf20 252 30 spleen spleen NN cord-016871-1mlamf20 252 31 [ [ -LRB- cord-016871-1mlamf20 252 32 21 21 CD cord-016871-1mlamf20 252 33 ] ] -RRB- cord-016871-1mlamf20 252 34 . . . cord-016871-1mlamf20 253 1 For for IN cord-016871-1mlamf20 253 2 these these DT cord-016871-1mlamf20 253 3 reasons reason NNS cord-016871-1mlamf20 253 4 , , , cord-016871-1mlamf20 253 5 there there EX cord-016871-1mlamf20 253 6 is be VBZ cord-016871-1mlamf20 253 7 some some DT cord-016871-1mlamf20 253 8 concern concern NN cord-016871-1mlamf20 253 9 that that IN cord-016871-1mlamf20 253 10 platelet platelet NN cord-016871-1mlamf20 253 11 counts count NNS cord-016871-1mlamf20 253 12 performed perform VBN cord-016871-1mlamf20 253 13 immediately immediately RB cord-016871-1mlamf20 253 14 after after IN cord-016871-1mlamf20 253 15 transfusion transfusion NN cord-016871-1mlamf20 253 16 do do VBP cord-016871-1mlamf20 253 17 not not RB cord-016871-1mlamf20 253 18 provide provide VB cord-016871-1mlamf20 253 19 an an DT cord-016871-1mlamf20 253 20 accurate accurate JJ cord-016871-1mlamf20 253 21 picture picture NN cord-016871-1mlamf20 253 22 of of IN cord-016871-1mlamf20 253 23 platelet platelet NN cord-016871-1mlamf20 253 24 function function NN cord-016871-1mlamf20 253 25 [ [ -LRB- cord-016871-1mlamf20 253 26 21 21 CD cord-016871-1mlamf20 253 27 ] ] -RRB- cord-016871-1mlamf20 253 28 . . . cord-016871-1mlamf20 254 1 Given give VBN cord-016871-1mlamf20 254 2 the the DT cord-016871-1mlamf20 254 3 complications complication NNS cord-016871-1mlamf20 254 4 listed list VBN cord-016871-1mlamf20 254 5 previously previously RB cord-016871-1mlamf20 254 6 , , , cord-016871-1mlamf20 254 7 a a DT cord-016871-1mlamf20 254 8 discussion discussion NN cord-016871-1mlamf20 254 9 of of IN cord-016871-1mlamf20 254 10 known know VBN cord-016871-1mlamf20 254 11 preventative preventative JJ cord-016871-1mlamf20 254 12 measures measure NNS cord-016871-1mlamf20 254 13 is be VBZ cord-016871-1mlamf20 254 14 warranted warrant VBN cord-016871-1mlamf20 254 15 . . . cord-016871-1mlamf20 255 1 Transfusion transfusion NN cord-016871-1mlamf20 255 2 with with IN cord-016871-1mlamf20 255 3 RBCs rbc NNS cord-016871-1mlamf20 255 4 that that WDT cord-016871-1mlamf20 255 5 have have VBP cord-016871-1mlamf20 255 6 not not RB cord-016871-1mlamf20 255 7 been be VBN cord-016871-1mlamf20 255 8 leukoreduced leukoreduce VBN cord-016871-1mlamf20 255 9 has have VBZ cord-016871-1mlamf20 255 10 been be VBN cord-016871-1mlamf20 255 11 associated associate VBN cord-016871-1mlamf20 255 12 with with IN cord-016871-1mlamf20 255 13 increased increase VBN cord-016871-1mlamf20 255 14 risk risk NN cord-016871-1mlamf20 255 15 of of IN cord-016871-1mlamf20 255 16 multiple multiple JJ cord-016871-1mlamf20 255 17 organ organ NN cord-016871-1mlamf20 255 18 failure failure NN cord-016871-1mlamf20 255 19 and and CC cord-016871-1mlamf20 255 20 degenerating degenerate VBG cord-016871-1mlamf20 255 21 leukocytes leukocyte NNS cord-016871-1mlamf20 255 22 may may MD cord-016871-1mlamf20 255 23 cause cause VB cord-016871-1mlamf20 255 24 RBC RBC NNP cord-016871-1mlamf20 255 25 toxicity toxicity NN cord-016871-1mlamf20 255 26 . . . cord-016871-1mlamf20 256 1 Furthermore furthermore RB cord-016871-1mlamf20 256 2 , , , cord-016871-1mlamf20 256 3 nationwide nationwide JJ cord-016871-1mlamf20 256 4 leukoreduction leukoreduction NN cord-016871-1mlamf20 256 5 protocols protocol NNS cord-016871-1mlamf20 256 6 in in IN cord-016871-1mlamf20 256 7 Canada Canada NNP cord-016871-1mlamf20 256 8 were be VBD cord-016871-1mlamf20 256 9 shown show VBN cord-016871-1mlamf20 256 10 to to IN cord-016871-1mlamf20 256 11 lower low JJR cord-016871-1mlamf20 256 12 mortality mortality NN cord-016871-1mlamf20 256 13 rates rate NNS cord-016871-1mlamf20 256 14 [ [ -LRB- cord-016871-1mlamf20 256 15 29 29 CD cord-016871-1mlamf20 256 16 ] ] -RRB- cord-016871-1mlamf20 256 17 . . . cord-016871-1mlamf20 257 1 Currently currently RB cord-016871-1mlamf20 257 2 , , , cord-016871-1mlamf20 257 3 in in IN cord-016871-1mlamf20 257 4 the the DT cord-016871-1mlamf20 257 5 USA USA NNP cord-016871-1mlamf20 257 6 , , , cord-016871-1mlamf20 257 7 leukoreduction leukoreduction NN cord-016871-1mlamf20 257 8 is be VBZ cord-016871-1mlamf20 257 9 not not RB cord-016871-1mlamf20 257 10 a a DT cord-016871-1mlamf20 257 11 standard standard JJ cord-016871-1mlamf20 257 12 practice practice NN cord-016871-1mlamf20 257 13 despite despite IN cord-016871-1mlamf20 257 14 evidence evidence NN cord-016871-1mlamf20 257 15 of of IN cord-016871-1mlamf20 257 16 bene bene NNP cord-016871-1mlamf20 257 17 fi fi NNP cord-016871-1mlamf20 257 18 t t NN cord-016871-1mlamf20 257 19 , , , cord-016871-1mlamf20 257 20 and and CC cord-016871-1mlamf20 257 21 additional additional JJ cord-016871-1mlamf20 257 22 work work NN cord-016871-1mlamf20 257 23 is be VBZ cord-016871-1mlamf20 257 24 required require VBN cord-016871-1mlamf20 257 25 to to TO cord-016871-1mlamf20 257 26 determine determine VB cord-016871-1mlamf20 257 27 effects effect NNS cord-016871-1mlamf20 257 28 on on IN cord-016871-1mlamf20 257 29 outcome outcome NN cord-016871-1mlamf20 257 30 in in IN cord-016871-1mlamf20 257 31 various various JJ cord-016871-1mlamf20 257 32 patient patient JJ cord-016871-1mlamf20 257 33 populations population NNS cord-016871-1mlamf20 257 34 , , , cord-016871-1mlamf20 257 35 such such JJ cord-016871-1mlamf20 257 36 as as IN cord-016871-1mlamf20 257 37 ICU ICU NNP cord-016871-1mlamf20 257 38 patients patient NNS cord-016871-1mlamf20 257 39 [ [ -LRB- cord-016871-1mlamf20 257 40 29 29 CD cord-016871-1mlamf20 257 41 ] ] -RRB- cord-016871-1mlamf20 257 42 . . . cord-016871-1mlamf20 258 1 Hospitalized hospitalize VBN cord-016871-1mlamf20 258 2 patients patient NNS cord-016871-1mlamf20 258 3 receiving receive VBG cord-016871-1mlamf20 258 4 transfusions transfusion NNS cord-016871-1mlamf20 258 5 are be VBP cord-016871-1mlamf20 258 6 already already RB cord-016871-1mlamf20 258 7 in in IN cord-016871-1mlamf20 258 8 a a DT cord-016871-1mlamf20 258 9 vulnerable vulnerable JJ cord-016871-1mlamf20 258 10 state state NN cord-016871-1mlamf20 258 11 of of IN cord-016871-1mlamf20 258 12 health health NN cord-016871-1mlamf20 258 13 , , , cord-016871-1mlamf20 258 14 and and CC cord-016871-1mlamf20 258 15 when when WRB cord-016871-1mlamf20 258 16 transfusion transfusion NN cord-016871-1mlamf20 258 17 - - HYPH cord-016871-1mlamf20 258 18 related relate VBN cord-016871-1mlamf20 258 19 adverse adverse JJ cord-016871-1mlamf20 258 20 events event NNS cord-016871-1mlamf20 258 21 occur occur VBP cord-016871-1mlamf20 258 22 , , , cord-016871-1mlamf20 258 23 it -PRON- PRP cord-016871-1mlamf20 258 24 is be VBZ cord-016871-1mlamf20 258 25 most most RBS cord-016871-1mlamf20 258 26 regrettable regrettable JJ cord-016871-1mlamf20 258 27 . . . cord-016871-1mlamf20 259 1 With with IN cord-016871-1mlamf20 259 2 institutional institutional JJ cord-016871-1mlamf20 259 3 triage triage NN cord-016871-1mlamf20 259 4 protocols protocol NNS cord-016871-1mlamf20 259 5 and and CC cord-016871-1mlamf20 259 6 transfusion transfusion NN cord-016871-1mlamf20 259 7 guidelines guideline NNS cord-016871-1mlamf20 259 8 , , , cord-016871-1mlamf20 259 9 such such JJ cord-016871-1mlamf20 259 10 unnecessary unnecessary JJ cord-016871-1mlamf20 259 11 harm harm NN cord-016871-1mlamf20 259 12 can can MD cord-016871-1mlamf20 259 13 be be VB cord-016871-1mlamf20 259 14 avoided avoid VBN cord-016871-1mlamf20 259 15 , , , cord-016871-1mlamf20 259 16 and and CC cord-016871-1mlamf20 259 17 cost cost VBP cord-016871-1mlamf20 259 18 reduction reduction NN cord-016871-1mlamf20 259 19 of of IN cord-016871-1mlamf20 259 20 a a DT cord-016871-1mlamf20 259 21 limited limited JJ cord-016871-1mlamf20 259 22 and and CC cord-016871-1mlamf20 259 23 precious precious JJ cord-016871-1mlamf20 259 24 resource resource NN cord-016871-1mlamf20 259 25 can can MD cord-016871-1mlamf20 259 26 be be VB cord-016871-1mlamf20 259 27 achieved achieve VBN cord-016871-1mlamf20 259 28 [ [ -LRB- cord-016871-1mlamf20 259 29 48 48 CD cord-016871-1mlamf20 259 30 ] ] -RRB- cord-016871-1mlamf20 259 31 . . . cord-016871-1mlamf20 260 1 Protocols protocol NNS cord-016871-1mlamf20 260 2 and and CC cord-016871-1mlamf20 260 3 scoring score VBG cord-016871-1mlamf20 260 4 systems system NNS cord-016871-1mlamf20 260 5 , , , cord-016871-1mlamf20 260 6 such such JJ cord-016871-1mlamf20 260 7 as as IN cord-016871-1mlamf20 260 8 the the DT cord-016871-1mlamf20 260 9 Emergency Emergency NNP cord-016871-1mlamf20 260 10 Transfusion Transfusion NNP cord-016871-1mlamf20 260 11 Score Score NNP cord-016871-1mlamf20 260 12 ( ( -LRB- cord-016871-1mlamf20 260 13 ETS ETS NNP cord-016871-1mlamf20 260 14 ) ) -RRB- cord-016871-1mlamf20 260 15 , , , cord-016871-1mlamf20 260 16 have have VBP cord-016871-1mlamf20 260 17 been be VBN cord-016871-1mlamf20 260 18 successfully successfully RB cord-016871-1mlamf20 260 19 shown show VBN cord-016871-1mlamf20 260 20 to to IN cord-016871-1mlamf20 260 21 triage triage NN cord-016871-1mlamf20 260 22 patients patient NNS cord-016871-1mlamf20 260 23 in in IN cord-016871-1mlamf20 260 24 need need NN cord-016871-1mlamf20 260 25 of of IN cord-016871-1mlamf20 260 26 transfusions transfusion NNS cord-016871-1mlamf20 260 27 and and CC cord-016871-1mlamf20 260 28 those those DT cord-016871-1mlamf20 260 29 for for IN cord-016871-1mlamf20 260 30 whom whom WP cord-016871-1mlamf20 260 31 it -PRON- PRP cord-016871-1mlamf20 260 32 would would MD cord-016871-1mlamf20 260 33 be be VB cord-016871-1mlamf20 260 34 unnecessary unnecessary JJ cord-016871-1mlamf20 260 35 [ [ -LRB- cord-016871-1mlamf20 260 36 49 49 CD cord-016871-1mlamf20 260 37 ] ] -RRB- cord-016871-1mlamf20 260 38 . . . cord-016871-1mlamf20 261 1 There there EX cord-016871-1mlamf20 261 2 are be VBP cord-016871-1mlamf20 261 3 many many JJ cord-016871-1mlamf20 261 4 considerations consideration NNS cord-016871-1mlamf20 261 5 to to TO cord-016871-1mlamf20 261 6 address address VB cord-016871-1mlamf20 261 7 in in IN cord-016871-1mlamf20 261 8 the the DT cord-016871-1mlamf20 261 9 management management NN cord-016871-1mlamf20 261 10 of of IN cord-016871-1mlamf20 261 11 an an DT cord-016871-1mlamf20 261 12 anticoagulated anticoagulated JJ cord-016871-1mlamf20 261 13 surgical surgical JJ cord-016871-1mlamf20 261 14 patient patient NN cord-016871-1mlamf20 261 15 , , , cord-016871-1mlamf20 261 16 such such JJ cord-016871-1mlamf20 261 17 as as IN cord-016871-1mlamf20 261 18 reversing reverse VBG cord-016871-1mlamf20 261 19 anticoagulation anticoagulation NN cord-016871-1mlamf20 261 20 fully fully RB cord-016871-1mlamf20 261 21 before before IN cord-016871-1mlamf20 261 22 operation operation NN cord-016871-1mlamf20 261 23 , , , cord-016871-1mlamf20 261 24 in in IN cord-016871-1mlamf20 261 25 order order NN cord-016871-1mlamf20 261 26 to to TO cord-016871-1mlamf20 261 27 avoid avoid VB cord-016871-1mlamf20 261 28 bleeding bleed VBG cord-016871-1mlamf20 261 29 complications complication NNS cord-016871-1mlamf20 261 30 . . . cord-016871-1mlamf20 262 1 In in IN cord-016871-1mlamf20 262 2 the the DT cord-016871-1mlamf20 262 3 nonelective nonelective NN cord-016871-1mlamf20 262 4 setting setting NN cord-016871-1mlamf20 262 5 , , , cord-016871-1mlamf20 262 6 such such JJ cord-016871-1mlamf20 262 7 as as IN cord-016871-1mlamf20 262 8 life life NN cord-016871-1mlamf20 262 9 - - HYPH cord-016871-1mlamf20 262 10 threatening threaten VBG cord-016871-1mlamf20 262 11 hemorrhage hemorrhage NN cord-016871-1mlamf20 262 12 or or CC cord-016871-1mlamf20 262 13 emergent emergent JJ cord-016871-1mlamf20 262 14 surgical surgical JJ cord-016871-1mlamf20 262 15 indications indication NNS cord-016871-1mlamf20 262 16 , , , cord-016871-1mlamf20 262 17 this this DT cord-016871-1mlamf20 262 18 process process NN cord-016871-1mlamf20 262 19 must must MD cord-016871-1mlamf20 262 20 be be VB cord-016871-1mlamf20 262 21 sped speed VBN cord-016871-1mlamf20 262 22 up up RP cord-016871-1mlamf20 262 23 , , , cord-016871-1mlamf20 262 24 using use VBG cord-016871-1mlamf20 262 25 prothrombin prothrombin NN cord-016871-1mlamf20 262 26 complex complex NN cord-016871-1mlamf20 262 27 concentrate concentrate NN cord-016871-1mlamf20 262 28 ( ( -LRB- cord-016871-1mlamf20 262 29 PCC PCC NNP cord-016871-1mlamf20 262 30 ) ) -RRB- cord-016871-1mlamf20 262 31 [ [ -LRB- cord-016871-1mlamf20 262 32 50 50 CD cord-016871-1mlamf20 262 33 ] ] -RRB- cord-016871-1mlamf20 262 34 . . . cord-016871-1mlamf20 263 1 Unlike unlike IN cord-016871-1mlamf20 263 2 FFP FFP NNP cord-016871-1mlamf20 263 3 , , , cord-016871-1mlamf20 263 4 PCC PCC NNP cord-016871-1mlamf20 263 5 can can MD cord-016871-1mlamf20 263 6 be be VB cord-016871-1mlamf20 263 7 administered administer VBN cord-016871-1mlamf20 263 8 without without IN cord-016871-1mlamf20 263 9 the the DT cord-016871-1mlamf20 263 10 need need NN cord-016871-1mlamf20 263 11 for for IN cord-016871-1mlamf20 263 12 cross cross NN cord-016871-1mlamf20 263 13 - - JJ cord-016871-1mlamf20 263 14 matching matching JJ cord-016871-1mlamf20 263 15 or or CC cord-016871-1mlamf20 263 16 thawing thawing NN cord-016871-1mlamf20 263 17 , , , cord-016871-1mlamf20 263 18 has have VBZ cord-016871-1mlamf20 263 19 more more RBR cord-016871-1mlamf20 263 20 predictable predictable JJ cord-016871-1mlamf20 263 21 concentrations concentration NNS cord-016871-1mlamf20 263 22 of of IN cord-016871-1mlamf20 263 23 clotting clotting NN cord-016871-1mlamf20 263 24 factors factor NNS cord-016871-1mlamf20 263 25 , , , cord-016871-1mlamf20 263 26 and and CC cord-016871-1mlamf20 263 27 has have VBZ cord-016871-1mlamf20 263 28 been be VBN cord-016871-1mlamf20 263 29 shown show VBN cord-016871-1mlamf20 263 30 to to TO cord-016871-1mlamf20 263 31 reverse reverse VB cord-016871-1mlamf20 263 32 warfarin warfarin NN cord-016871-1mlamf20 263 33 - - HYPH cord-016871-1mlamf20 263 34 related relate VBN cord-016871-1mlamf20 263 35 coagulopathy coagulopathy NN cord-016871-1mlamf20 263 36 . . . cord-016871-1mlamf20 264 1 The the DT cord-016871-1mlamf20 264 2 clotting clotting NN cord-016871-1mlamf20 264 3 factors factor NNS cord-016871-1mlamf20 264 4 are be VBP cord-016871-1mlamf20 264 5 also also RB cord-016871-1mlamf20 264 6 in in IN cord-016871-1mlamf20 264 7 high high JJ cord-016871-1mlamf20 264 8 concentrations concentration NNS cord-016871-1mlamf20 264 9 , , , cord-016871-1mlamf20 264 10 approximately approximately RB cord-016871-1mlamf20 264 11 25 25 CD cord-016871-1mlamf20 264 12 times time NNS cord-016871-1mlamf20 264 13 that that DT cord-016871-1mlamf20 264 14 of of IN cord-016871-1mlamf20 264 15 plasma plasma NN cord-016871-1mlamf20 264 16 , , , cord-016871-1mlamf20 264 17 decreasing decrease VBG cord-016871-1mlamf20 264 18 the the DT cord-016871-1mlamf20 264 19 volume volume NN cord-016871-1mlamf20 264 20 of of IN cord-016871-1mlamf20 264 21 PCC PCC NNP cord-016871-1mlamf20 264 22 needed need VBD cord-016871-1mlamf20 264 23 . . . cord-016871-1mlamf20 265 1 In in IN cord-016871-1mlamf20 265 2 addition addition NN cord-016871-1mlamf20 265 3 , , , cord-016871-1mlamf20 265 4 the the DT cord-016871-1mlamf20 265 5 INR INR NNP cord-016871-1mlamf20 265 6 is be VBZ cord-016871-1mlamf20 265 7 rapidly rapidly RB cord-016871-1mlamf20 265 8 corrected correct VBN cord-016871-1mlamf20 265 9 , , , cord-016871-1mlamf20 265 10 taking take VBG cord-016871-1mlamf20 265 11 about about RB cord-016871-1mlamf20 265 12 15 15 CD cord-016871-1mlamf20 265 13 min min NN cord-016871-1mlamf20 265 14 [ [ -LRB- cord-016871-1mlamf20 265 15 50 50 CD cord-016871-1mlamf20 265 16 ] ] -RRB- cord-016871-1mlamf20 265 17 . . . cord-016871-1mlamf20 266 1 Anticoagulated anticoagulated JJ cord-016871-1mlamf20 266 2 patients patient NNS cord-016871-1mlamf20 266 3 and and CC cord-016871-1mlamf20 266 4 patients patient NNS cord-016871-1mlamf20 266 5 using use VBG cord-016871-1mlamf20 266 6 antiplatelet antiplatelet JJ cord-016871-1mlamf20 266 7 agents agent NNS cord-016871-1mlamf20 266 8 are be VBP cord-016871-1mlamf20 266 9 especially especially RB cord-016871-1mlamf20 266 10 vulnerable vulnerable JJ cord-016871-1mlamf20 266 11 to to IN cord-016871-1mlamf20 266 12 coagulopathies coagulopathie NNS cord-016871-1mlamf20 266 13 , , , cord-016871-1mlamf20 266 14 which which WDT cord-016871-1mlamf20 266 15 may may MD cord-016871-1mlamf20 266 16 develop develop VB cord-016871-1mlamf20 266 17 during during IN cord-016871-1mlamf20 266 18 resuscitation resuscitation NN cord-016871-1mlamf20 266 19 . . . cord-016871-1mlamf20 267 1 Kılıç Kılıç NNP cord-016871-1mlamf20 267 2 et et NNP cord-016871-1mlamf20 267 3 al al NNP cord-016871-1mlamf20 267 4 . . . cord-016871-1mlamf20 268 1 's 's POS cord-016871-1mlamf20 269 1 fi fi NNP cord-016871-1mlamf20 269 2 ndings nding NNS cord-016871-1mlamf20 269 3 recommend recommend VBP cord-016871-1mlamf20 269 4 using use VBG cord-016871-1mlamf20 269 5 individualized individualized JJ cord-016871-1mlamf20 269 6 treatment treatment NN cord-016871-1mlamf20 269 7 , , , cord-016871-1mlamf20 269 8 providing provide VBG cord-016871-1mlamf20 269 9 the the DT cord-016871-1mlamf20 269 10 de de FW cord-016871-1mlamf20 269 11 fi fi NNP cord-016871-1mlamf20 269 12 cient cient NNP cord-016871-1mlamf20 269 13 blood blood NN cord-016871-1mlamf20 269 14 component component NN cord-016871-1mlamf20 269 15 as as IN cord-016871-1mlamf20 269 16 per per IN cord-016871-1mlamf20 269 17 laboratory laboratory NN cord-016871-1mlamf20 269 18 value value NN cord-016871-1mlamf20 269 19 de de FW cord-016871-1mlamf20 269 20 fi fi NNP cord-016871-1mlamf20 269 21 ciency ciency NNP cord-016871-1mlamf20 269 22 [ [ -LRB- cord-016871-1mlamf20 269 23 16 16 CD cord-016871-1mlamf20 269 24 ] ] -RRB- cord-016871-1mlamf20 269 25 . . . cord-016871-1mlamf20 270 1 In in IN cord-016871-1mlamf20 270 2 addition addition NN cord-016871-1mlamf20 270 3 , , , cord-016871-1mlamf20 270 4 patients patient NNS cord-016871-1mlamf20 270 5 who who WP cord-016871-1mlamf20 270 6 are be VBP cord-016871-1mlamf20 270 7 overly overly RB cord-016871-1mlamf20 270 8 anticoagulated anticoagulate VBN cord-016871-1mlamf20 270 9 with with IN cord-016871-1mlamf20 270 10 warfarin warfarin NN cord-016871-1mlamf20 270 11 may may MD cord-016871-1mlamf20 270 12 also also RB cord-016871-1mlamf20 270 13 be be VB cord-016871-1mlamf20 270 14 treated treat VBN cord-016871-1mlamf20 270 15 with with IN cord-016871-1mlamf20 270 16 PCC PCC NNP cord-016871-1mlamf20 270 17 containing contain VBG cord-016871-1mlamf20 270 18 vitamin vitamin NN cord-016871-1mlamf20 270 19 K k NN cord-016871-1mlamf20 270 20 dependent dependent JJ cord-016871-1mlamf20 270 21 factors factor NNS cord-016871-1mlamf20 270 22 [ [ -LRB- cord-016871-1mlamf20 270 23 16 16 CD cord-016871-1mlamf20 270 24 ] ] -RRB- cord-016871-1mlamf20 270 25 . . . cord-016871-1mlamf20 271 1 Due due IN cord-016871-1mlamf20 271 2 to to IN cord-016871-1mlamf20 271 3 the the DT cord-016871-1mlamf20 271 4 teratogenocity teratogenocity NN cord-016871-1mlamf20 271 5 of of IN cord-016871-1mlamf20 271 6 warfarin warfarin NN cord-016871-1mlamf20 271 7 , , , cord-016871-1mlamf20 271 8 pregnant pregnant JJ cord-016871-1mlamf20 271 9 patients patient NNS cord-016871-1mlamf20 271 10 requiring require VBG cord-016871-1mlamf20 271 11 anticoagulation anticoagulation NN cord-016871-1mlamf20 271 12 receive receive VBP cord-016871-1mlamf20 271 13 heparin heparin NN cord-016871-1mlamf20 271 14 as as IN cord-016871-1mlamf20 271 15 the the DT cord-016871-1mlamf20 271 16 preferred preferred JJ cord-016871-1mlamf20 271 17 drug drug NN cord-016871-1mlamf20 271 18 for for IN cord-016871-1mlamf20 271 19 preventing prevent VBG cord-016871-1mlamf20 271 20 pulmonary pulmonary JJ cord-016871-1mlamf20 271 21 embolism embolism NN cord-016871-1mlamf20 271 22 or or CC cord-016871-1mlamf20 271 23 in in IN cord-016871-1mlamf20 271 24 thromboprophylaxis thromboprophylaxis NN cord-016871-1mlamf20 271 25 in in IN cord-016871-1mlamf20 271 26 atrial atrial JJ cord-016871-1mlamf20 271 27 fi fi NN cord-016871-1mlamf20 271 28 brillation brillation NN cord-016871-1mlamf20 271 29 [ [ -LRB- cord-016871-1mlamf20 271 30 51 51 CD cord-016871-1mlamf20 271 31 ] ] -RRB- cord-016871-1mlamf20 271 32 . . . cord-016871-1mlamf20 272 1 Insertion insertion NN cord-016871-1mlamf20 272 2 of of IN cord-016871-1mlamf20 272 3 a a DT cord-016871-1mlamf20 272 4 venal venal JJ cord-016871-1mlamf20 272 5 caval caval NN cord-016871-1mlamf20 272 6 fi fi NNP cord-016871-1mlamf20 272 7 lter lter NNP cord-016871-1mlamf20 272 8 is be VBZ cord-016871-1mlamf20 272 9 another another DT cord-016871-1mlamf20 272 10 option option NN cord-016871-1mlamf20 272 11 . . . cord-016871-1mlamf20 273 1 In in IN cord-016871-1mlamf20 273 2 the the DT cord-016871-1mlamf20 273 3 surgical surgical JJ cord-016871-1mlamf20 273 4 patient patient NN cord-016871-1mlamf20 273 5 , , , cord-016871-1mlamf20 273 6 it -PRON- PRP cord-016871-1mlamf20 273 7 is be VBZ cord-016871-1mlamf20 273 8 important important JJ cord-016871-1mlamf20 273 9 to to TO cord-016871-1mlamf20 273 10 discontinue discontinue VB cord-016871-1mlamf20 273 11 aspirin aspirin NN cord-016871-1mlamf20 273 12 and and CC cord-016871-1mlamf20 273 13 reversible reversible JJ cord-016871-1mlamf20 273 14 platelet platelet NN cord-016871-1mlamf20 273 15 inhibitors inhibitor NNS cord-016871-1mlamf20 273 16 such such JJ cord-016871-1mlamf20 273 17 as as IN cord-016871-1mlamf20 273 18 clopidogrel clopidogrel NNP cord-016871-1mlamf20 273 19 10 10 CD cord-016871-1mlamf20 273 20 and and CC cord-016871-1mlamf20 273 21 7 7 CD cord-016871-1mlamf20 273 22 days day NNS cord-016871-1mlamf20 273 23 respectively respectively RB cord-016871-1mlamf20 273 24 before before IN cord-016871-1mlamf20 273 25 an an DT cord-016871-1mlamf20 273 26 operation operation NN cord-016871-1mlamf20 273 27 to to TO cord-016871-1mlamf20 273 28 avoid avoid VB cord-016871-1mlamf20 273 29 bleeding bleed VBG cord-016871-1mlamf20 273 30 complications complication NNS cord-016871-1mlamf20 273 31 [ [ -LRB- cord-016871-1mlamf20 273 32 50 50 CD cord-016871-1mlamf20 273 33 ] ] -RRB- cord-016871-1mlamf20 273 34 . . . cord-016871-1mlamf20 274 1 However however RB cord-016871-1mlamf20 274 2 , , , cord-016871-1mlamf20 274 3 risks risk NNS cord-016871-1mlamf20 274 4 of of IN cord-016871-1mlamf20 274 5 thrombotic thrombotic JJ cord-016871-1mlamf20 274 6 events event NNS cord-016871-1mlamf20 274 7 in in IN cord-016871-1mlamf20 274 8 discontinuation discontinuation NN cord-016871-1mlamf20 274 9 of of IN cord-016871-1mlamf20 274 10 these these DT cord-016871-1mlamf20 274 11 agents agent NNS cord-016871-1mlamf20 274 12 in in IN cord-016871-1mlamf20 274 13 cardiovascular cardiovascular JJ cord-016871-1mlamf20 274 14 surgeries surgery NNS cord-016871-1mlamf20 274 15 have have VBP cord-016871-1mlamf20 274 16 been be VBN cord-016871-1mlamf20 274 17 noted note VBN cord-016871-1mlamf20 274 18 [ [ -LRB- cord-016871-1mlamf20 274 19 50 50 CD cord-016871-1mlamf20 274 20 ] ] -RRB- cord-016871-1mlamf20 274 21 . . . cord-016871-1mlamf20 275 1 Because because IN cord-016871-1mlamf20 275 2 of of IN cord-016871-1mlamf20 275 3 these these DT cord-016871-1mlamf20 275 4 risks risk NNS cord-016871-1mlamf20 275 5 with with IN cord-016871-1mlamf20 275 6 anticoagulated anticoagulated JJ cord-016871-1mlamf20 275 7 patients patient NNS cord-016871-1mlamf20 275 8 and and CC cord-016871-1mlamf20 275 9 patients patient NNS cord-016871-1mlamf20 275 10 receiving receive VBG cord-016871-1mlamf20 275 11 antiplatelet antiplatelet JJ cord-016871-1mlamf20 275 12 agents agent NNS cord-016871-1mlamf20 275 13 , , , cord-016871-1mlamf20 275 14 it -PRON- PRP cord-016871-1mlamf20 275 15 is be VBZ cord-016871-1mlamf20 275 16 important important JJ cord-016871-1mlamf20 275 17 to to TO cord-016871-1mlamf20 275 18 weigh weigh VB cord-016871-1mlamf20 275 19 the the DT cord-016871-1mlamf20 275 20 bene bene NN cord-016871-1mlamf20 275 21 fi fi NN cord-016871-1mlamf20 275 22 ts ts NN cord-016871-1mlamf20 275 23 of of IN cord-016871-1mlamf20 275 24 the the DT cord-016871-1mlamf20 275 25 surgery surgery NN cord-016871-1mlamf20 275 26 against against IN cord-016871-1mlamf20 275 27 these these DT cord-016871-1mlamf20 275 28 risks risk NNS cord-016871-1mlamf20 275 29 , , , cord-016871-1mlamf20 275 30 among among IN cord-016871-1mlamf20 275 31 others other NNS cord-016871-1mlamf20 275 32 . . . cord-016871-1mlamf20 276 1 Obstetric obstetric JJ cord-016871-1mlamf20 276 2 patients patient NNS cord-016871-1mlamf20 276 3 are be VBP cord-016871-1mlamf20 276 4 one one CD cord-016871-1mlamf20 276 5 subpopulation subpopulation NN cord-016871-1mlamf20 276 6 of of IN cord-016871-1mlamf20 276 7 actively actively RB cord-016871-1mlamf20 276 8 bleeding bleed VBG cord-016871-1mlamf20 276 9 surgical surgical JJ cord-016871-1mlamf20 276 10 patients patient NNS cord-016871-1mlamf20 276 11 that that WDT cord-016871-1mlamf20 276 12 can can MD cord-016871-1mlamf20 276 13 easily easily RB cord-016871-1mlamf20 276 14 confuse confuse VB cord-016871-1mlamf20 276 15 the the DT cord-016871-1mlamf20 276 16 provider provider NN cord-016871-1mlamf20 276 17 . . . cord-016871-1mlamf20 277 1 Their -PRON- PRP$ cord-016871-1mlamf20 277 2 generally generally RB cord-016871-1mlamf20 277 3 young young JJ cord-016871-1mlamf20 277 4 age age NN cord-016871-1mlamf20 277 5 may may MD cord-016871-1mlamf20 277 6 lead lead VB cord-016871-1mlamf20 277 7 one one PRP cord-016871-1mlamf20 277 8 to to TO cord-016871-1mlamf20 277 9 dismiss dismiss VB cord-016871-1mlamf20 277 10 some some DT cord-016871-1mlamf20 277 11 vital vital JJ cord-016871-1mlamf20 277 12 sign sign NN cord-016871-1mlamf20 277 13 changes change NNS cord-016871-1mlamf20 277 14 or or CC cord-016871-1mlamf20 277 15 lab lab NN cord-016871-1mlamf20 277 16 values value NNS cord-016871-1mlamf20 277 17 , , , cord-016871-1mlamf20 277 18 while while IN cord-016871-1mlamf20 277 19 alterations alteration NNS cord-016871-1mlamf20 277 20 of of IN cord-016871-1mlamf20 277 21 their -PRON- PRP$ cord-016871-1mlamf20 277 22 physiology physiology NN cord-016871-1mlamf20 277 23 in in IN cord-016871-1mlamf20 277 24 response response NN cord-016871-1mlamf20 277 25 to to IN cord-016871-1mlamf20 277 26 pregnancy pregnancy NN cord-016871-1mlamf20 277 27 often often RB cord-016871-1mlamf20 277 28 results result VBZ cord-016871-1mlamf20 277 29 in in IN cord-016871-1mlamf20 277 30 the the DT cord-016871-1mlamf20 277 31 misinterpretation misinterpretation NN cord-016871-1mlamf20 277 32 of of IN cord-016871-1mlamf20 277 33 critical critical JJ cord-016871-1mlamf20 277 34 fi fi NN cord-016871-1mlamf20 277 35 ndings nding NNS cord-016871-1mlamf20 277 36 . . . cord-016871-1mlamf20 278 1 During during IN cord-016871-1mlamf20 278 2 pregnancy pregnancy NN cord-016871-1mlamf20 278 3 , , , cord-016871-1mlamf20 278 4 blood blood NN cord-016871-1mlamf20 278 5 becomes become VBZ cord-016871-1mlamf20 278 6 less less RBR cord-016871-1mlamf20 278 7 viscous viscous JJ cord-016871-1mlamf20 278 8 in in IN cord-016871-1mlamf20 278 9 order order NN cord-016871-1mlamf20 278 10 to to TO cord-016871-1mlamf20 278 11 increase increase VB cord-016871-1mlamf20 278 12 oxygen oxygen NN cord-016871-1mlamf20 278 13 carrying carrying NN cord-016871-1mlamf20 278 14 capacity capacity NN cord-016871-1mlamf20 278 15 while while IN cord-016871-1mlamf20 278 16 minimizing minimize VBG cord-016871-1mlamf20 278 17 increased increase VBN cord-016871-1mlamf20 278 18 cardiac cardiac JJ cord-016871-1mlamf20 278 19 load load NN cord-016871-1mlamf20 278 20 as as RB cord-016871-1mlamf20 278 21 much much RB cord-016871-1mlamf20 278 22 as as IN cord-016871-1mlamf20 278 23 possible possible JJ cord-016871-1mlamf20 278 24 . . . cord-016871-1mlamf20 279 1 Intravascular Intravascular NNP cord-016871-1mlamf20 279 2 volume volume NN cord-016871-1mlamf20 279 3 , , , cord-016871-1mlamf20 279 4 and and CC cord-016871-1mlamf20 279 5 more more JJR cord-016871-1mlamf20 279 6 speci speci NNS cord-016871-1mlamf20 279 7 fi fi NN cord-016871-1mlamf20 279 8 cally cally RB cord-016871-1mlamf20 279 9 , , , cord-016871-1mlamf20 279 10 plasma plasma NN cord-016871-1mlamf20 279 11 volume volume NN cord-016871-1mlamf20 279 12 increases increase VBZ cord-016871-1mlamf20 279 13 proportionately proportionately RB cord-016871-1mlamf20 279 14 more more JJR cord-016871-1mlamf20 279 15 than than IN cord-016871-1mlamf20 279 16 red red JJ cord-016871-1mlamf20 279 17 cell cell NN cord-016871-1mlamf20 279 18 volume volume NN cord-016871-1mlamf20 279 19 , , , cord-016871-1mlamf20 279 20 creating create VBG cord-016871-1mlamf20 279 21 a a DT cord-016871-1mlamf20 279 22 " " `` cord-016871-1mlamf20 279 23 physiologic physiologic JJ cord-016871-1mlamf20 279 24 anemia anemia NN cord-016871-1mlamf20 279 25 of of IN cord-016871-1mlamf20 279 26 pregnancy pregnancy NN cord-016871-1mlamf20 279 27 " " '' cord-016871-1mlamf20 279 28 [ [ -LRB- cord-016871-1mlamf20 279 29 51 51 CD cord-016871-1mlamf20 279 30 ] ] -RRB- cord-016871-1mlamf20 279 31 . . . cord-016871-1mlamf20 280 1 Fibrinogen fibrinogen NN cord-016871-1mlamf20 280 2 , , , cord-016871-1mlamf20 280 3 von von NNP cord-016871-1mlamf20 280 4 Willebrand Willebrand NNP cord-016871-1mlamf20 280 5 factor factor NN cord-016871-1mlamf20 280 6 and and CC cord-016871-1mlamf20 280 7 factors factor NNS cord-016871-1mlamf20 280 8 VII VII NNP cord-016871-1mlamf20 280 9 , , , cord-016871-1mlamf20 280 10 VIII VIII NNP cord-016871-1mlamf20 280 11 , , , cord-016871-1mlamf20 280 12 IX IX NNP cord-016871-1mlamf20 280 13 , , , cord-016871-1mlamf20 280 14 X X NNP cord-016871-1mlamf20 280 15 , , , cord-016871-1mlamf20 280 16 XII XII NNP cord-016871-1mlamf20 280 17 are be VBP cord-016871-1mlamf20 280 18 synthesized synthesize VBN cord-016871-1mlamf20 280 19 more more RBR cord-016871-1mlamf20 280 20 frequently frequently RB cord-016871-1mlamf20 280 21 while while IN cord-016871-1mlamf20 280 22 levels level NNS cord-016871-1mlamf20 280 23 of of IN cord-016871-1mlamf20 280 24 factors factor NNS cord-016871-1mlamf20 280 25 XI XI NNP cord-016871-1mlamf20 280 26 and and CC cord-016871-1mlamf20 280 27 XIII XIII NNP cord-016871-1mlamf20 280 28 and and CC cord-016871-1mlamf20 280 29 platelets platelet NNS cord-016871-1mlamf20 280 30 decrease decrease VBP cord-016871-1mlamf20 280 31 [ [ -LRB- cord-016871-1mlamf20 280 32 38 38 CD cord-016871-1mlamf20 280 33 ] ] -RRB- cord-016871-1mlamf20 280 34 . . . cord-016871-1mlamf20 281 1 Levels level NNS cord-016871-1mlamf20 281 2 of of IN cord-016871-1mlamf20 281 3 factor factor NN cord-016871-1mlamf20 281 4 II ii CD cord-016871-1mlamf20 281 5 decrease decrease NN cord-016871-1mlamf20 281 6 , , , cord-016871-1mlamf20 281 7 yet yet CC cord-016871-1mlamf20 281 8 interestingly interestingly RB cord-016871-1mlamf20 281 9 , , , cord-016871-1mlamf20 281 10 prothrombin prothrombin JJ cord-016871-1mlamf20 281 11 time time NN cord-016871-1mlamf20 281 12 ( ( -LRB- cord-016871-1mlamf20 281 13 PT PT NNP cord-016871-1mlamf20 281 14 ) ) -RRB- cord-016871-1mlamf20 281 15 and and CC cord-016871-1mlamf20 281 16 partial partial JJ cord-016871-1mlamf20 281 17 thromboplastin thromboplastin NNP cord-016871-1mlamf20 281 18 time time NN cord-016871-1mlamf20 281 19 ( ( -LRB- cord-016871-1mlamf20 281 20 PTT PTT NNP cord-016871-1mlamf20 281 21 ) ) -RRB- cord-016871-1mlamf20 281 22 remain remain VBP cord-016871-1mlamf20 281 23 unaffected unaffected JJ cord-016871-1mlamf20 281 24 [ [ -LRB- cord-016871-1mlamf20 281 25 51 51 CD cord-016871-1mlamf20 281 26 ] ] -RRB- cord-016871-1mlamf20 281 27 . . . cord-016871-1mlamf20 282 1 Mechanical mechanical JJ cord-016871-1mlamf20 282 2 obstruction obstruction NN cord-016871-1mlamf20 282 3 of of IN cord-016871-1mlamf20 282 4 the the DT cord-016871-1mlamf20 282 5 uterus uterus NN cord-016871-1mlamf20 282 6 on on IN cord-016871-1mlamf20 282 7 the the DT cord-016871-1mlamf20 282 8 inferior inferior JJ cord-016871-1mlamf20 282 9 vena vena FW cord-016871-1mlamf20 282 10 cava cava NN cord-016871-1mlamf20 282 11 and and CC cord-016871-1mlamf20 282 12 other other JJ cord-016871-1mlamf20 282 13 vessels vessel NNS cord-016871-1mlamf20 282 14 encourage encourage VBP cord-016871-1mlamf20 282 15 stasis stasis NN cord-016871-1mlamf20 282 16 and and CC cord-016871-1mlamf20 282 17 the the DT cord-016871-1mlamf20 282 18 formation formation NN cord-016871-1mlamf20 282 19 of of IN cord-016871-1mlamf20 282 20 thrombi thrombi NNP cord-016871-1mlamf20 282 21 . . . cord-016871-1mlamf20 283 1 The the DT cord-016871-1mlamf20 283 2 summation summation NN cord-016871-1mlamf20 283 3 of of IN cord-016871-1mlamf20 283 4 these these DT cord-016871-1mlamf20 283 5 effects effect NNS cord-016871-1mlamf20 283 6 result result VBP cord-016871-1mlamf20 283 7 in in IN cord-016871-1mlamf20 283 8 a a DT cord-016871-1mlamf20 283 9 net net JJ cord-016871-1mlamf20 283 10 hypercoagulable hypercoagulable JJ cord-016871-1mlamf20 283 11 state state NN cord-016871-1mlamf20 283 12 [ [ -LRB- cord-016871-1mlamf20 283 13 51 51 CD cord-016871-1mlamf20 283 14 ] ] -RRB- cord-016871-1mlamf20 283 15 . . . cord-016871-1mlamf20 284 1 The the DT cord-016871-1mlamf20 284 2 utero utero NN cord-016871-1mlamf20 284 3 - - HYPH cord-016871-1mlamf20 284 4 placental placental JJ cord-016871-1mlamf20 284 5 circulation circulation NN cord-016871-1mlamf20 284 6 has have VBZ cord-016871-1mlamf20 284 7 increased increase VBN cord-016871-1mlamf20 284 8 activity activity NN cord-016871-1mlamf20 284 9 of of IN cord-016871-1mlamf20 284 10 both both DT cord-016871-1mlamf20 284 11 coagulation coagulation NN cord-016871-1mlamf20 284 12 and and CC cord-016871-1mlamf20 284 13 fi fi NNP cord-016871-1mlamf20 284 14 brinolysis brinolysis NNP cord-016871-1mlamf20 284 15 , , , cord-016871-1mlamf20 284 16 contributing contribute VBG cord-016871-1mlamf20 284 17 to to IN cord-016871-1mlamf20 284 18 increased increase VBN cord-016871-1mlamf20 284 19 levels level NNS cord-016871-1mlamf20 284 20 of of IN cord-016871-1mlamf20 284 21 fi fi NNP cord-016871-1mlamf20 284 22 brin brin NNP cord-016871-1mlamf20 284 23 degradation degradation NN cord-016871-1mlamf20 284 24 products product NNS cord-016871-1mlamf20 284 25 such such JJ cord-016871-1mlamf20 284 26 as as IN cord-016871-1mlamf20 284 27 d d NNP cord-016871-1mlamf20 284 28 -dimer -dimer VBN cord-016871-1mlamf20 284 29 , , , cord-016871-1mlamf20 284 30 especially especially RB cord-016871-1mlamf20 284 31 in in IN cord-016871-1mlamf20 284 32 the the DT cord-016871-1mlamf20 284 33 third third JJ cord-016871-1mlamf20 284 34 trimester trimester NN cord-016871-1mlamf20 284 35 [ [ -LRB- cord-016871-1mlamf20 284 36 38 38 CD cord-016871-1mlamf20 284 37 ] ] -RRB- cord-016871-1mlamf20 284 38 . . . cord-016871-1mlamf20 285 1 This this DT cord-016871-1mlamf20 285 2 effect effect NN cord-016871-1mlamf20 285 3 may may MD cord-016871-1mlamf20 285 4 contribute contribute VB cord-016871-1mlamf20 285 5 to to IN cord-016871-1mlamf20 285 6 the the DT cord-016871-1mlamf20 285 7 hemostatic hemostatic JJ cord-016871-1mlamf20 285 8 challenges challenge NNS cord-016871-1mlamf20 285 9 in in IN cord-016871-1mlamf20 285 10 obstetric obstetric JJ cord-016871-1mlamf20 285 11 patients patient NNS cord-016871-1mlamf20 285 12 . . . cord-016871-1mlamf20 286 1 Anti Anti NNP cord-016871-1mlamf20 286 2 fi fi NNP cord-016871-1mlamf20 286 3 brinolytics brinolytic NNS cord-016871-1mlamf20 286 4 such such JJ cord-016871-1mlamf20 286 5 as as IN cord-016871-1mlamf20 286 6 tranexamic tranexamic JJ cord-016871-1mlamf20 286 7 acid acid NN cord-016871-1mlamf20 286 8 and and CC cord-016871-1mlamf20 286 9 aminocaproic aminocaproic NN cord-016871-1mlamf20 286 10 acid acid NN cord-016871-1mlamf20 286 11 can can MD cord-016871-1mlamf20 286 12 be be VB cord-016871-1mlamf20 286 13 used use VBN cord-016871-1mlamf20 286 14 to to TO cord-016871-1mlamf20 286 15 treat treat VB cord-016871-1mlamf20 286 16 hyper hyper JJ cord-016871-1mlamf20 286 17 fi fi NN cord-016871-1mlamf20 286 18 brinolysis brinolysis NN cord-016871-1mlamf20 286 19 . . . cord-016871-1mlamf20 287 1 In in IN cord-016871-1mlamf20 287 2 fact fact NN cord-016871-1mlamf20 287 3 , , , cord-016871-1mlamf20 287 4 tranexamic tranexamic JJ cord-016871-1mlamf20 287 5 acid acid NN cord-016871-1mlamf20 287 6 has have VBZ cord-016871-1mlamf20 287 7 been be VBN cord-016871-1mlamf20 287 8 shown show VBN cord-016871-1mlamf20 287 9 to to TO cord-016871-1mlamf20 287 10 reduce reduce VB cord-016871-1mlamf20 287 11 blood blood NN cord-016871-1mlamf20 287 12 loss loss NN cord-016871-1mlamf20 287 13 after after IN cord-016871-1mlamf20 287 14 elective elective JJ cord-016871-1mlamf20 287 15 caesarean caesarean NN cord-016871-1mlamf20 287 16 section section NN cord-016871-1mlamf20 287 17 and and CC cord-016871-1mlamf20 287 18 vaginal vaginal JJ cord-016871-1mlamf20 287 19 delivery delivery NN cord-016871-1mlamf20 287 20 [ [ -LRB- cord-016871-1mlamf20 287 21 38 38 CD cord-016871-1mlamf20 287 22 ] ] -RRB- cord-016871-1mlamf20 287 23 . . . cord-016871-1mlamf20 288 1 Plasma plasma NN cord-016871-1mlamf20 288 2 and and CC cord-016871-1mlamf20 288 3 cryoprecipitate cryoprecipitate NNP cord-016871-1mlamf20 288 4 contain contain VBP cord-016871-1mlamf20 288 5 fi fi NNP cord-016871-1mlamf20 288 6 brinogen brinogen NNP cord-016871-1mlamf20 288 7 and and CC cord-016871-1mlamf20 288 8 may may MD cord-016871-1mlamf20 288 9 be be VB cord-016871-1mlamf20 288 10 used use VBN cord-016871-1mlamf20 288 11 to to TO cord-016871-1mlamf20 288 12 replenish replenish VB cord-016871-1mlamf20 288 13 fi fi NNP cord-016871-1mlamf20 288 14 brinogen brinogen NNP cord-016871-1mlamf20 288 15 in in IN cord-016871-1mlamf20 288 16 states state NNS cord-016871-1mlamf20 288 17 of of IN cord-016871-1mlamf20 288 18 hypo hypo NNP cord-016871-1mlamf20 288 19 fi fi NNP cord-016871-1mlamf20 288 20 brinogenemia brinogenemia NN cord-016871-1mlamf20 288 21 ( ( -LRB- cord-016871-1mlamf20 288 22 < < NNP cord-016871-1mlamf20 288 23 180 180 CD cord-016871-1mlamf20 288 24 mg mg NNP cord-016871-1mlamf20 288 25 / / SYM cord-016871-1mlamf20 288 26 dL dl NN cord-016871-1mlamf20 288 27 ) ) -RRB- cord-016871-1mlamf20 288 28 . . . cord-016871-1mlamf20 289 1 Post post JJ cord-016871-1mlamf20 289 2 - - JJ cord-016871-1mlamf20 289 3 partum partum JJ cord-016871-1mlamf20 289 4 hemorrhage hemorrhage NN cord-016871-1mlamf20 289 5 ( ( -LRB- cord-016871-1mlamf20 289 6 PPH pph NN cord-016871-1mlamf20 289 7 ) ) -RRB- cord-016871-1mlamf20 289 8 is be VBZ cord-016871-1mlamf20 289 9 a a DT cord-016871-1mlamf20 289 10 major major JJ cord-016871-1mlamf20 289 11 cause cause NN cord-016871-1mlamf20 289 12 of of IN cord-016871-1mlamf20 289 13 obstetric obstetric JJ cord-016871-1mlamf20 289 14 mortality mortality NN cord-016871-1mlamf20 289 15 that that WDT cord-016871-1mlamf20 289 16 may may MD cord-016871-1mlamf20 289 17 require require VB cord-016871-1mlamf20 289 18 peripartum peripartum NN cord-016871-1mlamf20 289 19 hysterectomy hysterectomy NN cord-016871-1mlamf20 289 20 and and CC cord-016871-1mlamf20 289 21 is be VBZ cord-016871-1mlamf20 289 22 the the DT cord-016871-1mlamf20 289 23 most most RBS cord-016871-1mlamf20 289 24 common common JJ cord-016871-1mlamf20 289 25 cause cause NN cord-016871-1mlamf20 289 26 of of IN cord-016871-1mlamf20 289 27 maternal maternal JJ cord-016871-1mlamf20 289 28 mortality mortality NN cord-016871-1mlamf20 289 29 worldwide worldwide RB cord-016871-1mlamf20 289 30 . . . cord-016871-1mlamf20 290 1 PPH pph NN cord-016871-1mlamf20 290 2 , , , cord-016871-1mlamf20 290 3 in in IN cord-016871-1mlamf20 290 4 general general JJ cord-016871-1mlamf20 290 5 , , , cord-016871-1mlamf20 290 6 is be VBZ cord-016871-1mlamf20 290 7 not not RB cord-016871-1mlamf20 290 8 associated associate VBN cord-016871-1mlamf20 290 9 with with IN cord-016871-1mlamf20 290 10 underlying underlying JJ cord-016871-1mlamf20 290 11 coagulation coagulation NN cord-016871-1mlamf20 290 12 disorders disorder NNS cord-016871-1mlamf20 290 13 but but CC cord-016871-1mlamf20 290 14 rather rather RB cord-016871-1mlamf20 290 15 acute acute JJ cord-016871-1mlamf20 290 16 events event NNS cord-016871-1mlamf20 290 17 related relate VBN cord-016871-1mlamf20 290 18 to to IN cord-016871-1mlamf20 290 19 placenta placenta NN cord-016871-1mlamf20 290 20 abnormalities abnormality NNS cord-016871-1mlamf20 290 21 , , , cord-016871-1mlamf20 290 22 trauma trauma NN cord-016871-1mlamf20 290 23 from from IN cord-016871-1mlamf20 290 24 large large JJ cord-016871-1mlamf20 290 25 births birth NNS cord-016871-1mlamf20 290 26 or or CC cord-016871-1mlamf20 290 27 instrumentation instrumentation NN cord-016871-1mlamf20 290 28 , , , cord-016871-1mlamf20 290 29 or or CC cord-016871-1mlamf20 290 30 uterine uterine JJ cord-016871-1mlamf20 290 31 atony atony NN cord-016871-1mlamf20 290 32 [ [ -LRB- cord-016871-1mlamf20 290 33 38 38 CD cord-016871-1mlamf20 290 34 ] ] -RRB- cord-016871-1mlamf20 290 35 . . . cord-016871-1mlamf20 291 1 In in IN cord-016871-1mlamf20 291 2 addition addition NN cord-016871-1mlamf20 291 3 to to IN cord-016871-1mlamf20 291 4 rapid rapid JJ cord-016871-1mlamf20 291 5 surgical surgical JJ cord-016871-1mlamf20 291 6 intervention intervention NN cord-016871-1mlamf20 291 7 , , , cord-016871-1mlamf20 291 8 hematologic hematologic JJ cord-016871-1mlamf20 291 9 management management NN cord-016871-1mlamf20 291 10 of of IN cord-016871-1mlamf20 291 11 PPH PPH NNP cord-016871-1mlamf20 291 12 includes include VBZ cord-016871-1mlamf20 291 13 rapid rapid JJ cord-016871-1mlamf20 291 14 volume volume NN cord-016871-1mlamf20 291 15 replacement replacement NN cord-016871-1mlamf20 291 16 and and CC cord-016871-1mlamf20 291 17 blood blood NN cord-016871-1mlamf20 291 18 transfusions transfusion NNS cord-016871-1mlamf20 291 19 . . . cord-016871-1mlamf20 292 1 These these DT cord-016871-1mlamf20 292 2 patients patient NNS cord-016871-1mlamf20 292 3 are be VBP cord-016871-1mlamf20 292 4 likely likely JJ cord-016871-1mlamf20 292 5 to to TO cord-016871-1mlamf20 292 6 bene bene NNP cord-016871-1mlamf20 292 7 fi fi NNP cord-016871-1mlamf20 292 8 t t NN cord-016871-1mlamf20 292 9 from from IN cord-016871-1mlamf20 292 10 management management NN cord-016871-1mlamf20 292 11 strategies strategy NNS cord-016871-1mlamf20 292 12 similar similar JJ cord-016871-1mlamf20 292 13 to to IN cord-016871-1mlamf20 292 14 that that DT cord-016871-1mlamf20 292 15 for for IN cord-016871-1mlamf20 292 16 acutely acutely RB cord-016871-1mlamf20 292 17 injured injure VBN cord-016871-1mlamf20 292 18 patients patient NNS cord-016871-1mlamf20 292 19 who who WP cord-016871-1mlamf20 292 20 are be VBP cord-016871-1mlamf20 292 21 in in IN cord-016871-1mlamf20 292 22 shock shock NN cord-016871-1mlamf20 292 23 from from IN cord-016871-1mlamf20 292 24 hemorrhage hemorrhage NN cord-016871-1mlamf20 292 25 . . . cord-016871-1mlamf20 293 1 In in IN cord-016871-1mlamf20 293 2 obstetrical obstetrical JJ cord-016871-1mlamf20 293 3 patients patient NNS cord-016871-1mlamf20 293 4 , , , cord-016871-1mlamf20 293 5 rFVIIa rFVIIa NNP cord-016871-1mlamf20 293 6 has have VBZ cord-016871-1mlamf20 293 7 also also RB cord-016871-1mlamf20 293 8 been be VBN cord-016871-1mlamf20 293 9 found find VBN cord-016871-1mlamf20 293 10 to to TO cord-016871-1mlamf20 293 11 control control VB cord-016871-1mlamf20 293 12 and and CC cord-016871-1mlamf20 293 13 decrease decrease VB cord-016871-1mlamf20 293 14 hemorrhage hemorrhage NN cord-016871-1mlamf20 293 15 . . . cord-016871-1mlamf20 294 1 Segal Segal NNP cord-016871-1mlamf20 294 2 et et NNP cord-016871-1mlamf20 294 3 al al NNP cord-016871-1mlamf20 294 4 . . . cord-016871-1mlamf20 295 1 's 's POS cord-016871-1mlamf20 295 2 observation observation NN cord-016871-1mlamf20 295 3 of of IN cord-016871-1mlamf20 295 4 three three CD cord-016871-1mlamf20 295 5 patients patient NNS cord-016871-1mlamf20 295 6 with with IN cord-016871-1mlamf20 295 7 PPH pph NN cord-016871-1mlamf20 295 8 , , , cord-016871-1mlamf20 295 9 hypovolemic hypovolemic JJ cord-016871-1mlamf20 295 10 shock shock NN cord-016871-1mlamf20 295 11 , , , cord-016871-1mlamf20 295 12 and and CC cord-016871-1mlamf20 295 13 DIC DIC NNP cord-016871-1mlamf20 295 14 who who WP cord-016871-1mlamf20 295 15 received receive VBD cord-016871-1mlamf20 295 16 massive massive JJ cord-016871-1mlamf20 295 17 transfusions transfusion NNS cord-016871-1mlamf20 295 18 suggests suggest VBZ cord-016871-1mlamf20 295 19 that that IN cord-016871-1mlamf20 295 20 rFVIIa rfviia NN cord-016871-1mlamf20 295 21 may may MD cord-016871-1mlamf20 295 22 be be VB cord-016871-1mlamf20 295 23 bene bene NNP cord-016871-1mlamf20 295 24 fi fi NN cord-016871-1mlamf20 295 25 cial cial JJ cord-016871-1mlamf20 295 26 adjunctive adjunctive JJ cord-016871-1mlamf20 295 27 therapy therapy NN cord-016871-1mlamf20 295 28 after after IN cord-016871-1mlamf20 295 29 the the DT cord-016871-1mlamf20 295 30 completion completion NN cord-016871-1mlamf20 295 31 of of IN cord-016871-1mlamf20 295 32 hysterectomy hysterectomy NN cord-016871-1mlamf20 295 33 [ [ -LRB- cord-016871-1mlamf20 295 34 52 52 CD cord-016871-1mlamf20 295 35 ] ] -RRB- cord-016871-1mlamf20 295 36 . . . cord-016871-1mlamf20 296 1 The the DT cord-016871-1mlamf20 296 2 therapeutic therapeutic JJ cord-016871-1mlamf20 296 3 effect effect NN cord-016871-1mlamf20 296 4 of of IN cord-016871-1mlamf20 296 5 rFVIIa rfviia NN cord-016871-1mlamf20 296 6 may may MD cord-016871-1mlamf20 296 7 be be VB cord-016871-1mlamf20 296 8 due due JJ cord-016871-1mlamf20 296 9 to to IN cord-016871-1mlamf20 296 10 its -PRON- PRP$ cord-016871-1mlamf20 296 11 binding binding NN cord-016871-1mlamf20 296 12 of of IN cord-016871-1mlamf20 296 13 tissue tissue NN cord-016871-1mlamf20 296 14 factor factor NN cord-016871-1mlamf20 296 15 at at IN cord-016871-1mlamf20 296 16 the the DT cord-016871-1mlamf20 296 17 site site NN cord-016871-1mlamf20 296 18 of of IN cord-016871-1mlamf20 296 19 vessel vessel NN cord-016871-1mlamf20 296 20 injury injury NN cord-016871-1mlamf20 296 21 and and CC cord-016871-1mlamf20 296 22 forming form VBG cord-016871-1mlamf20 296 23 a a DT cord-016871-1mlamf20 296 24 complex complex NN cord-016871-1mlamf20 296 25 , , , cord-016871-1mlamf20 296 26 activating activate VBG cord-016871-1mlamf20 296 27 platelets platelet NNS cord-016871-1mlamf20 296 28 and and CC cord-016871-1mlamf20 296 29 facilitating facilitate VBG cord-016871-1mlamf20 296 30 fi fi NNP cord-016871-1mlamf20 296 31 brin brin NNP cord-016871-1mlamf20 296 32 clot clot NN cord-016871-1mlamf20 296 33 formation formation NN cord-016871-1mlamf20 296 34 [ [ -LRB- cord-016871-1mlamf20 296 35 52 52 CD cord-016871-1mlamf20 296 36 ] ] -RRB- cord-016871-1mlamf20 296 37 . . . cord-016871-1mlamf20 297 1 However however RB cord-016871-1mlamf20 297 2 , , , cord-016871-1mlamf20 297 3 these these DT cord-016871-1mlamf20 297 4 fi fi NNP cord-016871-1mlamf20 297 5 ndings nding NNS cord-016871-1mlamf20 297 6 have have VBP cord-016871-1mlamf20 297 7 not not RB cord-016871-1mlamf20 297 8 been be VBN cord-016871-1mlamf20 297 9 consistent consistent JJ cord-016871-1mlamf20 297 10 in in IN cord-016871-1mlamf20 297 11 the the DT cord-016871-1mlamf20 297 12 current current JJ cord-016871-1mlamf20 297 13 literature literature NN cord-016871-1mlamf20 297 14 , , , cord-016871-1mlamf20 297 15 and and CC cord-016871-1mlamf20 297 16 especially especially RB cord-016871-1mlamf20 297 17 because because IN cord-016871-1mlamf20 297 18 of of IN cord-016871-1mlamf20 297 19 the the DT cord-016871-1mlamf20 297 20 expense expense NN cord-016871-1mlamf20 297 21 of of IN cord-016871-1mlamf20 297 22 rFVIIa rfviia NN cord-016871-1mlamf20 297 23 , , , cord-016871-1mlamf20 297 24 the the DT cord-016871-1mlamf20 297 25 decision decision NN cord-016871-1mlamf20 297 26 to to TO cord-016871-1mlamf20 297 27 administer administer VB cord-016871-1mlamf20 297 28 this this DT cord-016871-1mlamf20 297 29 to to IN cord-016871-1mlamf20 297 30 the the DT cord-016871-1mlamf20 297 31 patient patient NN cord-016871-1mlamf20 297 32 must must MD cord-016871-1mlamf20 297 33 involve involve VB cord-016871-1mlamf20 297 34 a a DT cord-016871-1mlamf20 297 35 thorough thorough JJ cord-016871-1mlamf20 297 36 consideration consideration NN cord-016871-1mlamf20 297 37 of of IN cord-016871-1mlamf20 297 38 the the DT cord-016871-1mlamf20 297 39 bene bene NN cord-016871-1mlamf20 297 40 fi fi NN cord-016871-1mlamf20 297 41 ts ts NNP cord-016871-1mlamf20 297 42 , , , cord-016871-1mlamf20 297 43 if if IN cord-016871-1mlamf20 297 44 any any DT cord-016871-1mlamf20 297 45 [ [ -LRB- cord-016871-1mlamf20 297 46 38 38 CD cord-016871-1mlamf20 297 47 ] ] -RRB- cord-016871-1mlamf20 297 48 . . . cord-016871-1mlamf20 298 1 Intensive intensive JJ cord-016871-1mlamf20 298 2 care care NN cord-016871-1mlamf20 298 3 unit unit NN cord-016871-1mlamf20 298 4 ( ( -LRB- cord-016871-1mlamf20 298 5 ICU ICU NNP cord-016871-1mlamf20 298 6 ) ) -RRB- cord-016871-1mlamf20 298 7 patients patient NNS cord-016871-1mlamf20 298 8 are be VBP cord-016871-1mlamf20 298 9 another another DT cord-016871-1mlamf20 298 10 patient patient JJ cord-016871-1mlamf20 298 11 population population NN cord-016871-1mlamf20 298 12 that that WDT cord-016871-1mlamf20 298 13 frequently frequently RB cord-016871-1mlamf20 298 14 receives receive VBZ cord-016871-1mlamf20 298 15 blood blood NN cord-016871-1mlamf20 298 16 transfusions transfusion NNS cord-016871-1mlamf20 298 17 in in IN cord-016871-1mlamf20 298 18 order order NN cord-016871-1mlamf20 298 19 to to TO cord-016871-1mlamf20 298 20 correct correct VB cord-016871-1mlamf20 298 21 their -PRON- PRP$ cord-016871-1mlamf20 298 22 anemia anemia NN cord-016871-1mlamf20 298 23 , , , cord-016871-1mlamf20 298 24 which which WDT cord-016871-1mlamf20 298 25 has have VBZ cord-016871-1mlamf20 298 26 been be VBN cord-016871-1mlamf20 298 27 shown show VBN cord-016871-1mlamf20 298 28 by by IN cord-016871-1mlamf20 298 29 a a DT cord-016871-1mlamf20 298 30 large large JJ cord-016871-1mlamf20 298 31 body body NN cord-016871-1mlamf20 298 32 of of IN cord-016871-1mlamf20 298 33 work work NN cord-016871-1mlamf20 298 34 to to TO cord-016871-1mlamf20 298 35 indicate indicate VB cord-016871-1mlamf20 298 36 worse bad JJR cord-016871-1mlamf20 298 37 prognosis prognosis NN cord-016871-1mlamf20 298 38 [ [ -LRB- cord-016871-1mlamf20 298 39 29 29 CD cord-016871-1mlamf20 298 40 ] ] -RRB- cord-016871-1mlamf20 298 41 . . . cord-016871-1mlamf20 299 1 These these DT cord-016871-1mlamf20 299 2 patients patient NNS cord-016871-1mlamf20 299 3 are be VBP cord-016871-1mlamf20 299 4 anemic anemic JJ cord-016871-1mlamf20 299 5 due due IN cord-016871-1mlamf20 299 6 to to IN cord-016871-1mlamf20 299 7 sepsis sepsis NN cord-016871-1mlamf20 299 8 , , , cord-016871-1mlamf20 299 9 occult occult JJ cord-016871-1mlamf20 299 10 blood blood NN cord-016871-1mlamf20 299 11 loss loss NN cord-016871-1mlamf20 299 12 , , , cord-016871-1mlamf20 299 13 hemorrhage hemorrhage NN cord-016871-1mlamf20 299 14 , , , cord-016871-1mlamf20 299 15 decreased decrease VBD cord-016871-1mlamf20 299 16 production production NN cord-016871-1mlamf20 299 17 and and CC cord-016871-1mlamf20 299 18 functional functional JJ cord-016871-1mlamf20 299 19 iron iron NN cord-016871-1mlamf20 299 20 de de NN cord-016871-1mlamf20 299 21 fi fi NN cord-016871-1mlamf20 299 22 ciency ciency NN cord-016871-1mlamf20 299 23 . . . cord-016871-1mlamf20 300 1 ICU ICU NNP cord-016871-1mlamf20 300 2 patients patient NNS cord-016871-1mlamf20 300 3 with with IN cord-016871-1mlamf20 300 4 low low JJ cord-016871-1mlamf20 300 5 hemoglobin hemoglobin NN cord-016871-1mlamf20 300 6 levels level NNS cord-016871-1mlamf20 300 7 are be VBP cord-016871-1mlamf20 300 8 more more RBR cord-016871-1mlamf20 300 9 likely likely JJ cord-016871-1mlamf20 300 10 to to TO cord-016871-1mlamf20 300 11 suffer suffer VB cord-016871-1mlamf20 300 12 from from IN cord-016871-1mlamf20 300 13 complications complication NNS cord-016871-1mlamf20 300 14 such such JJ cord-016871-1mlamf20 300 15 as as IN cord-016871-1mlamf20 300 16 sepsis sepsis NN cord-016871-1mlamf20 300 17 , , , cord-016871-1mlamf20 300 18 and and CC cord-016871-1mlamf20 300 19 they -PRON- PRP cord-016871-1mlamf20 300 20 are be VBP cord-016871-1mlamf20 300 21 more more RBR cord-016871-1mlamf20 300 22 likely likely JJ cord-016871-1mlamf20 300 23 to to TO cord-016871-1mlamf20 300 24 experience experience VB cord-016871-1mlamf20 300 25 delayed delay VBN cord-016871-1mlamf20 300 26 weaning weaning NN cord-016871-1mlamf20 300 27 from from IN cord-016871-1mlamf20 300 28 ventilator ventilator NN cord-016871-1mlamf20 300 29 support support NN cord-016871-1mlamf20 300 30 . . . cord-016871-1mlamf20 301 1 The the DT cord-016871-1mlamf20 301 2 decision decision NN cord-016871-1mlamf20 301 3 to to TO cord-016871-1mlamf20 301 4 transfuse transfuse VB cord-016871-1mlamf20 301 5 such such JJ cord-016871-1mlamf20 301 6 patients patient NNS cord-016871-1mlamf20 301 7 should should MD cord-016871-1mlamf20 301 8 weigh weigh VB cord-016871-1mlamf20 301 9 the the DT cord-016871-1mlamf20 301 10 bene bene NN cord-016871-1mlamf20 301 11 fi fi NN cord-016871-1mlamf20 301 12 ts ts NN cord-016871-1mlamf20 301 13 and and CC cord-016871-1mlamf20 301 14 the the DT cord-016871-1mlamf20 301 15 risks risk NNS cord-016871-1mlamf20 301 16 of of IN cord-016871-1mlamf20 301 17 blood blood NN cord-016871-1mlamf20 301 18 transfusions transfusion NNS cord-016871-1mlamf20 301 19 , , , cord-016871-1mlamf20 301 20 especially especially RB cord-016871-1mlamf20 301 21 given give VBN cord-016871-1mlamf20 301 22 the the DT cord-016871-1mlamf20 301 23 patients patient NNS cord-016871-1mlamf20 301 24 ' ' POS cord-016871-1mlamf20 301 25 increased increase VBN cord-016871-1mlamf20 301 26 susceptibility susceptibility NN cord-016871-1mlamf20 301 27 to to IN cord-016871-1mlamf20 301 28 infections infection NNS cord-016871-1mlamf20 301 29 , , , cord-016871-1mlamf20 301 30 iatrogenic iatrogenic JJ cord-016871-1mlamf20 301 31 events event NNS cord-016871-1mlamf20 301 32 and and CC cord-016871-1mlamf20 301 33 increased increase VBN cord-016871-1mlamf20 301 34 metabolic metabolic JJ cord-016871-1mlamf20 301 35 demands demand NNS cord-016871-1mlamf20 301 36 [ [ -LRB- cord-016871-1mlamf20 301 37 53 53 CD cord-016871-1mlamf20 301 38 ] ] -RRB- cord-016871-1mlamf20 301 39 . . . cord-016871-1mlamf20 302 1 Vincent Vincent NNP cord-016871-1mlamf20 302 2 et et NNP cord-016871-1mlamf20 302 3 al al NNP cord-016871-1mlamf20 302 4 . . . cord-016871-1mlamf20 303 1 's 's POS cord-016871-1mlamf20 303 2 multicenter multicenter JJ cord-016871-1mlamf20 303 3 prospective prospective JJ cord-016871-1mlamf20 303 4 observational observational JJ cord-016871-1mlamf20 303 5 study study NN cord-016871-1mlamf20 303 6 of of IN cord-016871-1mlamf20 303 7 1,136 1,136 CD cord-016871-1mlamf20 303 8 patients patient NNS cord-016871-1mlamf20 303 9 demonstrated demonstrate VBD cord-016871-1mlamf20 303 10 that that IN cord-016871-1mlamf20 303 11 ICU ICU NNP cord-016871-1mlamf20 303 12 patients patient NNS cord-016871-1mlamf20 303 13 frequently frequently RB cord-016871-1mlamf20 303 14 received receive VBD cord-016871-1mlamf20 303 15 transfusions transfusion NNS cord-016871-1mlamf20 303 16 , , , cord-016871-1mlamf20 303 17 with with IN cord-016871-1mlamf20 303 18 a a DT cord-016871-1mlamf20 303 19 transfusion transfusion NN cord-016871-1mlamf20 303 20 rate rate NN cord-016871-1mlamf20 303 21 of of IN cord-016871-1mlamf20 303 22 37 37 CD cord-016871-1mlamf20 303 23 % % NN cord-016871-1mlamf20 303 24 during during IN cord-016871-1mlamf20 303 25 their -PRON- PRP$ cord-016871-1mlamf20 303 26 stay stay NN cord-016871-1mlamf20 303 27 . . . cord-016871-1mlamf20 304 1 The the DT cord-016871-1mlamf20 304 2 patients patient NNS cord-016871-1mlamf20 304 3 who who WP cord-016871-1mlamf20 304 4 received receive VBD cord-016871-1mlamf20 304 5 transfusions transfusion NNS cord-016871-1mlamf20 304 6 also also RB cord-016871-1mlamf20 304 7 experienced experience VBD cord-016871-1mlamf20 304 8 a a DT cord-016871-1mlamf20 304 9 higher high JJR cord-016871-1mlamf20 304 10 mortality mortality NN cord-016871-1mlamf20 304 11 rate rate NN cord-016871-1mlamf20 304 12 , , , cord-016871-1mlamf20 304 13 prolonged prolonged JJ cord-016871-1mlamf20 304 14 hospital hospital NN cord-016871-1mlamf20 304 15 stay stay NN cord-016871-1mlamf20 304 16 , , , cord-016871-1mlamf20 304 17 and and CC cord-016871-1mlamf20 304 18 decreased decrease VBD cord-016871-1mlamf20 304 19 organ organ NN cord-016871-1mlamf20 304 20 function function NN cord-016871-1mlamf20 304 21 [ [ -LRB- cord-016871-1mlamf20 304 22 53 53 CD cord-016871-1mlamf20 304 23 ] ] -RRB- cord-016871-1mlamf20 304 24 . . . cord-016871-1mlamf20 305 1 There there EX cord-016871-1mlamf20 305 2 is be VBZ cord-016871-1mlamf20 305 3 also also RB cord-016871-1mlamf20 305 4 evidence evidence NN cord-016871-1mlamf20 305 5 suggestive suggestive JJ cord-016871-1mlamf20 305 6 of of IN cord-016871-1mlamf20 305 7 increased increase VBN cord-016871-1mlamf20 305 8 transfusions transfusion NNS cord-016871-1mlamf20 305 9 in in IN cord-016871-1mlamf20 305 10 patients patient NNS cord-016871-1mlamf20 305 11 with with IN cord-016871-1mlamf20 305 12 hemoglobin hemoglobin NN cord-016871-1mlamf20 305 13 levels level NNS cord-016871-1mlamf20 305 14 higher high JJR cord-016871-1mlamf20 305 15 than than IN cord-016871-1mlamf20 305 16 the the DT cord-016871-1mlamf20 305 17 generally generally RB cord-016871-1mlamf20 305 18 accepted accept VBN cord-016871-1mlamf20 305 19 trigger trigger NN cord-016871-1mlamf20 305 20 value value NN cord-016871-1mlamf20 305 21 of of IN cord-016871-1mlamf20 305 22 8 8 CD cord-016871-1mlamf20 305 23 g g NN cord-016871-1mlamf20 305 24 / / SYM cord-016871-1mlamf20 305 25 dL. dL. NNS cord-016871-1mlamf20 305 26 Speci Speci NNP cord-016871-1mlamf20 305 27 fi fi NNP cord-016871-1mlamf20 305 28 cally cally RB cord-016871-1mlamf20 305 29 , , , cord-016871-1mlamf20 305 30 Vincent Vincent NNP cord-016871-1mlamf20 305 31 et et NNP cord-016871-1mlamf20 305 32 al al NNP cord-016871-1mlamf20 305 33 . . . cord-016871-1mlamf20 306 1 found find VBD cord-016871-1mlamf20 306 2 that that IN cord-016871-1mlamf20 306 3 in in IN cord-016871-1mlamf20 306 4 under under IN cord-016871-1mlamf20 306 5 30 30 CD cord-016871-1mlamf20 306 6 % % NN cord-016871-1mlamf20 306 7 of of IN cord-016871-1mlamf20 306 8 cases case NNS cord-016871-1mlamf20 306 9 , , , cord-016871-1mlamf20 306 10 patients patient NNS cord-016871-1mlamf20 306 11 with with IN cord-016871-1mlamf20 306 12 hemoglobin hemoglobin NN cord-016871-1mlamf20 306 13 levels level NNS cord-016871-1mlamf20 306 14 greater great JJR cord-016871-1mlamf20 306 15 than than IN cord-016871-1mlamf20 306 16 9 9 CD cord-016871-1mlamf20 306 17 g g NN cord-016871-1mlamf20 306 18 / / SYM cord-016871-1mlamf20 306 19 dL dl NN cord-016871-1mlamf20 306 20 received receive VBD cord-016871-1mlamf20 306 21 blood blood NN cord-016871-1mlamf20 306 22 transfusions transfusion NNS cord-016871-1mlamf20 306 23 [ [ -LRB- cord-016871-1mlamf20 306 24 53 53 CD cord-016871-1mlamf20 306 25 ] ] -RRB- cord-016871-1mlamf20 306 26 . . . cord-016871-1mlamf20 307 1 Hence hence RB cord-016871-1mlamf20 307 2 , , , cord-016871-1mlamf20 307 3 future future JJ cord-016871-1mlamf20 307 4 work work NN cord-016871-1mlamf20 307 5 is be VBZ cord-016871-1mlamf20 307 6 needed need VBN cord-016871-1mlamf20 307 7 to to TO cord-016871-1mlamf20 307 8 recommend recommend VB cord-016871-1mlamf20 307 9 strict strict JJ cord-016871-1mlamf20 307 10 hemoglobin hemoglobin NN cord-016871-1mlamf20 307 11 cut cut NN cord-016871-1mlamf20 307 12 offs off NNS cord-016871-1mlamf20 307 13 for for IN cord-016871-1mlamf20 307 14 transfusion transfusion NN cord-016871-1mlamf20 307 15 . . . cord-016871-1mlamf20 308 1 In in IN cord-016871-1mlamf20 308 2 the the DT cord-016871-1mlamf20 308 3 acute acute JJ cord-016871-1mlamf20 308 4 trauma trauma NN cord-016871-1mlamf20 308 5 setting setting NN cord-016871-1mlamf20 308 6 , , , cord-016871-1mlamf20 308 7 conventional conventional JJ cord-016871-1mlamf20 308 8 coagulation coagulation NN cord-016871-1mlamf20 308 9 testing testing NN cord-016871-1mlamf20 308 10 ( ( -LRB- cord-016871-1mlamf20 308 11 CCT CCT NNP cord-016871-1mlamf20 308 12 ) ) -RRB- cord-016871-1mlamf20 308 13 , , , cord-016871-1mlamf20 308 14 which which WDT cord-016871-1mlamf20 308 15 consists consist VBZ cord-016871-1mlamf20 308 16 of of IN cord-016871-1mlamf20 308 17 prothrombin prothrombin NN cord-016871-1mlamf20 308 18 time time NN cord-016871-1mlamf20 308 19 , , , cord-016871-1mlamf20 308 20 international international JJ cord-016871-1mlamf20 308 21 normalized normalized JJ cord-016871-1mlamf20 308 22 ratio ratio NN cord-016871-1mlamf20 308 23 ( ( -LRB- cord-016871-1mlamf20 308 24 INR INR NNP cord-016871-1mlamf20 308 25 ) ) -RRB- cord-016871-1mlamf20 308 26 , , , cord-016871-1mlamf20 308 27 partial partial JJ cord-016871-1mlamf20 308 28 thromboplastin thromboplastin NNP cord-016871-1mlamf20 308 29 time time NN cord-016871-1mlamf20 308 30 , , , cord-016871-1mlamf20 308 31 and and CC cord-016871-1mlamf20 308 32 platelet platelet NN cord-016871-1mlamf20 308 33 count count NN cord-016871-1mlamf20 308 34 , , , cord-016871-1mlamf20 308 35 is be VBZ cord-016871-1mlamf20 308 36 used use VBN cord-016871-1mlamf20 308 37 to to TO cord-016871-1mlamf20 308 38 assess assess VB cord-016871-1mlamf20 308 39 coagulation coagulation NN cord-016871-1mlamf20 308 40 status status NN cord-016871-1mlamf20 308 41 . . . cord-016871-1mlamf20 309 1 This this DT cord-016871-1mlamf20 309 2 approach approach NN cord-016871-1mlamf20 309 3 , , , cord-016871-1mlamf20 309 4 however however RB cord-016871-1mlamf20 309 5 , , , cord-016871-1mlamf20 309 6 is be VBZ cord-016871-1mlamf20 309 7 limited limit VBN cord-016871-1mlamf20 309 8 by by IN cord-016871-1mlamf20 309 9 slow slow JJ cord-016871-1mlamf20 309 10 results result NNS cord-016871-1mlamf20 309 11 , , , cord-016871-1mlamf20 309 12 incomplete incomplete JJ cord-016871-1mlamf20 309 13 characterization characterization NN cord-016871-1mlamf20 309 14 of of IN cord-016871-1mlamf20 309 15 the the DT cord-016871-1mlamf20 309 16 coagulation coagulation NN cord-016871-1mlamf20 309 17 abnormality abnormality NN cord-016871-1mlamf20 309 18 , , , cord-016871-1mlamf20 309 19 and and CC cord-016871-1mlamf20 309 20 poor poor JJ cord-016871-1mlamf20 309 21 prediction prediction NN cord-016871-1mlamf20 309 22 of of IN cord-016871-1mlamf20 309 23 patient patient JJ cord-016871-1mlamf20 309 24 outcome outcome NN cord-016871-1mlamf20 309 25 . . . cord-016871-1mlamf20 310 1 Furthermore furthermore RB cord-016871-1mlamf20 310 2 , , , cord-016871-1mlamf20 310 3 CCTs cct NNS cord-016871-1mlamf20 310 4 , , , cord-016871-1mlamf20 310 5 which which WDT cord-016871-1mlamf20 310 6 are be VBP cord-016871-1mlamf20 310 7 riddled riddle VBN cord-016871-1mlamf20 310 8 with with IN cord-016871-1mlamf20 310 9 delays delay NNS cord-016871-1mlamf20 310 10 from from IN cord-016871-1mlamf20 310 11 time time NN cord-016871-1mlamf20 310 12 to to IN cord-016871-1mlamf20 310 13 arrival arrival NN cord-016871-1mlamf20 310 14 in in IN cord-016871-1mlamf20 310 15 the the DT cord-016871-1mlamf20 310 16 laboratory laboratory NN cord-016871-1mlamf20 310 17 and and CC cord-016871-1mlamf20 310 18 duration duration NN cord-016871-1mlamf20 310 19 of of IN cord-016871-1mlamf20 310 20 testing testing NN cord-016871-1mlamf20 310 21 , , , cord-016871-1mlamf20 310 22 end end VB cord-016871-1mlamf20 310 23 up up RP cord-016871-1mlamf20 310 24 re re VBD cord-016871-1mlamf20 310 25 fl fl NNP cord-016871-1mlamf20 310 26 ecting ecte VBG cord-016871-1mlamf20 310 27 the the DT cord-016871-1mlamf20 310 28 coagulation coagulation NN cord-016871-1mlamf20 310 29 state state NN cord-016871-1mlamf20 310 30 of of IN cord-016871-1mlamf20 310 31 the the DT cord-016871-1mlamf20 310 32 patient patient NN cord-016871-1mlamf20 310 33 after after IN cord-016871-1mlamf20 310 34 30 30 CD cord-016871-1mlamf20 310 35 - - SYM cord-016871-1mlamf20 310 36 45 45 CD cord-016871-1mlamf20 310 37 min min NNS cord-016871-1mlamf20 310 38 of of IN cord-016871-1mlamf20 310 39 interventions intervention NNS cord-016871-1mlamf20 310 40 and and CC cord-016871-1mlamf20 310 41 resuscitation resuscitation NN cord-016871-1mlamf20 310 42 [ [ -LRB- cord-016871-1mlamf20 310 43 54 54 CD cord-016871-1mlamf20 310 44 ] ] -RRB- cord-016871-1mlamf20 310 45 . . . cord-016871-1mlamf20 311 1 Since since IN cord-016871-1mlamf20 311 2 CCT CCT NNP cord-016871-1mlamf20 311 3 only only RB cord-016871-1mlamf20 311 4 examines examine VBZ cord-016871-1mlamf20 311 5 plasma plasma NN cord-016871-1mlamf20 311 6 factors factor NNS cord-016871-1mlamf20 311 7 , , , cord-016871-1mlamf20 311 8 the the DT cord-016871-1mlamf20 311 9 integral integral JJ cord-016871-1mlamf20 311 10 role role NN cord-016871-1mlamf20 311 11 of of IN cord-016871-1mlamf20 311 12 platelets platelet NNS cord-016871-1mlamf20 311 13 and and CC cord-016871-1mlamf20 311 14 their -PRON- PRP$ cord-016871-1mlamf20 311 15 function function NN cord-016871-1mlamf20 311 16 is be VBZ cord-016871-1mlamf20 311 17 ignored ignore VBN cord-016871-1mlamf20 311 18 . . . cord-016871-1mlamf20 312 1 In in IN cord-016871-1mlamf20 312 2 addition addition NN cord-016871-1mlamf20 312 3 , , , cord-016871-1mlamf20 312 4 the the DT cord-016871-1mlamf20 312 5 CCT CCT NNP cord-016871-1mlamf20 312 6 assesses assess VBZ cord-016871-1mlamf20 312 7 only only RB cord-016871-1mlamf20 312 8 the the DT cord-016871-1mlamf20 312 9 extrinsic extrinsic JJ cord-016871-1mlamf20 312 10 pathway pathway NN cord-016871-1mlamf20 312 11 , , , cord-016871-1mlamf20 312 12 intrinsic intrinsic JJ cord-016871-1mlamf20 312 13 pathway pathway NN cord-016871-1mlamf20 312 14 , , , cord-016871-1mlamf20 312 15 and and CC cord-016871-1mlamf20 312 16 platelet platelet NN cord-016871-1mlamf20 312 17 count count NN cord-016871-1mlamf20 312 18 , , , cord-016871-1mlamf20 312 19 painting paint VBG cord-016871-1mlamf20 312 20 an an DT cord-016871-1mlamf20 312 21 incomplete incomplete JJ cord-016871-1mlamf20 312 22 picture picture NN cord-016871-1mlamf20 312 23 of of IN cord-016871-1mlamf20 312 24 the the DT cord-016871-1mlamf20 312 25 pathologies pathology NNS cord-016871-1mlamf20 312 26 of of IN cord-016871-1mlamf20 312 27 clotting clotting NN cord-016871-1mlamf20 312 28 in in IN cord-016871-1mlamf20 312 29 the the DT cord-016871-1mlamf20 312 30 severely severely RB cord-016871-1mlamf20 312 31 exsanguinating exsanguinate VBG cord-016871-1mlamf20 312 32 patient patient NN cord-016871-1mlamf20 312 33 . . . cord-016871-1mlamf20 313 1 These these DT cord-016871-1mlamf20 313 2 de de FW cord-016871-1mlamf20 313 3 fi fi NNP cord-016871-1mlamf20 313 4 ciencies ciencie NNS cord-016871-1mlamf20 313 5 are be VBP cord-016871-1mlamf20 313 6 addressed address VBN cord-016871-1mlamf20 313 7 by by IN cord-016871-1mlamf20 313 8 thrombelastography thrombelastography NNP cord-016871-1mlamf20 313 9 ( ( -LRB- cord-016871-1mlamf20 313 10 TEG TEG NNP cord-016871-1mlamf20 313 11 ) ) -RRB- cord-016871-1mlamf20 313 12 , , , cord-016871-1mlamf20 313 13 a a DT cord-016871-1mlamf20 313 14 test test NN cord-016871-1mlamf20 313 15 that that WDT cord-016871-1mlamf20 313 16 creates create VBZ cord-016871-1mlamf20 313 17 a a DT cord-016871-1mlamf20 313 18 dynamic dynamic JJ cord-016871-1mlamf20 313 19 , , , cord-016871-1mlamf20 313 20 graphical graphical JJ cord-016871-1mlamf20 313 21 representation representation NN cord-016871-1mlamf20 313 22 of of IN cord-016871-1mlamf20 313 23 the the DT cord-016871-1mlamf20 313 24 coagulation coagulation NN cord-016871-1mlamf20 313 25 characteristics characteristic NNS cord-016871-1mlamf20 313 26 of of IN cord-016871-1mlamf20 313 27 a a DT cord-016871-1mlamf20 313 28 blood blood NN cord-016871-1mlamf20 313 29 sample sample NN cord-016871-1mlamf20 313 30 from from IN cord-016871-1mlamf20 313 31 initial initial JJ cord-016871-1mlamf20 313 32 clot clot NN cord-016871-1mlamf20 313 33 formation formation NN cord-016871-1mlamf20 313 34 to to IN cord-016871-1mlamf20 313 35 fi fi NNP cord-016871-1mlamf20 313 36 brinolysis brinolysis NNP cord-016871-1mlamf20 313 37 . . . cord-016871-1mlamf20 314 1 Since since IN cord-016871-1mlamf20 314 2 speci speci NNP cord-016871-1mlamf20 314 3 fi fi NNP cord-016871-1mlamf20 314 4 c c NNP cord-016871-1mlamf20 314 5 coagulation coagulation NN cord-016871-1mlamf20 314 6 components component NNS cord-016871-1mlamf20 314 7 have have VBP cord-016871-1mlamf20 314 8 speci speci NNP cord-016871-1mlamf20 314 9 fi fi NN cord-016871-1mlamf20 314 10 c c NN cord-016871-1mlamf20 314 11 disturbances disturbance NNS cord-016871-1mlamf20 314 12 on on IN cord-016871-1mlamf20 314 13 TEG TEG NNP cord-016871-1mlamf20 314 14 , , , cord-016871-1mlamf20 314 15 this this DT cord-016871-1mlamf20 314 16 test test NN cord-016871-1mlamf20 314 17 reveals reveal VBZ cord-016871-1mlamf20 314 18 diagnostic diagnostic JJ cord-016871-1mlamf20 314 19 as as RB cord-016871-1mlamf20 314 20 well well RB cord-016871-1mlamf20 314 21 as as IN cord-016871-1mlamf20 314 22 therapeutic therapeutic JJ cord-016871-1mlamf20 314 23 information information NN cord-016871-1mlamf20 314 24 [ [ -LRB- cord-016871-1mlamf20 314 25 55 55 CD cord-016871-1mlamf20 314 26 ] ] -RRB- cord-016871-1mlamf20 314 27 . . . cord-016871-1mlamf20 315 1 The the DT cord-016871-1mlamf20 315 2 procedure procedure NN cord-016871-1mlamf20 315 3 involves involve VBZ cord-016871-1mlamf20 315 4 obtaining obtain VBG cord-016871-1mlamf20 315 5 an an DT cord-016871-1mlamf20 315 6 uncitrated uncitrated JJ cord-016871-1mlamf20 315 7 whole whole JJ cord-016871-1mlamf20 315 8 blood blood NN cord-016871-1mlamf20 315 9 sample sample NN cord-016871-1mlamf20 315 10 , , , cord-016871-1mlamf20 315 11 activation activation NN cord-016871-1mlamf20 315 12 of of IN cord-016871-1mlamf20 315 13 the the DT cord-016871-1mlamf20 315 14 specimen specimen NN cord-016871-1mlamf20 315 15 with with IN cord-016871-1mlamf20 315 16 kaolin kaolin NN cord-016871-1mlamf20 315 17 and and CC cord-016871-1mlamf20 315 18 spinning spin VBG cord-016871-1mlamf20 315 19 the the DT cord-016871-1mlamf20 315 20 sample sample NN cord-016871-1mlamf20 315 21 in in IN cord-016871-1mlamf20 315 22 a a DT cord-016871-1mlamf20 315 23 thrombelastograph thrombelastograph JJ cord-016871-1mlamf20 315 24 machine machine NN cord-016871-1mlamf20 315 25 within within IN cord-016871-1mlamf20 315 26 4 4 CD cord-016871-1mlamf20 315 27 - - SYM cord-016871-1mlamf20 315 28 5 5 CD cord-016871-1mlamf20 315 29 min min NN cord-016871-1mlamf20 315 30 in in IN cord-016871-1mlamf20 315 31 order order NN cord-016871-1mlamf20 315 32 to to TO cord-016871-1mlamf20 315 33 avoid avoid VB cord-016871-1mlamf20 315 34 clotting clot VBG cord-016871-1mlamf20 315 35 [ [ -LRB- cord-016871-1mlamf20 315 36 55 55 CD cord-016871-1mlamf20 315 37 ] ] -RRB- cord-016871-1mlamf20 315 38 . . . cord-016871-1mlamf20 316 1 If if IN cord-016871-1mlamf20 316 2 this this DT cord-016871-1mlamf20 316 3 timeframe timeframe NN cord-016871-1mlamf20 316 4 can can MD cord-016871-1mlamf20 316 5 not not RB cord-016871-1mlamf20 316 6 be be VB cord-016871-1mlamf20 316 7 achieved achieve VBN cord-016871-1mlamf20 316 8 , , , cord-016871-1mlamf20 316 9 a a DT cord-016871-1mlamf20 316 10 " " `` cord-016871-1mlamf20 316 11 reversal reversal NN cord-016871-1mlamf20 316 12 " " '' cord-016871-1mlamf20 316 13 method method NN cord-016871-1mlamf20 316 14 can can MD cord-016871-1mlamf20 316 15 be be VB cord-016871-1mlamf20 316 16 used use VBN cord-016871-1mlamf20 316 17 , , , cord-016871-1mlamf20 316 18 where where WRB cord-016871-1mlamf20 316 19 citrate citrate NNP cord-016871-1mlamf20 316 20 is be VBZ cord-016871-1mlamf20 316 21 used use VBN cord-016871-1mlamf20 316 22 to to TO cord-016871-1mlamf20 316 23 avoid avoid VB cord-016871-1mlamf20 316 24 clotting clotting NN cord-016871-1mlamf20 316 25 until until IN cord-016871-1mlamf20 316 26 the the DT cord-016871-1mlamf20 316 27 sample sample NN cord-016871-1mlamf20 316 28 has have VBZ cord-016871-1mlamf20 316 29 arrived arrive VBN cord-016871-1mlamf20 316 30 at at IN cord-016871-1mlamf20 316 31 the the DT cord-016871-1mlamf20 316 32 laboratory laboratory NN cord-016871-1mlamf20 316 33 , , , cord-016871-1mlamf20 316 34 at at IN cord-016871-1mlamf20 316 35 which which WDT cord-016871-1mlamf20 316 36 point point NN cord-016871-1mlamf20 316 37 , , , cord-016871-1mlamf20 316 38 the the DT cord-016871-1mlamf20 316 39 citrate citrate NN cord-016871-1mlamf20 316 40 will will MD cord-016871-1mlamf20 316 41 be be VB cord-016871-1mlamf20 316 42 " " `` cord-016871-1mlamf20 316 43 reversed reverse VBN cord-016871-1mlamf20 316 44 " " '' cord-016871-1mlamf20 316 45 using use VBG cord-016871-1mlamf20 316 46 calcium calcium NN cord-016871-1mlamf20 316 47 chloride chloride NN cord-016871-1mlamf20 316 48 as as IN cord-016871-1mlamf20 316 49 per per IN cord-016871-1mlamf20 316 50 manufacturer manufacturer NN cord-016871-1mlamf20 316 51 instructions instruction NNS cord-016871-1mlamf20 316 52 . . . cord-016871-1mlamf20 317 1 While while IN cord-016871-1mlamf20 317 2 this this DT cord-016871-1mlamf20 317 3 method method NN cord-016871-1mlamf20 317 4 has have VBZ cord-016871-1mlamf20 317 5 been be VBN cord-016871-1mlamf20 317 6 shown show VBN cord-016871-1mlamf20 317 7 to to TO cord-016871-1mlamf20 317 8 affect affect VB cord-016871-1mlamf20 317 9 TEG TEG NNP cord-016871-1mlamf20 317 10 results result NNS cord-016871-1mlamf20 317 11 , , , cord-016871-1mlamf20 317 12 it -PRON- PRP cord-016871-1mlamf20 317 13 has have VBZ cord-016871-1mlamf20 317 14 not not RB cord-016871-1mlamf20 317 15 been be VBN cord-016871-1mlamf20 317 16 shown show VBN cord-016871-1mlamf20 317 17 to to TO cord-016871-1mlamf20 317 18 be be VB cord-016871-1mlamf20 317 19 inferior inferior JJ cord-016871-1mlamf20 317 20 to to IN cord-016871-1mlamf20 317 21 the the DT cord-016871-1mlamf20 317 22 standard standard JJ cord-016871-1mlamf20 317 23 method method NN cord-016871-1mlamf20 317 24 and and CC cord-016871-1mlamf20 317 25 may may MD cord-016871-1mlamf20 317 26 be be VB cord-016871-1mlamf20 317 27 used use VBN cord-016871-1mlamf20 317 28 in in IN cord-016871-1mlamf20 317 29 centers center NNS cord-016871-1mlamf20 317 30 where where WRB cord-016871-1mlamf20 317 31 4 4 CD cord-016871-1mlamf20 317 32 - - SYM cord-016871-1mlamf20 317 33 5 5 CD cord-016871-1mlamf20 317 34 min min NN cord-016871-1mlamf20 317 35 from from IN cord-016871-1mlamf20 317 36 sample sample NN cord-016871-1mlamf20 317 37 collection collection NN cord-016871-1mlamf20 317 38 to to IN cord-016871-1mlamf20 317 39 running run VBG cord-016871-1mlamf20 317 40 the the DT cord-016871-1mlamf20 317 41 TEG TEG NNP cord-016871-1mlamf20 317 42 is be VBZ cord-016871-1mlamf20 317 43 not not RB cord-016871-1mlamf20 317 44 realistic realistic JJ cord-016871-1mlamf20 317 45 [ [ -LRB- cord-016871-1mlamf20 317 46 55 55 CD cord-016871-1mlamf20 317 47 ] ] -RRB- cord-016871-1mlamf20 317 48 . . . cord-016871-1mlamf20 318 1 Rapid Rapid NNP cord-016871-1mlamf20 318 2 TEG TEG NNP cord-016871-1mlamf20 318 3 differs differ VBZ cord-016871-1mlamf20 318 4 from from IN cord-016871-1mlamf20 318 5 conventional conventional JJ cord-016871-1mlamf20 318 6 TEG TEG NNP cord-016871-1mlamf20 318 7 in in IN cord-016871-1mlamf20 318 8 its -PRON- PRP$ cord-016871-1mlamf20 318 9 addition addition NN cord-016871-1mlamf20 318 10 of of IN cord-016871-1mlamf20 318 11 tissue tissue NN cord-016871-1mlamf20 318 12 factor factor NN cord-016871-1mlamf20 318 13 to to IN cord-016871-1mlamf20 318 14 the the DT cord-016871-1mlamf20 318 15 blood blood NN cord-016871-1mlamf20 318 16 sample sample NN cord-016871-1mlamf20 318 17 and and CC cord-016871-1mlamf20 318 18 kaolin kaolin NN cord-016871-1mlamf20 318 19 , , , cord-016871-1mlamf20 318 20 accelerating accelerate VBG cord-016871-1mlamf20 318 21 activation activation NN cord-016871-1mlamf20 318 22 of of IN cord-016871-1mlamf20 318 23 the the DT cord-016871-1mlamf20 318 24 clotting clotting NN cord-016871-1mlamf20 318 25 cascade cascade NN cord-016871-1mlamf20 318 26 . . . cord-016871-1mlamf20 319 1 This this DT cord-016871-1mlamf20 319 2 modi modi NNP cord-016871-1mlamf20 319 3 fi fi NN cord-016871-1mlamf20 319 4 cation cation NN cord-016871-1mlamf20 319 5 makes make VBZ cord-016871-1mlamf20 319 6 it -PRON- PRP cord-016871-1mlamf20 319 7 well well RB cord-016871-1mlamf20 319 8 suited suited JJ cord-016871-1mlamf20 319 9 for for IN cord-016871-1mlamf20 319 10 the the DT cord-016871-1mlamf20 319 11 trauma trauma NN cord-016871-1mlamf20 319 12 setting set VBG cord-016871-1mlamf20 319 13 since since IN cord-016871-1mlamf20 319 14 its -PRON- PRP$ cord-016871-1mlamf20 319 15 results result NNS cord-016871-1mlamf20 319 16 are be VBP cord-016871-1mlamf20 319 17 available available JJ cord-016871-1mlamf20 319 18 much much RB cord-016871-1mlamf20 319 19 earlier early RBR cord-016871-1mlamf20 319 20 , , , cord-016871-1mlamf20 319 21 namely namely RB cord-016871-1mlamf20 319 22 under under IN cord-016871-1mlamf20 319 23 20 20 CD cord-016871-1mlamf20 319 24 min min NN cord-016871-1mlamf20 319 25 , , , cord-016871-1mlamf20 319 26 compared compare VBN cord-016871-1mlamf20 319 27 to to IN cord-016871-1mlamf20 319 28 kaolin kaolin NN cord-016871-1mlamf20 319 29 TEG TEG NNP cord-016871-1mlamf20 319 30 and and CC cord-016871-1mlamf20 319 31 CCTs CCTs NNP cord-016871-1mlamf20 319 32 , , , cord-016871-1mlamf20 319 33 which which WDT cord-016871-1mlamf20 319 34 can can MD cord-016871-1mlamf20 319 35 take take VB cord-016871-1mlamf20 319 36 over over RP cord-016871-1mlamf20 319 37 30 30 CD cord-016871-1mlamf20 319 38 min min NN cord-016871-1mlamf20 319 39 , , , cord-016871-1mlamf20 319 40 without without IN cord-016871-1mlamf20 319 41 sacri sacri NN cord-016871-1mlamf20 319 42 fi fi NN cord-016871-1mlamf20 319 43 cing cing NNP cord-016871-1mlamf20 319 44 accuracy accuracy NN cord-016871-1mlamf20 319 45 [ [ -LRB- cord-016871-1mlamf20 319 46 55 55 CD cord-016871-1mlamf20 319 47 ] ] -RRB- cord-016871-1mlamf20 319 48 . . . cord-016871-1mlamf20 320 1 Interpreting interpret VBG cord-016871-1mlamf20 320 2 the the DT cord-016871-1mlamf20 320 3 results result NNS cord-016871-1mlamf20 320 4 involves involve VBZ cord-016871-1mlamf20 320 5 analyzing analyze VBG cord-016871-1mlamf20 320 6 each each DT cord-016871-1mlamf20 320 7 of of IN cord-016871-1mlamf20 320 8 the the DT cord-016871-1mlamf20 320 9 sequential sequential JJ cord-016871-1mlamf20 320 10 measurements measurement NNS cord-016871-1mlamf20 320 11 ( ( -LRB- cord-016871-1mlamf20 320 12 Fig Fig NNP cord-016871-1mlamf20 320 13 . . . cord-016871-1mlamf20 320 14 12 12 CD cord-016871-1mlamf20 320 15 . . CD cord-016871-1mlamf20 320 16 2 2 CD cord-016871-1mlamf20 320 17 ) ) -RRB- cord-016871-1mlamf20 320 18 . . . cord-016871-1mlamf20 321 1 Reaction reaction NN cord-016871-1mlamf20 321 2 time time NN cord-016871-1mlamf20 321 3 , , , cord-016871-1mlamf20 321 4 or or CC cord-016871-1mlamf20 321 5 R r NN cord-016871-1mlamf20 321 6 - - HYPH cord-016871-1mlamf20 321 7 time time NN cord-016871-1mlamf20 321 8 , , , cord-016871-1mlamf20 321 9 in in IN cord-016871-1mlamf20 321 10 TEG TEG NNP cord-016871-1mlamf20 321 11 is be VBZ cord-016871-1mlamf20 321 12 the the DT cord-016871-1mlamf20 321 13 time time NN cord-016871-1mlamf20 321 14 until until IN cord-016871-1mlamf20 321 15 initial initial JJ cord-016871-1mlamf20 321 16 clot clot NN cord-016871-1mlamf20 321 17 formation formation NN cord-016871-1mlamf20 321 18 . . . cord-016871-1mlamf20 322 1 It -PRON- PRP cord-016871-1mlamf20 322 2 is be VBZ cord-016871-1mlamf20 322 3 also also RB cord-016871-1mlamf20 322 4 known know VBN cord-016871-1mlamf20 322 5 as as IN cord-016871-1mlamf20 322 6 activated activate VBN cord-016871-1mlamf20 322 7 clotting clotting NN cord-016871-1mlamf20 322 8 time time NN cord-016871-1mlamf20 322 9 ( ( -LRB- cord-016871-1mlamf20 322 10 ACT ACT NNP cord-016871-1mlamf20 322 11 ) ) -RRB- cord-016871-1mlamf20 322 12 in in IN cord-016871-1mlamf20 322 13 r r NNP cord-016871-1mlamf20 322 14 - - HYPH cord-016871-1mlamf20 322 15 TEG TEG NNP cord-016871-1mlamf20 322 16 in in IN cord-016871-1mlamf20 322 17 order order NN cord-016871-1mlamf20 322 18 to to TO cord-016871-1mlamf20 322 19 denote denote VB cord-016871-1mlamf20 322 20 intentional intentional JJ cord-016871-1mlamf20 322 21 anticoagulant anticoagulant JJ cord-016871-1mlamf20 322 22 agents agent NNS cord-016871-1mlamf20 322 23 in in IN cord-016871-1mlamf20 322 24 the the DT cord-016871-1mlamf20 322 25 sample sample NN cord-016871-1mlamf20 322 26 . . . cord-016871-1mlamf20 323 1 Factor factor NN cord-016871-1mlamf20 323 2 de de NNP cord-016871-1mlamf20 323 3 fi fi NN cord-016871-1mlamf20 323 4 ciency ciency NN cord-016871-1mlamf20 323 5 or or CC cord-016871-1mlamf20 323 6 severe severe JJ cord-016871-1mlamf20 323 7 hemodilution hemodilution NN cord-016871-1mlamf20 323 8 can can MD cord-016871-1mlamf20 323 9 prolong prolong VB cord-016871-1mlamf20 323 10 reaction reaction NN cord-016871-1mlamf20 323 11 time time NN cord-016871-1mlamf20 323 12 or or CC cord-016871-1mlamf20 323 13 ACT act NN cord-016871-1mlamf20 323 14 . . . cord-016871-1mlamf20 324 1 Next next RB cord-016871-1mlamf20 324 2 , , , cord-016871-1mlamf20 324 3 k k NNP cord-016871-1mlamf20 324 4 -time -time NNP cord-016871-1mlamf20 324 5 represents represent VBZ cord-016871-1mlamf20 324 6 the the DT cord-016871-1mlamf20 324 7 time time NN cord-016871-1mlamf20 324 8 needed need VBN cord-016871-1mlamf20 324 9 to to TO cord-016871-1mlamf20 324 10 reach reach VB cord-016871-1mlamf20 324 11 20-mm 20-mm JJ cord-016871-1mlamf20 324 12 clot clot NN cord-016871-1mlamf20 324 13 strength strength NN cord-016871-1mlamf20 324 14 , , , cord-016871-1mlamf20 324 15 and and CC cord-016871-1mlamf20 324 16 has have VBZ cord-016871-1mlamf20 324 17 a a DT cord-016871-1mlamf20 324 18 normal normal JJ cord-016871-1mlamf20 324 19 range range NN cord-016871-1mlamf20 324 20 of of IN cord-016871-1mlamf20 324 21 1 1 CD cord-016871-1mlamf20 324 22 - - SYM cord-016871-1mlamf20 324 23 2 2 CD cord-016871-1mlamf20 324 24 min min NN cord-016871-1mlamf20 324 25 . . . cord-016871-1mlamf20 325 1 The the DT cord-016871-1mlamf20 325 2 -angle -angle NN cord-016871-1mlamf20 325 3 , , , cord-016871-1mlamf20 325 4 normally normally RB cord-016871-1mlamf20 325 5 between between IN cord-016871-1mlamf20 325 6 66 66 CD cord-016871-1mlamf20 325 7 and and CC cord-016871-1mlamf20 325 8 82 82 CD cord-016871-1mlamf20 325 9 ° ° NNS cord-016871-1mlamf20 325 10 , , , cord-016871-1mlamf20 325 11 represents represent VBZ cord-016871-1mlamf20 325 12 the the DT cord-016871-1mlamf20 325 13 rate rate NN cord-016871-1mlamf20 325 14 of of IN cord-016871-1mlamf20 325 15 clot clot NN cord-016871-1mlamf20 325 16 formation formation NN cord-016871-1mlamf20 325 17 . . . cord-016871-1mlamf20 326 1 In in IN cord-016871-1mlamf20 326 2 platelet platelet NN cord-016871-1mlamf20 326 3 de de FW cord-016871-1mlamf20 326 4 fi fi FW cord-016871-1mlamf20 326 5 ciency ciency NN cord-016871-1mlamf20 326 6 or or CC cord-016871-1mlamf20 326 7 hypo hypo NN cord-016871-1mlamf20 326 8 fi fi NNP cord-016871-1mlamf20 326 9 brinogenemia brinogenemia NN cord-016871-1mlamf20 326 10 , , , cord-016871-1mlamf20 326 11 where where WRB cord-016871-1mlamf20 326 12 one one CD cord-016871-1mlamf20 326 13 of of IN cord-016871-1mlamf20 326 14 the the DT cord-016871-1mlamf20 326 15 two two CD cord-016871-1mlamf20 326 16 key key JJ cord-016871-1mlamf20 326 17 components component NNS cord-016871-1mlamf20 326 18 of of IN cord-016871-1mlamf20 326 19 clots clot NNS cord-016871-1mlamf20 326 20 are be VBP cord-016871-1mlamf20 326 21 missing miss VBG cord-016871-1mlamf20 326 22 , , , cord-016871-1mlamf20 326 23 the the DT cord-016871-1mlamf20 326 24 k k NNP cord-016871-1mlamf20 326 25 -time -time NNP cord-016871-1mlamf20 326 26 is be VBZ cord-016871-1mlamf20 326 27 increased increase VBN cord-016871-1mlamf20 326 28 and and CC cord-016871-1mlamf20 326 29 the the DT cord-016871-1mlamf20 326 30 -angle -angle NN cord-016871-1mlamf20 326 31 is be VBZ cord-016871-1mlamf20 326 32 decreased decrease VBN cord-016871-1mlamf20 326 33 . . . cord-016871-1mlamf20 327 1 Oshita Oshita NNP cord-016871-1mlamf20 327 2 et et NNP cord-016871-1mlamf20 327 3 al al NNP cord-016871-1mlamf20 327 4 . . NNP cord-016871-1mlamf20 327 5 's 's POS cord-016871-1mlamf20 327 6 linear linear JJ cord-016871-1mlamf20 327 7 regression regression NN cord-016871-1mlamf20 327 8 analysis analysis NN cord-016871-1mlamf20 327 9 of of IN cord-016871-1mlamf20 327 10 36 36 CD cord-016871-1mlamf20 327 11 samples sample NNS cord-016871-1mlamf20 327 12 from from IN cord-016871-1mlamf20 327 13 healthy healthy JJ cord-016871-1mlamf20 327 14 individuals individual NNS cord-016871-1mlamf20 327 15 reported report VBD cord-016871-1mlamf20 327 16 that that IN cord-016871-1mlamf20 327 17 MA MA NNP cord-016871-1mlamf20 327 18 and and CC cord-016871-1mlamf20 327 19 k k NNP cord-016871-1mlamf20 327 20 -time -time NNP cord-016871-1mlamf20 327 21 were be VBD cord-016871-1mlamf20 327 22 linearly linearly RB cord-016871-1mlamf20 327 23 related relate VBN cord-016871-1mlamf20 327 24 to to IN cord-016871-1mlamf20 327 25 platelet platelet NN cord-016871-1mlamf20 327 26 count count NN cord-016871-1mlamf20 327 27 [ [ -LRB- cord-016871-1mlamf20 327 28 56 56 CD cord-016871-1mlamf20 327 29 ] ] -RRB- cord-016871-1mlamf20 327 30 . . . cord-016871-1mlamf20 328 1 The the DT cord-016871-1mlamf20 328 2 maximal maximal JJ cord-016871-1mlamf20 328 3 amplitude amplitude NN cord-016871-1mlamf20 328 4 ( ( -LRB- cord-016871-1mlamf20 328 5 MA MA NNP cord-016871-1mlamf20 328 6 ) ) -RRB- cord-016871-1mlamf20 328 7 of of IN cord-016871-1mlamf20 328 8 the the DT cord-016871-1mlamf20 328 9 tracing tracing NN cord-016871-1mlamf20 328 10 represents represent VBZ cord-016871-1mlamf20 328 11 platelet platelet NN cord-016871-1mlamf20 328 12 contribution contribution NN cord-016871-1mlamf20 328 13 to to IN cord-016871-1mlamf20 328 14 clot clot NN cord-016871-1mlamf20 328 15 strength strength NN cord-016871-1mlamf20 328 16 ( ( -LRB- cord-016871-1mlamf20 328 17 normal normal JJ cord-016871-1mlamf20 328 18 range range NN cord-016871-1mlamf20 328 19 54 54 CD cord-016871-1mlamf20 328 20 - - SYM cord-016871-1mlamf20 328 21 72 72 CD cord-016871-1mlamf20 328 22 mm mm NN cord-016871-1mlamf20 328 23 ) ) -RRB- cord-016871-1mlamf20 328 24 . . . cord-016871-1mlamf20 329 1 It -PRON- PRP cord-016871-1mlamf20 329 2 is be VBZ cord-016871-1mlamf20 329 3 decreased decrease VBN cord-016871-1mlamf20 329 4 in in IN cord-016871-1mlamf20 329 5 states state NNS cord-016871-1mlamf20 329 6 of of IN cord-016871-1mlamf20 329 7 platelet platelet NN cord-016871-1mlamf20 329 8 dysfunction dysfunction NN cord-016871-1mlamf20 329 9 and and CC cord-016871-1mlamf20 329 10 hypo hypo NN cord-016871-1mlamf20 329 11 fi fi NNP cord-016871-1mlamf20 329 12 brinogenemia brinogenemia NN cord-016871-1mlamf20 329 13 . . . cord-016871-1mlamf20 330 1 The the DT cord-016871-1mlamf20 330 2 G g NN cord-016871-1mlamf20 330 3 -value -value NN cord-016871-1mlamf20 330 4 represents represent VBZ cord-016871-1mlamf20 330 5 overall overall JJ cord-016871-1mlamf20 330 6 clot clot NN cord-016871-1mlamf20 330 7 strength strength NN cord-016871-1mlamf20 330 8 , , , cord-016871-1mlamf20 330 9 including include VBG cord-016871-1mlamf20 330 10 platelet platelet NN cord-016871-1mlamf20 330 11 function function NN cord-016871-1mlamf20 330 12 as as RB cord-016871-1mlamf20 330 13 well well RB cord-016871-1mlamf20 330 14 as as IN cord-016871-1mlamf20 330 15 enzymatic enzymatic JJ cord-016871-1mlamf20 330 16 , , , cord-016871-1mlamf20 330 17 and and CC cord-016871-1mlamf20 330 18 is be VBZ cord-016871-1mlamf20 330 19 decreased decrease VBN cord-016871-1mlamf20 330 20 in in IN cord-016871-1mlamf20 330 21 hypocoagulable hypocoagulable NNP cord-016871-1mlamf20 330 22 states state NNS cord-016871-1mlamf20 330 23 ( ( -LRB- cord-016871-1mlamf20 330 24 normal normal JJ cord-016871-1mlamf20 330 25 5.3 5.3 CD cord-016871-1mlamf20 330 26 - - SYM cord-016871-1mlamf20 330 27 12 12 CD cord-016871-1mlamf20 330 28 K K NNP cord-016871-1mlamf20 330 29 dynes dynes NNP cord-016871-1mlamf20 330 30 / / SYM cord-016871-1mlamf20 330 31 cm cm NNP cord-016871-1mlamf20 330 32 2 2 CD cord-016871-1mlamf20 330 33 ) ) -RRB- cord-016871-1mlamf20 330 34 . . . cord-016871-1mlamf20 331 1 The the DT cord-016871-1mlamf20 331 2 LY30 LY30 NNP cord-016871-1mlamf20 331 3 is be VBZ cord-016871-1mlamf20 331 4 the the DT cord-016871-1mlamf20 331 5 percent percent NN cord-016871-1mlamf20 331 6 of of IN cord-016871-1mlamf20 331 7 amplitude amplitude NN cord-016871-1mlamf20 331 8 reduction reduction NN cord-016871-1mlamf20 331 9 at at IN cord-016871-1mlamf20 331 10 30 30 CD cord-016871-1mlamf20 331 11 min min NN cord-016871-1mlamf20 331 12 after after IN cord-016871-1mlamf20 331 13 the the DT cord-016871-1mlamf20 331 14 MA MA NNP cord-016871-1mlamf20 331 15 , , , cord-016871-1mlamf20 331 16 and and CC cord-016871-1mlamf20 331 17 is be VBZ cord-016871-1mlamf20 331 18 elevated elevate VBN cord-016871-1mlamf20 331 19 in in IN cord-016871-1mlamf20 331 20 hyper hyper JJ cord-016871-1mlamf20 331 21 fi fi NN cord-016871-1mlamf20 331 22 brinolytic brinolytic JJ cord-016871-1mlamf20 331 23 states state NNS cord-016871-1mlamf20 331 24 ( ( -LRB- cord-016871-1mlamf20 331 25 normal normal JJ cord-016871-1mlamf20 331 26 range range NN cord-016871-1mlamf20 331 27 0.0 0.0 CD cord-016871-1mlamf20 331 28 - - HYPH cord-016871-1mlamf20 331 29 7.5 7.5 CD cord-016871-1mlamf20 331 30 % % NN cord-016871-1mlamf20 331 31 ) ) -RRB- cord-016871-1mlamf20 331 32 [ [ -LRB- cord-016871-1mlamf20 331 33 55 55 CD cord-016871-1mlamf20 331 34 ] ] -RRB- cord-016871-1mlamf20 332 1 ( ( -LRB- cord-016871-1mlamf20 332 2 Figs fig NNS cord-016871-1mlamf20 332 3 . . . cord-016871-1mlamf20 333 1 12.3 12.3 CD cord-016871-1mlamf20 333 2 and and CC cord-016871-1mlamf20 333 3 12.4 12.4 CD cord-016871-1mlamf20 333 4 ) ) -RRB- cord-016871-1mlamf20 333 5 . . . cord-016871-1mlamf20 334 1 The the DT cord-016871-1mlamf20 334 2 use use NN cord-016871-1mlamf20 334 3 of of IN cord-016871-1mlamf20 334 4 r r NNP cord-016871-1mlamf20 334 5 - - HYPH cord-016871-1mlamf20 334 6 TEG TEG NNP cord-016871-1mlamf20 334 7 is be VBZ cord-016871-1mlamf20 334 8 further far RBR cord-016871-1mlamf20 334 9 facilitated facilitate VBN cord-016871-1mlamf20 334 10 by by IN cord-016871-1mlamf20 334 11 advanced advanced JJ cord-016871-1mlamf20 334 12 software software NN cord-016871-1mlamf20 334 13 that that WDT cord-016871-1mlamf20 334 14 displays display VBZ cord-016871-1mlamf20 334 15 the the DT cord-016871-1mlamf20 334 16 r r NNP cord-016871-1mlamf20 334 17 - - HYPH cord-016871-1mlamf20 334 18 TEG TEG NNP cord-016871-1mlamf20 334 19 tracing tracing NN cord-016871-1mlamf20 334 20 as as IN cord-016871-1mlamf20 334 21 the the DT cord-016871-1mlamf20 334 22 test test NN cord-016871-1mlamf20 334 23 is be VBZ cord-016871-1mlamf20 334 24 being be VBG cord-016871-1mlamf20 334 25 performed perform VBN cord-016871-1mlamf20 334 26 , , , cord-016871-1mlamf20 334 27 providing provide VBG cord-016871-1mlamf20 334 28 physicians physician NNS cord-016871-1mlamf20 334 29 with with IN cord-016871-1mlamf20 334 30 " " `` cord-016871-1mlamf20 334 31 real real JJ cord-016871-1mlamf20 334 32 time time NN cord-016871-1mlamf20 334 33 " " '' cord-016871-1mlamf20 334 34 results result NNS cord-016871-1mlamf20 334 35 . . . cord-016871-1mlamf20 335 1 Cotton cotton NN cord-016871-1mlamf20 335 2 et et FW cord-016871-1mlamf20 335 3 al al NNP cord-016871-1mlamf20 335 4 . . . cord-016871-1mlamf20 336 1 report report VB cord-016871-1mlamf20 336 2 that that IN cord-016871-1mlamf20 336 3 early early JJ cord-016871-1mlamf20 336 4 r r NNP cord-016871-1mlamf20 336 5 - - HYPH cord-016871-1mlamf20 336 6 TEG teg NN cord-016871-1mlamf20 336 7 parameter parameter NN cord-016871-1mlamf20 336 8 tracings tracing NNS cord-016871-1mlamf20 336 9 ( ( -LRB- cord-016871-1mlamf20 336 10 ACT ACT NNP cord-016871-1mlamf20 336 11 , , , cord-016871-1mlamf20 336 12 k k NNP cord-016871-1mlamf20 336 13 -time -time NN cord-016871-1mlamf20 336 14 and and CC cord-016871-1mlamf20 336 15 r r NN cord-016871-1mlamf20 336 16 -value -value CD cord-016871-1mlamf20 336 17 ) ) -RRB- cord-016871-1mlamf20 336 18 appeared appear VBD cord-016871-1mlamf20 336 19 within within IN cord-016871-1mlamf20 336 20 5 5 CD cord-016871-1mlamf20 336 21 min min NN cord-016871-1mlamf20 336 22 while while IN cord-016871-1mlamf20 336 23 later later JJ cord-016871-1mlamf20 336 24 values value NNS cord-016871-1mlamf20 336 25 ( ( -LRB- cord-016871-1mlamf20 336 26 -angle -angle NN cord-016871-1mlamf20 336 27 , , , cord-016871-1mlamf20 336 28 MA MA NNP cord-016871-1mlamf20 336 29 ) ) -RRB- cord-016871-1mlamf20 336 30 were be VBD cord-016871-1mlamf20 336 31 seen see VBN cord-016871-1mlamf20 336 32 within within IN cord-016871-1mlamf20 336 33 15 15 CD cord-016871-1mlamf20 336 34 min min NN cord-016871-1mlamf20 336 35 , , , cord-016871-1mlamf20 336 36 compared compare VBN cord-016871-1mlamf20 336 37 to to IN cord-016871-1mlamf20 336 38 CCT CCT NNP cord-016871-1mlamf20 336 39 panels panel NNS cord-016871-1mlamf20 336 40 , , , cord-016871-1mlamf20 336 41 Fig Fig NNP cord-016871-1mlamf20 336 42 . . . cord-016871-1mlamf20 337 1 12.2 12.2 CD cord-016871-1mlamf20 338 1 The the DT cord-016871-1mlamf20 338 2 various various JJ cord-016871-1mlamf20 338 3 sequential sequential JJ cord-016871-1mlamf20 338 4 and and CC cord-016871-1mlamf20 338 5 parallel parallel JJ cord-016871-1mlamf20 338 6 measurements measurement NNS cord-016871-1mlamf20 338 7 of of IN cord-016871-1mlamf20 338 8 TEG TEG NNP cord-016871-1mlamf20 338 9 and and CC cord-016871-1mlamf20 338 10 ROTEM ROTEM NNP cord-016871-1mlamf20 338 11 [ [ -LRB- cord-016871-1mlamf20 338 12 4 4 CD cord-016871-1mlamf20 338 13 ] ] -RRB- cord-016871-1mlamf20 338 14 which which WDT cord-016871-1mlamf20 338 15 were be VBD cord-016871-1mlamf20 338 16 not not RB cord-016871-1mlamf20 338 17 available available JJ cord-016871-1mlamf20 338 18 until until IN cord-016871-1mlamf20 338 19 48 48 CD cord-016871-1mlamf20 338 20 min min NN cord-016871-1mlamf20 338 21 [ [ -LRB- cord-016871-1mlamf20 338 22 55 55 CD cord-016871-1mlamf20 338 23 ] ] -RRB- cord-016871-1mlamf20 338 24 . . . cord-016871-1mlamf20 339 1 Installation installation NN cord-016871-1mlamf20 339 2 of of IN cord-016871-1mlamf20 339 3 graphical graphical JJ cord-016871-1mlamf20 339 4 software software NN cord-016871-1mlamf20 339 5 in in IN cord-016871-1mlamf20 339 6 the the DT cord-016871-1mlamf20 339 7 trauma trauma NN cord-016871-1mlamf20 339 8 bay bay NN cord-016871-1mlamf20 339 9 , , , cord-016871-1mlamf20 339 10 operating operate VBG cord-016871-1mlamf20 339 11 room room NN cord-016871-1mlamf20 339 12 and and CC cord-016871-1mlamf20 339 13 shock shock NN cord-016871-1mlamf20 339 14 - - HYPH cord-016871-1mlamf20 339 15 trauma trauma NN cord-016871-1mlamf20 339 16 intensive intensive JJ cord-016871-1mlamf20 339 17 care care NN cord-016871-1mlamf20 339 18 unit unit NN cord-016871-1mlamf20 339 19 computers computer NNS cord-016871-1mlamf20 339 20 can can MD cord-016871-1mlamf20 339 21 further further RB cord-016871-1mlamf20 339 22 facilitate facilitate VB cord-016871-1mlamf20 339 23 the the DT cord-016871-1mlamf20 339 24 rapid rapid JJ cord-016871-1mlamf20 339 25 access access NN cord-016871-1mlamf20 339 26 to to IN cord-016871-1mlamf20 339 27 TEG TEG NNP cord-016871-1mlamf20 339 28 results result NNS cord-016871-1mlamf20 339 29 [ [ -LRB- cord-016871-1mlamf20 339 30 55 55 CD cord-016871-1mlamf20 339 31 ] ] -RRB- cord-016871-1mlamf20 339 32 . . . cord-016871-1mlamf20 340 1 TEG TEG NNP cord-016871-1mlamf20 340 2 data data NN cord-016871-1mlamf20 340 3 results result NNS cord-016871-1mlamf20 340 4 compare compare VBP cord-016871-1mlamf20 340 5 well well RB cord-016871-1mlamf20 340 6 to to IN cord-016871-1mlamf20 340 7 the the DT cord-016871-1mlamf20 340 8 previous previous JJ cord-016871-1mlamf20 340 9 standard standard NN cord-016871-1mlamf20 340 10 , , , cord-016871-1mlamf20 340 11 CCTs cct NNS cord-016871-1mlamf20 340 12 . . . cord-016871-1mlamf20 341 1 In in IN cord-016871-1mlamf20 341 2 2011 2011 CD cord-016871-1mlamf20 341 3 , , , cord-016871-1mlamf20 341 4 Cotton Cotton NNP cord-016871-1mlamf20 341 5 et et NNP cord-016871-1mlamf20 341 6 al al NNP cord-016871-1mlamf20 341 7 . . NNP cord-016871-1mlamf20 341 8 conducted conduct VBD cord-016871-1mlamf20 341 9 a a DT cord-016871-1mlamf20 341 10 pilot pilot NN cord-016871-1mlamf20 341 11 study study NN cord-016871-1mlamf20 341 12 of of IN cord-016871-1mlamf20 341 13 272 272 CD cord-016871-1mlamf20 341 14 patients patient NNS cord-016871-1mlamf20 341 15 to to TO cord-016871-1mlamf20 341 16 investigate investigate VB cord-016871-1mlamf20 341 17 the the DT cord-016871-1mlamf20 341 18 role role NN cord-016871-1mlamf20 341 19 of of IN cord-016871-1mlamf20 341 20 rapid rapid JJ cord-016871-1mlamf20 341 21 thrombelastography thrombelastography NN cord-016871-1mlamf20 341 22 ( ( -LRB- cord-016871-1mlamf20 341 23 r r NNP cord-016871-1mlamf20 341 24 - - HYPH cord-016871-1mlamf20 341 25 TEG TEG NNP cord-016871-1mlamf20 341 26 ) ) -RRB- cord-016871-1mlamf20 341 27 in in IN cord-016871-1mlamf20 341 28 ( ( -LRB- cord-016871-1mlamf20 341 29 1 1 CD cord-016871-1mlamf20 341 30 ) ) -RRB- cord-016871-1mlamf20 341 31 assessing assess VBG cord-016871-1mlamf20 341 32 speed speed NN cord-016871-1mlamf20 341 33 of of IN cord-016871-1mlamf20 341 34 results result NNS cord-016871-1mlamf20 341 35 , , , cord-016871-1mlamf20 341 36 ( ( -LRB- cord-016871-1mlamf20 341 37 2 2 LS cord-016871-1mlamf20 341 38 ) ) -RRB- cord-016871-1mlamf20 341 39 correlation correlation NN cord-016871-1mlamf20 341 40 with with IN cord-016871-1mlamf20 341 41 CCT CCT NNP cord-016871-1mlamf20 341 42 fi fi NNP cord-016871-1mlamf20 341 43 ndings nding NNS cord-016871-1mlamf20 341 44 , , , cord-016871-1mlamf20 341 45 and and CC cord-016871-1mlamf20 341 46 ( ( -LRB- cord-016871-1mlamf20 341 47 3 3 LS cord-016871-1mlamf20 341 48 ) ) -RRB- cord-016871-1mlamf20 341 49 predictability predictability NN cord-016871-1mlamf20 341 50 of of IN cord-016871-1mlamf20 341 51 early early JJ cord-016871-1mlamf20 341 52 transfusions transfusion NNS cord-016871-1mlamf20 341 53 of of IN cord-016871-1mlamf20 341 54 pRBCs prbcs RB cord-016871-1mlamf20 341 55 , , , cord-016871-1mlamf20 341 56 plasma plasma NN cord-016871-1mlamf20 341 57 , , , cord-016871-1mlamf20 341 58 and and CC cord-016871-1mlamf20 341 59 platelets platelet NNS cord-016871-1mlamf20 341 60 [ [ -LRB- cord-016871-1mlamf20 341 61 55 55 CD cord-016871-1mlamf20 341 62 ] ] -RRB- cord-016871-1mlamf20 341 63 . . . cord-016871-1mlamf20 342 1 Their -PRON- PRP$ cord-016871-1mlamf20 342 2 fi fi NN cord-016871-1mlamf20 342 3 ndings nding NNS cord-016871-1mlamf20 342 4 demonstrated demonstrate VBD cord-016871-1mlamf20 342 5 that that IN cord-016871-1mlamf20 342 6 graphical graphical JJ cord-016871-1mlamf20 342 7 r r NNP cord-016871-1mlamf20 342 8 - - HYPH cord-016871-1mlamf20 342 9 TEG TEG NNP cord-016871-1mlamf20 342 10 is be VBZ cord-016871-1mlamf20 342 11 available available JJ cord-016871-1mlamf20 342 12 within within IN cord-016871-1mlamf20 342 13 minutes minute NNS cord-016871-1mlamf20 342 14 , , , cord-016871-1mlamf20 342 15 an an DT cord-016871-1mlamf20 342 16 improvement improvement NN cord-016871-1mlamf20 342 17 compared compare VBN cord-016871-1mlamf20 342 18 to to IN cord-016871-1mlamf20 342 19 CCTs cct NNS cord-016871-1mlamf20 342 20 . . . cord-016871-1mlamf20 343 1 They -PRON- PRP cord-016871-1mlamf20 343 2 also also RB cord-016871-1mlamf20 343 3 demonstrated demonstrate VBD cord-016871-1mlamf20 343 4 that that IN cord-016871-1mlamf20 343 5 ACT ACT NNP cord-016871-1mlamf20 343 6 , , , cord-016871-1mlamf20 343 7 r r NN cord-016871-1mlamf20 343 8 -value -value CD cord-016871-1mlamf20 343 9 and and CC cord-016871-1mlamf20 343 10 k k NNP cord-016871-1mlamf20 343 11 -time -time NNP cord-016871-1mlamf20 343 12 strongly strongly RB cord-016871-1mlamf20 343 13 correlated correlate VBD cord-016871-1mlamf20 343 14 with with IN cord-016871-1mlamf20 343 15 PT PT NNP cord-016871-1mlamf20 343 16 , , , cord-016871-1mlamf20 343 17 INR INR NNP cord-016871-1mlamf20 343 18 , , , cord-016871-1mlamf20 343 19 and and CC cord-016871-1mlamf20 343 20 PTT PTT NNP cord-016871-1mlamf20 343 21 . . . cord-016871-1mlamf20 344 1 MA MA NNP cord-016871-1mlamf20 344 2 and and CC cord-016871-1mlamf20 344 3 -angle -angle NN cord-016871-1mlamf20 344 4 strongly strongly RB cord-016871-1mlamf20 344 5 correlated correlate VBD cord-016871-1mlamf20 344 6 with with IN cord-016871-1mlamf20 344 7 platelet platelet NN cord-016871-1mlamf20 344 8 count count NN cord-016871-1mlamf20 344 9 , , , cord-016871-1mlamf20 344 10 and and CC cord-016871-1mlamf20 344 11 ACT ACT NNP cord-016871-1mlamf20 344 12 , , , cord-016871-1mlamf20 345 1 r r LS cord-016871-1mlamf20 345 2 -value -value NNP cord-016871-1mlamf20 345 3 , , , cord-016871-1mlamf20 345 4 -angle -angle CD cord-016871-1mlamf20 345 5 and and CC cord-016871-1mlamf20 345 6 MA MA NNP cord-016871-1mlamf20 345 7 were be VBD cord-016871-1mlamf20 345 8 predictive predictive JJ cord-016871-1mlamf20 345 9 of of IN cord-016871-1mlamf20 345 10 pRBC prbc NN cord-016871-1mlamf20 345 11 , , , cord-016871-1mlamf20 345 12 plasma plasma NN cord-016871-1mlamf20 345 13 and and CC cord-016871-1mlamf20 345 14 platelet platelet NN cord-016871-1mlamf20 345 15 transfusions transfusion NNS cord-016871-1mlamf20 345 16 within within IN cord-016871-1mlamf20 345 17 the the DT cord-016871-1mlamf20 345 18 fi fi NNP cord-016871-1mlamf20 345 19 rst rst NNP cord-016871-1mlamf20 345 20 2 2 CD cord-016871-1mlamf20 345 21 h h NN cord-016871-1mlamf20 345 22 of of IN cord-016871-1mlamf20 345 23 arrival arrival NN cord-016871-1mlamf20 345 24 . . . cord-016871-1mlamf20 346 1 In in IN cord-016871-1mlamf20 346 2 fact fact NN cord-016871-1mlamf20 346 3 , , , cord-016871-1mlamf20 346 4 an an DT cord-016871-1mlamf20 346 5 ACT act NN cord-016871-1mlamf20 346 6 > > SYM cord-016871-1mlamf20 346 7 128 128 CD cord-016871-1mlamf20 346 8 predicted predict VBD cord-016871-1mlamf20 346 9 massive massive JJ cord-016871-1mlamf20 346 10 transfusion transfusion NN cord-016871-1mlamf20 346 11 in in IN cord-016871-1mlamf20 346 12 the the DT cord-016871-1mlamf20 346 13 fi fi NNP cord-016871-1mlamf20 346 14 rst rst NNP cord-016871-1mlamf20 346 15 6 6 CD cord-016871-1mlamf20 346 16 h h NN cord-016871-1mlamf20 346 17 and and CC cord-016871-1mlamf20 346 18 an an DT cord-016871-1mlamf20 346 19 ACT act NN cord-016871-1mlamf20 346 20 < < XX cord-016871-1mlamf20 346 21 105 105 CD cord-016871-1mlamf20 346 22 predicted predict VBD cord-016871-1mlamf20 346 23 patients patient NNS cord-016871-1mlamf20 346 24 that that WDT cord-016871-1mlamf20 346 25 did do VBD cord-016871-1mlamf20 346 26 not not RB cord-016871-1mlamf20 346 27 receive receive VB cord-016871-1mlamf20 346 28 transfusions transfusion NNS cord-016871-1mlamf20 346 29 in in IN cord-016871-1mlamf20 346 30 the the DT cord-016871-1mlamf20 346 31 fi fi NNP cord-016871-1mlamf20 346 32 rst rst NNP cord-016871-1mlamf20 346 33 24 24 CD cord-016871-1mlamf20 346 34 h h NNP cord-016871-1mlamf20 346 35 [ [ -LRB- cord-016871-1mlamf20 346 36 55 55 CD cord-016871-1mlamf20 346 37 ] ] -RRB- cord-016871-1mlamf20 346 38 . . . cord-016871-1mlamf20 347 1 In in IN cord-016871-1mlamf20 347 2 addition addition NN cord-016871-1mlamf20 347 3 , , , cord-016871-1mlamf20 347 4 comparison comparison NN cord-016871-1mlamf20 347 5 of of IN cord-016871-1mlamf20 347 6 TEG TEG NNP cord-016871-1mlamf20 347 7 and and CC cord-016871-1mlamf20 347 8 CCT CCT NNP cord-016871-1mlamf20 347 9 in in IN cord-016871-1mlamf20 347 10 cardiopulmonary cardiopulmonary JJ cord-016871-1mlamf20 347 11 bypass bypass NN cord-016871-1mlamf20 347 12 patients patient NNS cord-016871-1mlamf20 347 13 found find VBD cord-016871-1mlamf20 347 14 that that IN cord-016871-1mlamf20 347 15 TEG TEG NNP cord-016871-1mlamf20 347 16 measures measure NNS cord-016871-1mlamf20 347 17 were be VBD cord-016871-1mlamf20 347 18 useful useful JJ cord-016871-1mlamf20 347 19 surrogates surrogate NNS cord-016871-1mlamf20 347 20 for for IN cord-016871-1mlamf20 347 21 CCT CCT NNP cord-016871-1mlamf20 347 22 values value NNS cord-016871-1mlamf20 347 23 [ [ -LRB- cord-016871-1mlamf20 347 24 57 57 CD cord-016871-1mlamf20 347 25 ] ] -RRB- cord-016871-1mlamf20 347 26 . . . cord-016871-1mlamf20 348 1 Because because IN cord-016871-1mlamf20 348 2 of of IN cord-016871-1mlamf20 348 3 the the DT cord-016871-1mlamf20 348 4 speed speed NN cord-016871-1mlamf20 348 5 of of IN cord-016871-1mlamf20 348 6 their -PRON- PRP$ cord-016871-1mlamf20 348 7 availability availability NN cord-016871-1mlamf20 348 8 and and CC cord-016871-1mlamf20 348 9 predictive predictive JJ cord-016871-1mlamf20 348 10 ability ability NN cord-016871-1mlamf20 348 11 , , , cord-016871-1mlamf20 348 12 integrating integrate VBG cord-016871-1mlamf20 348 13 TEG TEG NNP cord-016871-1mlamf20 348 14 results result NNS cord-016871-1mlamf20 348 15 in in IN cord-016871-1mlamf20 348 16 MTPs mtp NNS cord-016871-1mlamf20 348 17 can can MD cord-016871-1mlamf20 348 18 strengthen strengthen VB cord-016871-1mlamf20 348 19 decision decision NN cord-016871-1mlamf20 348 20 - - HYPH cord-016871-1mlamf20 348 21 making making NN cord-016871-1mlamf20 348 22 and and CC cord-016871-1mlamf20 348 23 management management NN cord-016871-1mlamf20 348 24 of of IN cord-016871-1mlamf20 348 25 patients patient NNS cord-016871-1mlamf20 348 26 and and CC cord-016871-1mlamf20 348 27 improve improve VB cord-016871-1mlamf20 348 28 patient patient JJ cord-016871-1mlamf20 348 29 outcomes outcome NNS cord-016871-1mlamf20 348 30 . . . cord-016871-1mlamf20 349 1 A a DT cord-016871-1mlamf20 349 2 wide wide JJ cord-016871-1mlamf20 349 3 array array NN cord-016871-1mlamf20 349 4 of of IN cord-016871-1mlamf20 349 5 evidence evidence NN cord-016871-1mlamf20 349 6 exists exist VBZ cord-016871-1mlamf20 349 7 in in IN cord-016871-1mlamf20 349 8 surgical surgical JJ cord-016871-1mlamf20 349 9 patients patient NNS cord-016871-1mlamf20 349 10 in in IN cord-016871-1mlamf20 349 11 support support NN cord-016871-1mlamf20 349 12 of of IN cord-016871-1mlamf20 349 13 TEG TEG NNP cord-016871-1mlamf20 349 14 's 's POS cord-016871-1mlamf20 349 15 ability ability NN cord-016871-1mlamf20 349 16 to to TO cord-016871-1mlamf20 349 17 predict predict VB cord-016871-1mlamf20 349 18 prognosis prognosis NN cord-016871-1mlamf20 349 19 , , , cord-016871-1mlamf20 349 20 and and CC cord-016871-1mlamf20 349 21 in in IN cord-016871-1mlamf20 349 22 some some DT cord-016871-1mlamf20 349 23 instances instance NNS cord-016871-1mlamf20 349 24 , , , cord-016871-1mlamf20 349 25 guide guide NN cord-016871-1mlamf20 349 26 therapy therapy NN cord-016871-1mlamf20 349 27 that that WDT cord-016871-1mlamf20 349 28 improves improve VBZ cord-016871-1mlamf20 349 29 it -PRON- PRP cord-016871-1mlamf20 349 30 . . . cord-016871-1mlamf20 350 1 Table table NN cord-016871-1mlamf20 350 2 12 12 CD cord-016871-1mlamf20 350 3 .1 .1 NFP cord-016871-1mlamf20 350 4 is be VBZ cord-016871-1mlamf20 350 5 an an DT cord-016871-1mlamf20 350 6 example example NN cord-016871-1mlamf20 350 7 of of IN cord-016871-1mlamf20 350 8 TEG TEG NNP cord-016871-1mlamf20 350 9 - - HYPH cord-016871-1mlamf20 350 10 guided guide VBN cord-016871-1mlamf20 350 11 protocol protocol NN cord-016871-1mlamf20 350 12 with with IN cord-016871-1mlamf20 350 13 such such PDT cord-016871-1mlamf20 350 14 an an DT cord-016871-1mlamf20 350 15 aim aim NN cord-016871-1mlamf20 350 16 . . . cord-016871-1mlamf20 351 1 Platelet platelet NN cord-016871-1mlamf20 351 2 dysfunction dysfunction NN cord-016871-1mlamf20 351 3 in in IN cord-016871-1mlamf20 351 4 cardiopulmonary cardiopulmonary JJ cord-016871-1mlamf20 351 5 bypass bypass NN cord-016871-1mlamf20 351 6 patients patient NNS cord-016871-1mlamf20 351 7 has have VBZ cord-016871-1mlamf20 351 8 been be VBN cord-016871-1mlamf20 351 9 attributed attribute VBN cord-016871-1mlamf20 351 10 to to IN cord-016871-1mlamf20 351 11 microvascular microvascular JJ cord-016871-1mlamf20 351 12 bleeding bleeding NN cord-016871-1mlamf20 351 13 , , , cord-016871-1mlamf20 351 14 and and CC cord-016871-1mlamf20 351 15 TEG TEG NNP cord-016871-1mlamf20 351 16 has have VBZ cord-016871-1mlamf20 351 17 been be VBN cord-016871-1mlamf20 351 18 used use VBN cord-016871-1mlamf20 351 19 in in IN cord-016871-1mlamf20 351 20 the the DT cord-016871-1mlamf20 351 21 setting setting NN cord-016871-1mlamf20 351 22 of of IN cord-016871-1mlamf20 351 23 cardiac cardiac JJ cord-016871-1mlamf20 351 24 surgery surgery NN cord-016871-1mlamf20 351 25 as as IN cord-016871-1mlamf20 351 26 a a DT cord-016871-1mlamf20 351 27 predictor predictor NN cord-016871-1mlamf20 351 28 of of IN cord-016871-1mlamf20 351 29 worsening worsen VBG cord-016871-1mlamf20 351 30 patient patient JJ cord-016871-1mlamf20 351 31 outcomes outcome NNS cord-016871-1mlamf20 351 32 due due JJ cord-016871-1mlamf20 351 33 to to IN cord-016871-1mlamf20 351 34 this this DT cord-016871-1mlamf20 351 35 mechanism mechanism NN cord-016871-1mlamf20 351 36 [ [ -LRB- cord-016871-1mlamf20 351 37 17 17 CD cord-016871-1mlamf20 351 38 ] ] -RRB- cord-016871-1mlamf20 351 39 . . . cord-016871-1mlamf20 352 1 Solomon Solomon NNP cord-016871-1mlamf20 352 2 et et NNP cord-016871-1mlamf20 352 3 al al NNP cord-016871-1mlamf20 352 4 . . NNP cord-016871-1mlamf20 352 5 demonstrated demonstrate VBD cord-016871-1mlamf20 352 6 that that IN cord-016871-1mlamf20 352 7 fi fi NNP cord-016871-1mlamf20 352 8 brinogen brinogen NNP cord-016871-1mlamf20 352 9 clot clot NN cord-016871-1mlamf20 352 10 elasticity elasticity NN cord-016871-1mlamf20 352 11 assessed assess VBN cord-016871-1mlamf20 352 12 by by IN cord-016871-1mlamf20 352 13 TEG TEG NNP cord-016871-1mlamf20 352 14 correlated correlate VBD cord-016871-1mlamf20 352 15 to to IN cord-016871-1mlamf20 352 16 fi fi NNP cord-016871-1mlamf20 352 17 brinogen brinogen NNP cord-016871-1mlamf20 352 18 concentration concentration NN cord-016871-1mlamf20 352 19 in in IN cord-016871-1mlamf20 352 20 cardiopulmonary cardiopulmonary JJ cord-016871-1mlamf20 352 21 bypass bypass NN cord-016871-1mlamf20 352 22 patients patient NNS cord-016871-1mlamf20 352 23 [ [ -LRB- cord-016871-1mlamf20 352 24 58 58 CD cord-016871-1mlamf20 352 25 ] ] -RRB- cord-016871-1mlamf20 352 26 . . . cord-016871-1mlamf20 353 1 TEG TEG NNP cord-016871-1mlamf20 353 2 has have VBZ cord-016871-1mlamf20 353 3 been be VBN cord-016871-1mlamf20 353 4 found find VBN cord-016871-1mlamf20 353 5 to to TO cord-016871-1mlamf20 353 6 predict predict VB cord-016871-1mlamf20 353 7 the the DT cord-016871-1mlamf20 353 8 risk risk NN cord-016871-1mlamf20 353 9 of of IN cord-016871-1mlamf20 353 10 postoperative postoperative JJ cord-016871-1mlamf20 353 11 bleeding bleeding NN cord-016871-1mlamf20 353 12 , , , cord-016871-1mlamf20 353 13 and and CC cord-016871-1mlamf20 353 14 has have VBZ cord-016871-1mlamf20 353 15 been be VBN cord-016871-1mlamf20 353 16 used use VBN cord-016871-1mlamf20 353 17 to to TO cord-016871-1mlamf20 353 18 direct direct VB cord-016871-1mlamf20 353 19 desmopressin desmopressin NN cord-016871-1mlamf20 353 20 therapy therapy NN cord-016871-1mlamf20 353 21 and and CC cord-016871-1mlamf20 353 22 FFP FFP NNP cord-016871-1mlamf20 353 23 transfusion transfusion NN cord-016871-1mlamf20 353 24 requirement requirement NN cord-016871-1mlamf20 353 25 in in IN cord-016871-1mlamf20 353 26 cardiopulmonary cardiopulmonary JJ cord-016871-1mlamf20 353 27 bypass bypass NN cord-016871-1mlamf20 353 28 patients patient NNS cord-016871-1mlamf20 353 29 [ [ -LRB- cord-016871-1mlamf20 353 30 17 17 CD cord-016871-1mlamf20 353 31 ] ] -RRB- cord-016871-1mlamf20 353 32 . . . cord-016871-1mlamf20 354 1 TEG TEG NNP cord-016871-1mlamf20 354 2 has have VBZ cord-016871-1mlamf20 354 3 been be VBN cord-016871-1mlamf20 354 4 shown show VBN cord-016871-1mlamf20 354 5 to to TO cord-016871-1mlamf20 354 6 be be VB cord-016871-1mlamf20 354 7 useful useful JJ cord-016871-1mlamf20 354 8 in in IN cord-016871-1mlamf20 354 9 liver liver NN cord-016871-1mlamf20 354 10 surgery surgery NN cord-016871-1mlamf20 354 11 , , , cord-016871-1mlamf20 354 12 especially especially RB cord-016871-1mlamf20 354 13 in in IN cord-016871-1mlamf20 354 14 transplantation transplantation NN cord-016871-1mlamf20 354 15 . . . cord-016871-1mlamf20 355 1 Unlike unlike IN cord-016871-1mlamf20 355 2 other other JJ cord-016871-1mlamf20 355 3 surgeries surgery NNS cord-016871-1mlamf20 355 4 , , , cord-016871-1mlamf20 355 5 liver liver NN cord-016871-1mlamf20 355 6 surgery surgery NN cord-016871-1mlamf20 355 7 poses pose VBZ cord-016871-1mlamf20 355 8 the the DT cord-016871-1mlamf20 355 9 additional additional JJ cord-016871-1mlamf20 355 10 problem problem NN cord-016871-1mlamf20 355 11 of of IN cord-016871-1mlamf20 355 12 increased increase VBN cord-016871-1mlamf20 355 13 risk risk NN cord-016871-1mlamf20 355 14 of of IN cord-016871-1mlamf20 355 15 coagulation coagulation NN cord-016871-1mlamf20 355 16 factor factor NN cord-016871-1mlamf20 355 17 de de FW cord-016871-1mlamf20 355 18 fi fi FW cord-016871-1mlamf20 355 19 ciencies ciencie NNS cord-016871-1mlamf20 355 20 due due JJ cord-016871-1mlamf20 355 21 to to IN cord-016871-1mlamf20 355 22 hepatic hepatic JJ cord-016871-1mlamf20 355 23 dysfunction dysfunction NN cord-016871-1mlamf20 355 24 and and CC cord-016871-1mlamf20 355 25 lack lack NN cord-016871-1mlamf20 355 26 of of IN cord-016871-1mlamf20 355 27 synthesis synthesis NN cord-016871-1mlamf20 355 28 . . . cord-016871-1mlamf20 356 1 TEG TEG NNP cord-016871-1mlamf20 356 2 - - HYPH cord-016871-1mlamf20 356 3 guided guide VBN cord-016871-1mlamf20 356 4 transfusion transfusion NN cord-016871-1mlamf20 356 5 algorithms algorithm NNS cord-016871-1mlamf20 356 6 in in IN cord-016871-1mlamf20 356 7 this this DT cord-016871-1mlamf20 356 8 area area NN cord-016871-1mlamf20 356 9 have have VBP cord-016871-1mlamf20 356 10 been be VBN cord-016871-1mlamf20 356 11 shown show VBN cord-016871-1mlamf20 356 12 to to TO cord-016871-1mlamf20 356 13 reduce reduce VB cord-016871-1mlamf20 356 14 the the DT cord-016871-1mlamf20 356 15 transfusion transfusion NN cord-016871-1mlamf20 356 16 requirements requirement NNS cord-016871-1mlamf20 356 17 in in IN cord-016871-1mlamf20 356 18 such such JJ cord-016871-1mlamf20 356 19 patients patient NNS cord-016871-1mlamf20 356 20 [ [ -LRB- cord-016871-1mlamf20 356 21 17 17 CD cord-016871-1mlamf20 356 22 ] ] -RRB- cord-016871-1mlamf20 356 23 . . . cord-016871-1mlamf20 357 1 However however RB cord-016871-1mlamf20 357 2 , , , cord-016871-1mlamf20 357 3 Ogawa Ogawa NNP cord-016871-1mlamf20 357 4 et et NNP cord-016871-1mlamf20 357 5 al al NNP cord-016871-1mlamf20 357 6 . . NNP cord-016871-1mlamf20 357 7 's 's POS cord-016871-1mlamf20 357 8 prospective prospective JJ cord-016871-1mlamf20 357 9 observational observational JJ cord-016871-1mlamf20 357 10 study study NN cord-016871-1mlamf20 357 11 of of IN cord-016871-1mlamf20 357 12 26 26 CD cord-016871-1mlamf20 357 13 patients patient NNS cord-016871-1mlamf20 357 14 undergoing undergo VBG cord-016871-1mlamf20 357 15 cardiac cardiac JJ cord-016871-1mlamf20 357 16 surgery surgery NN cord-016871-1mlamf20 357 17 did do VBD cord-016871-1mlamf20 357 18 not not RB cord-016871-1mlamf20 357 19 fi fi VB cord-016871-1mlamf20 357 20 nd nd NNP cord-016871-1mlamf20 357 21 a a DT cord-016871-1mlamf20 357 22 signi signi NN cord-016871-1mlamf20 357 23 fi fi NN cord-016871-1mlamf20 357 24 ca can MD cord-016871-1mlamf20 357 25 nt not RB cord-016871-1mlamf20 357 26 correlation correlation VB cord-016871-1mlamf20 357 27 between between IN cord-016871-1mlamf20 357 28 TEG TEG NNP cord-016871-1mlamf20 357 29 measures measure NNS cord-016871-1mlamf20 357 30 and and CC cord-016871-1mlamf20 357 31 volume volume NN cord-016871-1mlamf20 357 32 of of IN cord-016871-1mlamf20 357 33 intraoperative intraoperative JJ cord-016871-1mlamf20 357 34 and and CC cord-016871-1mlamf20 357 35 total total JJ cord-016871-1mlamf20 357 36 transfusions transfusion NNS cord-016871-1mlamf20 357 37 . . . cord-016871-1mlamf20 358 1 Despite despite IN cord-016871-1mlamf20 358 2 these these DT cord-016871-1mlamf20 358 3 fi fi NNP cord-016871-1mlamf20 358 4 ndings nding NNS cord-016871-1mlamf20 358 5 , , , cord-016871-1mlamf20 358 6 [ [ -LRB- cord-016871-1mlamf20 358 7 59 59 CD cord-016871-1mlamf20 358 8 ] ] -RRB- cord-016871-1mlamf20 358 9 . . . cord-016871-1mlamf20 359 1 They -PRON- PRP cord-016871-1mlamf20 359 2 investigated investigate VBD cord-016871-1mlamf20 359 3 thromboelastography thromboelastography NN cord-016871-1mlamf20 359 4 in in IN cord-016871-1mlamf20 359 5 cardiac cardiac JJ cord-016871-1mlamf20 359 6 surgery surgery NN cord-016871-1mlamf20 359 7 patients patient NNS cord-016871-1mlamf20 359 8 and and CC cord-016871-1mlamf20 359 9 found find VBD cord-016871-1mlamf20 359 10 14 14 CD cord-016871-1mlamf20 359 11 studies study NNS cord-016871-1mlamf20 359 12 that that WDT cord-016871-1mlamf20 359 13 provided provide VBD cord-016871-1mlamf20 359 14 the the DT cord-016871-1mlamf20 359 15 best good JJS cord-016871-1mlamf20 359 16 evidence evidence NN cord-016871-1mlamf20 359 17 . . . cord-016871-1mlamf20 360 1 Their -PRON- PRP$ cord-016871-1mlamf20 360 2 synthesis synthesis NN cord-016871-1mlamf20 360 3 concluded conclude VBD cord-016871-1mlamf20 360 4 that that IN cord-016871-1mlamf20 360 5 TEG TEG NNP cord-016871-1mlamf20 360 6 can can MD cord-016871-1mlamf20 360 7 guide guide VB cord-016871-1mlamf20 360 8 transfusion transfusion NN cord-016871-1mlamf20 360 9 therapy therapy NN cord-016871-1mlamf20 360 10 algorithms algorithm NNS cord-016871-1mlamf20 360 11 and and CC cord-016871-1mlamf20 360 12 result result VB cord-016871-1mlamf20 360 13 in in IN cord-016871-1mlamf20 360 14 decreased decrease VBN cord-016871-1mlamf20 360 15 blood blood NN cord-016871-1mlamf20 360 16 component component NN cord-016871-1mlamf20 360 17 requirements requirement NNS cord-016871-1mlamf20 360 18 . . . cord-016871-1mlamf20 361 1 In in IN cord-016871-1mlamf20 361 2 orthopedic orthopedic JJ cord-016871-1mlamf20 361 3 surgery surgery NN cord-016871-1mlamf20 361 4 patients patient NNS cord-016871-1mlamf20 361 5 , , , cord-016871-1mlamf20 361 6 TEG TEG NNP cord-016871-1mlamf20 361 7 was be VBD cord-016871-1mlamf20 361 8 used use VBN cord-016871-1mlamf20 361 9 in in IN cord-016871-1mlamf20 361 10 a a DT cord-016871-1mlamf20 361 11 prospective prospective JJ cord-016871-1mlamf20 361 12 study study NN cord-016871-1mlamf20 361 13 to to TO cord-016871-1mlamf20 361 14 identify identify VB cord-016871-1mlamf20 361 15 disturbed disturb VBN cord-016871-1mlamf20 361 16 fi fi NNP cord-016871-1mlamf20 361 17 brin brin NNP cord-016871-1mlamf20 361 18 polymerization polymerization NN cord-016871-1mlamf20 361 19 as as IN cord-016871-1mlamf20 361 20 a a DT cord-016871-1mlamf20 361 21 pathological pathological JJ cord-016871-1mlamf20 361 22 mechanism mechanism NN cord-016871-1mlamf20 361 23 in in IN cord-016871-1mlamf20 361 24 dilutional dilutional JJ cord-016871-1mlamf20 361 25 coagulopathy coagulopathy NN cord-016871-1mlamf20 361 26 , , , cord-016871-1mlamf20 361 27 and and CC cord-016871-1mlamf20 361 28 to to TO cord-016871-1mlamf20 361 29 rescue rescue VB cord-016871-1mlamf20 361 30 this this DT cord-016871-1mlamf20 361 31 state state NN cord-016871-1mlamf20 361 32 with with IN cord-016871-1mlamf20 361 33 fi fi NNP cord-016871-1mlamf20 361 34 brinogen brinogen NNP cord-016871-1mlamf20 361 35 administration administration NNP cord-016871-1mlamf20 361 36 [ [ -LRB- cord-016871-1mlamf20 361 37 60 60 CD cord-016871-1mlamf20 361 38 ] ] -RRB- cord-016871-1mlamf20 361 39 . . . cord-016871-1mlamf20 362 1 However however RB cord-016871-1mlamf20 362 2 , , , cord-016871-1mlamf20 362 3 TEG TEG NNP cord-016871-1mlamf20 362 4 has have VBZ cord-016871-1mlamf20 362 5 been be VBN cord-016871-1mlamf20 362 6 found find VBN cord-016871-1mlamf20 362 7 to to TO cord-016871-1mlamf20 362 8 be be VB cord-016871-1mlamf20 362 9 less less RBR cord-016871-1mlamf20 362 10 sensitive sensitive JJ cord-016871-1mlamf20 362 11 for for IN cord-016871-1mlamf20 362 12 certain certain JJ cord-016871-1mlamf20 362 13 categories category NNS cord-016871-1mlamf20 362 14 of of IN cord-016871-1mlamf20 362 15 platelet platelet NN cord-016871-1mlamf20 362 16 inhibition inhibition NN cord-016871-1mlamf20 362 17 . . . cord-016871-1mlamf20 363 1 In in IN cord-016871-1mlamf20 363 2 addition addition NN cord-016871-1mlamf20 363 3 , , , cord-016871-1mlamf20 363 4 hemostatis hemostatis NNP cord-016871-1mlamf20 363 5 point point NN cord-016871-1mlamf20 363 6 of of IN cord-016871-1mlamf20 363 7 care care NN cord-016871-1mlamf20 363 8 tests test NNS cord-016871-1mlamf20 363 9 such such JJ cord-016871-1mlamf20 363 10 as as IN cord-016871-1mlamf20 363 11 PFA-100 PFA-100 NNP cord-016871-1mlamf20 363 12 and and CC cord-016871-1mlamf20 363 13 TEG TEG NNP cord-016871-1mlamf20 363 14 are be VBP cord-016871-1mlamf20 363 15 affected affect VBN cord-016871-1mlamf20 363 16 by by IN cord-016871-1mlamf20 363 17 nonopiod nonopiod JJ cord-016871-1mlamf20 363 18 analgesic analgesic JJ cord-016871-1mlamf20 363 19 drugs drug NNS cord-016871-1mlamf20 363 20 . . . cord-016871-1mlamf20 364 1 Scharbert Scharbert NNP cord-016871-1mlamf20 364 2 et et FW cord-016871-1mlamf20 364 3 al al NNP cord-016871-1mlamf20 364 4 . . . cord-016871-1mlamf20 365 1 's 's POS cord-016871-1mlamf20 366 1 crossover crossover NN cord-016871-1mlamf20 366 2 , , , cord-016871-1mlamf20 366 3 double double RB cord-016871-1mlamf20 366 4 - - HYPH cord-016871-1mlamf20 366 5 blinded blinded JJ cord-016871-1mlamf20 367 1 , , , cord-016871-1mlamf20 367 2 placebo placebo NN cord-016871-1mlamf20 367 3 controlled control VBN cord-016871-1mlamf20 367 4 study study NN cord-016871-1mlamf20 367 5 demonstrated demonstrate VBD cord-016871-1mlamf20 367 6 that that IN cord-016871-1mlamf20 367 7 in in IN cord-016871-1mlamf20 367 8 low low JJ cord-016871-1mlamf20 367 9 back back JJ cord-016871-1mlamf20 367 10 pain pain NN cord-016871-1mlamf20 367 11 patients patient NNS cord-016871-1mlamf20 367 12 scheduled schedule VBN cord-016871-1mlamf20 367 13 for for IN cord-016871-1mlamf20 367 14 invasive invasive JJ cord-016871-1mlamf20 367 15 pain pain NN cord-016871-1mlamf20 367 16 therapy therapy NN cord-016871-1mlamf20 367 17 , , , cord-016871-1mlamf20 367 18 cytochalasin cytochalasin NNP cord-016871-1mlamf20 367 19 d d NNP cord-016871-1mlamf20 367 20 -modi -modi : cord-016871-1mlamf20 367 21 fi fi NNP cord-016871-1mlamf20 367 22 ed ed NNP cord-016871-1mlamf20 367 23 thromboelastometry thromboelastometry NNP cord-016871-1mlamf20 367 24 had have VBD cord-016871-1mlamf20 367 25 a a DT cord-016871-1mlamf20 367 26 low low JJ cord-016871-1mlamf20 367 27 sensitivity sensitivity NN cord-016871-1mlamf20 367 28 for for IN cord-016871-1mlamf20 367 29 detecting detect VBG cord-016871-1mlamf20 367 30 platelet platelet NN cord-016871-1mlamf20 367 31 inhibition inhibition NN cord-016871-1mlamf20 367 32 by by IN cord-016871-1mlamf20 367 33 diclofenac diclofenac NNP cord-016871-1mlamf20 367 34 [ [ -LRB- cord-016871-1mlamf20 367 35 61 61 CD cord-016871-1mlamf20 367 36 ] ] -RRB- cord-016871-1mlamf20 367 37 . . . cord-016871-1mlamf20 368 1 There there EX cord-016871-1mlamf20 368 2 are be VBP cord-016871-1mlamf20 368 3 hemostatic hemostatic JJ cord-016871-1mlamf20 368 4 states state NNS cord-016871-1mlamf20 368 5 unique unique JJ cord-016871-1mlamf20 368 6 to to IN cord-016871-1mlamf20 368 7 the the DT cord-016871-1mlamf20 368 8 surgical surgical JJ cord-016871-1mlamf20 368 9 patient patient NN cord-016871-1mlamf20 368 10 as as IN cord-016871-1mlamf20 368 11 a a DT cord-016871-1mlamf20 368 12 result result NN cord-016871-1mlamf20 368 13 of of IN cord-016871-1mlamf20 368 14 medications medication NNS cord-016871-1mlamf20 368 15 such such JJ cord-016871-1mlamf20 368 16 as as IN cord-016871-1mlamf20 368 17 warfarin warfarin NN cord-016871-1mlamf20 368 18 , , , cord-016871-1mlamf20 368 19 perioperative perioperative JJ cord-016871-1mlamf20 368 20 bleeding bleed VBG cord-016871-1mlamf20 368 21 especially especially RB cord-016871-1mlamf20 368 22 in in IN cord-016871-1mlamf20 368 23 high high JJ cord-016871-1mlamf20 368 24 bleeding bleed VBG cord-016871-1mlamf20 368 25 risk risk NN cord-016871-1mlamf20 368 26 surgeries surgery NNS cord-016871-1mlamf20 368 27 , , , cord-016871-1mlamf20 368 28 and and CC cord-016871-1mlamf20 368 29 emergent emergent JJ cord-016871-1mlamf20 368 30 surgical surgical JJ cord-016871-1mlamf20 368 31 indications indication NNS cord-016871-1mlamf20 368 32 such such JJ cord-016871-1mlamf20 368 33 as as IN cord-016871-1mlamf20 368 34 trauma trauma NN cord-016871-1mlamf20 368 35 . . . cord-016871-1mlamf20 369 1 Various various JJ cord-016871-1mlamf20 369 2 mechanisms mechanism NNS cord-016871-1mlamf20 369 3 affect affect VBP cord-016871-1mlamf20 369 4 coagulation coagulation NN cord-016871-1mlamf20 369 5 cascades cascade VBZ cord-016871-1mlamf20 369 6 in in IN cord-016871-1mlamf20 369 7 these these DT cord-016871-1mlamf20 369 8 patients patient NNS cord-016871-1mlamf20 369 9 , , , cord-016871-1mlamf20 369 10 and and CC cord-016871-1mlamf20 369 11 techniques technique NNS cord-016871-1mlamf20 369 12 from from IN cord-016871-1mlamf20 369 13 the the DT cord-016871-1mlamf20 369 14 standard standard JJ cord-016871-1mlamf20 369 15 coagulation coagulation NN cord-016871-1mlamf20 369 16 tests test NNS cord-016871-1mlamf20 369 17 to to IN cord-016871-1mlamf20 369 18 TEG TEG NNP cord-016871-1mlamf20 369 19 are be VBP cord-016871-1mlamf20 369 20 currently currently RB cord-016871-1mlamf20 369 21 available available JJ cord-016871-1mlamf20 369 22 . . . cord-016871-1mlamf20 370 1 These these DT cord-016871-1mlamf20 370 2 have have VBP cord-016871-1mlamf20 370 3 shown show VBN cord-016871-1mlamf20 370 4 mostly mostly RB cord-016871-1mlamf20 370 5 success success NN cord-016871-1mlamf20 370 6 in in IN cord-016871-1mlamf20 370 7 predicting predict VBG cord-016871-1mlamf20 370 8 the the DT cord-016871-1mlamf20 370 9 course course NN cord-016871-1mlamf20 370 10 of of IN cord-016871-1mlamf20 370 11 the the DT cord-016871-1mlamf20 370 12 patient patient NN cord-016871-1mlamf20 370 13 and and CC cord-016871-1mlamf20 370 14 guiding guide VBG cord-016871-1mlamf20 370 15 therapy therapy NN cord-016871-1mlamf20 370 16 . . . cord-016871-1mlamf20 371 1 The the DT cord-016871-1mlamf20 371 2 therapeutic therapeutic JJ cord-016871-1mlamf20 371 3 options option NNS cord-016871-1mlamf20 371 4 include include VBP cord-016871-1mlamf20 371 5 various various JJ cord-016871-1mlamf20 371 6 blood blood NN cord-016871-1mlamf20 371 7 product product NN cord-016871-1mlamf20 371 8 components component NNS cord-016871-1mlamf20 371 9 , , , cord-016871-1mlamf20 371 10 ranging range VBG cord-016871-1mlamf20 371 11 from from IN cord-016871-1mlamf20 371 12 whole whole JJ cord-016871-1mlamf20 371 13 blood blood NN cord-016871-1mlamf20 371 14 to to IN cord-016871-1mlamf20 371 15 concentrations concentration NNS cord-016871-1mlamf20 371 16 of of IN cord-016871-1mlamf20 371 17 individual individual JJ cord-016871-1mlamf20 371 18 factors factor NNS cord-016871-1mlamf20 371 19 . . . cord-016871-1mlamf20 372 1 Using use VBG cord-016871-1mlamf20 372 2 physiological physiological JJ cord-016871-1mlamf20 372 3 ratios ratio NNS cord-016871-1mlamf20 372 4 of of IN cord-016871-1mlamf20 372 5 pRBCs prbcs RB cord-016871-1mlamf20 372 6 , , , cord-016871-1mlamf20 372 7 FFP FFP NNP cord-016871-1mlamf20 372 8 , , , cord-016871-1mlamf20 372 9 and and CC cord-016871-1mlamf20 372 10 platelets platelet NNS cord-016871-1mlamf20 372 11 have have VBP cord-016871-1mlamf20 372 12 improved improve VBN cord-016871-1mlamf20 372 13 patient patient JJ cord-016871-1mlamf20 372 14 survival survival NN cord-016871-1mlamf20 372 15 in in IN cord-016871-1mlamf20 372 16 the the DT cord-016871-1mlamf20 372 17 massively massively RB cord-016871-1mlamf20 372 18 hemorrhaging hemorrhaging JJ cord-016871-1mlamf20 372 19 patient patient NN cord-016871-1mlamf20 372 20 . . . cord-016871-1mlamf20 373 1 However however RB cord-016871-1mlamf20 373 2 , , , cord-016871-1mlamf20 373 3 like like IN cord-016871-1mlamf20 373 4 all all DT cord-016871-1mlamf20 373 5 powerful powerful JJ cord-016871-1mlamf20 373 6 therapy therapy NN cord-016871-1mlamf20 373 7 , , , cord-016871-1mlamf20 373 8 they -PRON- PRP cord-016871-1mlamf20 373 9 are be VBP cord-016871-1mlamf20 373 10 associated associate VBN cord-016871-1mlamf20 373 11 with with IN cord-016871-1mlamf20 373 12 adverse adverse JJ cord-016871-1mlamf20 373 13 effects effect NNS cord-016871-1mlamf20 373 14 . . . cord-016871-1mlamf20 374 1 Preventative preventative JJ cord-016871-1mlamf20 374 2 options option NNS cord-016871-1mlamf20 374 3 , , , cord-016871-1mlamf20 374 4 such such JJ cord-016871-1mlamf20 374 5 as as IN cord-016871-1mlamf20 374 6 decreasing decrease VBG cord-016871-1mlamf20 374 7 storage storage NN cord-016871-1mlamf20 374 8 lengths length NNS cord-016871-1mlamf20 374 9 and and CC cord-016871-1mlamf20 374 10 screening screen VBG cord-016871-1mlamf20 374 11 for for IN cord-016871-1mlamf20 374 12 infectious infectious JJ cord-016871-1mlamf20 374 13 agents agent NNS cord-016871-1mlamf20 374 14 have have VBP cord-016871-1mlamf20 374 15 drastically drastically RB cord-016871-1mlamf20 374 16 reduced reduce VBN cord-016871-1mlamf20 374 17 these these DT cord-016871-1mlamf20 374 18 risks risk NNS cord-016871-1mlamf20 374 19 . . . cord-016871-1mlamf20 375 1 Lastly lastly RB cord-016871-1mlamf20 375 2 , , , cord-016871-1mlamf20 375 3 administering administer VBG cord-016871-1mlamf20 375 4 these these DT cord-016871-1mlamf20 375 5 products product NNS cord-016871-1mlamf20 375 6 in in IN cord-016871-1mlamf20 375 7 a a DT cord-016871-1mlamf20 375 8 rapid rapid JJ cord-016871-1mlamf20 375 9 and and CC cord-016871-1mlamf20 375 10 directed directed JJ cord-016871-1mlamf20 375 11 fashion fashion NN cord-016871-1mlamf20 375 12 would would MD cord-016871-1mlamf20 375 13 not not RB cord-016871-1mlamf20 375 14 be be VB cord-016871-1mlamf20 375 15 feasible feasible JJ cord-016871-1mlamf20 375 16 without without IN cord-016871-1mlamf20 375 17 in in IN cord-016871-1mlamf20 375 18 - - HYPH cord-016871-1mlamf20 375 19 house house NN cord-016871-1mlamf20 375 20 triage triage NN cord-016871-1mlamf20 375 21 and and CC cord-016871-1mlamf20 375 22 massive massive JJ cord-016871-1mlamf20 375 23 transfusion transfusion NN cord-016871-1mlamf20 375 24 protocols protocol NNS cord-016871-1mlamf20 375 25 . . . cord-016871-1mlamf20 376 1 These these DT cord-016871-1mlamf20 376 2 algorithms algorithm NNS cord-016871-1mlamf20 376 3 include include VBP cord-016871-1mlamf20 376 4 steps step NNS cord-016871-1mlamf20 376 5 that that WDT cord-016871-1mlamf20 376 6 must must MD cord-016871-1mlamf20 376 7 be be VB cord-016871-1mlamf20 376 8 taken take VBN cord-016871-1mlamf20 376 9 to to TO cord-016871-1mlamf20 376 10 smooth smooth VB cord-016871-1mlamf20 376 11 out out RP cord-016871-1mlamf20 376 12 logistics logistic NNS cord-016871-1mlamf20 376 13 of of IN cord-016871-1mlamf20 376 14 urgent urgent JJ cord-016871-1mlamf20 376 15 transfusions transfusion NNS cord-016871-1mlamf20 376 16 , , , cord-016871-1mlamf20 376 17 such such JJ cord-016871-1mlamf20 376 18 as as IN cord-016871-1mlamf20 376 19 anticipating anticipate VBG cord-016871-1mlamf20 376 20 adequate adequate JJ cord-016871-1mlamf20 376 21 thawing thawing NN cord-016871-1mlamf20 376 22 times time NNS cord-016871-1mlamf20 376 23 of of IN cord-016871-1mlamf20 376 24 FFPs ffp NNS cord-016871-1mlamf20 376 25 and and CC cord-016871-1mlamf20 376 26 collaborating collaborate VBG cord-016871-1mlamf20 376 27 with with IN cord-016871-1mlamf20 376 28 blood blood NN cord-016871-1mlamf20 376 29 banks bank NNS cord-016871-1mlamf20 376 30 to to TO cord-016871-1mlamf20 376 31 crosscheck crosscheck VB cord-016871-1mlamf20 376 32 appropriateness appropriateness NN cord-016871-1mlamf20 376 33 of of IN cord-016871-1mlamf20 376 34 each each DT cord-016871-1mlamf20 376 35 order order NN cord-016871-1mlamf20 376 36 ( ( -LRB- cord-016871-1mlamf20 376 37 Fig fig NN cord-016871-1mlamf20 376 38 . . . cord-016871-1mlamf20 376 39 12.5 12.5 CD cord-016871-1mlamf20 376 40 ) ) -RRB- cord-016871-1mlamf20 376 41 . . . cord-016871-1mlamf20 377 1 Damage damage NN cord-016871-1mlamf20 377 2 control control NN cord-016871-1mlamf20 377 3 ' ' '' cord-016871-1mlamf20 377 4 : : : cord-016871-1mlamf20 377 5 an an DT cord-016871-1mlamf20 377 6 approach approach NN cord-016871-1mlamf20 377 7 for for IN cord-016871-1mlamf20 377 8 improved improve VBN cord-016871-1mlamf20 377 9 survival survival NN cord-016871-1mlamf20 377 10 in in IN cord-016871-1mlamf20 377 11 exsanguinating exsanguinate VBG cord-016871-1mlamf20 377 12 penetrating penetrating JJ cord-016871-1mlamf20 377 13 abdominal abdominal JJ cord-016871-1mlamf20 377 14 injury injury NN cord-016871-1mlamf20 377 15 Management Management NNP cord-016871-1mlamf20 377 16 of of IN cord-016871-1mlamf20 377 17 the the DT cord-016871-1mlamf20 377 18 major major JJ cord-016871-1mlamf20 377 19 coagulopathy coagulopathy NN cord-016871-1mlamf20 377 20 with with IN cord-016871-1mlamf20 377 21 onset onset NN cord-016871-1mlamf20 377 22 during during IN cord-016871-1mlamf20 377 23 laparotomy laparotomy NN cord-016871-1mlamf20 377 24 on on IN cord-016871-1mlamf20 377 25 behalf behalf NN cord-016871-1mlamf20 377 26 of of IN cord-016871-1mlamf20 377 27 The the DT cord-016871-1mlamf20 377 28 Dutch dutch JJ cord-016871-1mlamf20 377 29 Peritonitis Peritonitis NNP cord-016871-1mlamf20 377 30 Study Study NNP cord-016871-1mlamf20 377 31 Group Group NNP cord-016871-1mlamf20 377 32 . . . cord-016871-1mlamf20 378 1 Comparison comparison NN cord-016871-1mlamf20 378 2 of of IN cord-016871-1mlamf20 378 3 on on IN cord-016871-1mlamf20 378 4 - - HYPH cord-016871-1mlamf20 378 5 demand demand NN cord-016871-1mlamf20 378 6 versus versus IN cord-016871-1mlamf20 378 7 planned planned JJ cord-016871-1mlamf20 378 8 relaparotomy relaparotomy NN cord-016871-1mlamf20 378 9 strategy strategy NN cord-016871-1mlamf20 378 10 in in IN cord-016871-1mlamf20 378 11 patients patient NNS cord-016871-1mlamf20 378 12 with with IN cord-016871-1mlamf20 378 13 severe severe JJ cord-016871-1mlamf20 378 14 peritonitis peritonitis NN cord-016871-1mlamf20 378 15 Management management NN cord-016871-1mlamf20 378 16 of of IN cord-016871-1mlamf20 378 17 major major JJ cord-016871-1mlamf20 378 18 blood blood NN cord-016871-1mlamf20 378 19 loss loss NN cord-016871-1mlamf20 378 20 : : : cord-016871-1mlamf20 378 21 an an DT cord-016871-1mlamf20 378 22 update update NN cord-016871-1mlamf20 378 23 Massive massive JJ cord-016871-1mlamf20 378 24 transfusion transfusion NN cord-016871-1mlamf20 378 25 protocols protocol NNS cord-016871-1mlamf20 378 26 for for IN cord-016871-1mlamf20 378 27 patients patient NNS cord-016871-1mlamf20 378 28 with with IN cord-016871-1mlamf20 378 29 substantial substantial JJ cord-016871-1mlamf20 378 30 hemorrhage hemorrhage NN cord-016871-1mlamf20 379 1 Prede prede NN cord-016871-1mlamf20 379 2 fi fi NN cord-016871-1mlamf20 379 3 ned ned NN cord-016871-1mlamf20 380 1 massive massive JJ cord-016871-1mlamf20 380 2 transfusion transfusion NN cord-016871-1mlamf20 380 3 protocols protocol NNS cord-016871-1mlamf20 380 4 are be VBP cord-016871-1mlamf20 380 5 associated associate VBN cord-016871-1mlamf20 380 6 with with IN cord-016871-1mlamf20 380 7 a a DT cord-016871-1mlamf20 380 8 reduction reduction NN cord-016871-1mlamf20 380 9 in in IN cord-016871-1mlamf20 380 10 organ organ NN cord-016871-1mlamf20 380 11 failure failure NN cord-016871-1mlamf20 380 12 and and CC cord-016871-1mlamf20 380 13 post post JJ cord-016871-1mlamf20 380 14 - - JJ cord-016871-1mlamf20 380 15 injury injury JJ cord-016871-1mlamf20 380 16 complications complication NNS cord-016871-1mlamf20 380 17 Damage damage VBP cord-016871-1mlamf20 380 18 control control NN cord-016871-1mlamf20 380 19 hematology hematology NN cord-016871-1mlamf20 380 20 : : : cord-016871-1mlamf20 380 21 the the DT cord-016871-1mlamf20 380 22 impact impact NN cord-016871-1mlamf20 380 23 of of IN cord-016871-1mlamf20 380 24 a a DT cord-016871-1mlamf20 380 25 trauma trauma NN cord-016871-1mlamf20 380 26 exsanguination exsanguination NN cord-016871-1mlamf20 380 27 protocol protocol NN cord-016871-1mlamf20 380 28 on on IN cord-016871-1mlamf20 380 29 survival survival NN cord-016871-1mlamf20 380 30 and and CC cord-016871-1mlamf20 380 31 blood blood NN cord-016871-1mlamf20 380 32 product product NN cord-016871-1mlamf20 380 33 utilization utilization NN cord-016871-1mlamf20 381 1 A a DT cord-016871-1mlamf20 381 2 massive massive JJ cord-016871-1mlamf20 381 3 transfusion transfusion NN cord-016871-1mlamf20 381 4 protocol protocol NN cord-016871-1mlamf20 381 5 to to TO cord-016871-1mlamf20 381 6 decrease decrease VB cord-016871-1mlamf20 381 7 blood blood NN cord-016871-1mlamf20 381 8 component component NN cord-016871-1mlamf20 381 9 use use NN cord-016871-1mlamf20 381 10 and and CC cord-016871-1mlamf20 381 11 costs cost VBZ cord-016871-1mlamf20 381 12 Initial initial JJ cord-016871-1mlamf20 381 13 experiences experience NNS cord-016871-1mlamf20 381 14 with with IN cord-016871-1mlamf20 381 15 point point NN cord-016871-1mlamf20 381 16 - - HYPH cord-016871-1mlamf20 381 17 of of IN cord-016871-1mlamf20 381 18 - - HYPH cord-016871-1mlamf20 381 19 care care NN cord-016871-1mlamf20 381 20 rapid rapid JJ cord-016871-1mlamf20 381 21 thrombelastography thrombelastography NN cord-016871-1mlamf20 381 22 for for IN cord-016871-1mlamf20 381 23 management management NN cord-016871-1mlamf20 381 24 of of IN cord-016871-1mlamf20 381 25 life life NN cord-016871-1mlamf20 381 26 - - HYPH cord-016871-1mlamf20 381 27 threatening threaten VBG cord-016871-1mlamf20 381 28 postinjury postinjury NN cord-016871-1mlamf20 381 29 coagulopathy coagulopathy NNP cord-016871-1mlamf20 381 30 Emergency Emergency NNP cord-016871-1mlamf20 381 31 department department NN cord-016871-1mlamf20 381 32 blood blood NN cord-016871-1mlamf20 381 33 transfusion transfusion NN cord-016871-1mlamf20 381 34 predicts predict VBZ cord-016871-1mlamf20 381 35 early early JJ cord-016871-1mlamf20 381 36 massive massive JJ cord-016871-1mlamf20 381 37 transfusion transfusion NN cord-016871-1mlamf20 381 38 and and CC cord-016871-1mlamf20 381 39 early early JJ cord-016871-1mlamf20 381 40 blood blood NN cord-016871-1mlamf20 381 41 component component NN cord-016871-1mlamf20 381 42 requirement requirement NN cord-016871-1mlamf20 382 1 The the DT cord-016871-1mlamf20 382 2 impact impact NN cord-016871-1mlamf20 382 3 of of IN cord-016871-1mlamf20 382 4 uncrossmatched uncrossmatched JJ cord-016871-1mlamf20 382 5 blood blood NN cord-016871-1mlamf20 382 6 transfusion transfusion NN cord-016871-1mlamf20 382 7 on on IN cord-016871-1mlamf20 382 8 the the DT cord-016871-1mlamf20 382 9 need need NN cord-016871-1mlamf20 382 10 for for IN cord-016871-1mlamf20 382 11 massive massive JJ cord-016871-1mlamf20 382 12 transfusion transfusion NN cord-016871-1mlamf20 382 13 and and CC cord-016871-1mlamf20 382 14 mortality mortality NN cord-016871-1mlamf20 382 15 : : : cord-016871-1mlamf20 382 16 analysis analysis NN cord-016871-1mlamf20 382 17 of of IN cord-016871-1mlamf20 382 18 5166 5166 CD cord-016871-1mlamf20 382 19 uncross uncross VB cord-016871-1mlamf20 382 20 - - HYPH cord-016871-1mlamf20 382 21 matched match VBN cord-016871-1mlamf20 382 22 units unit NNS cord-016871-1mlamf20 382 23 Resuscitation Resuscitation NNP cord-016871-1mlamf20 382 24 of of IN cord-016871-1mlamf20 382 25 the the DT cord-016871-1mlamf20 382 26 trauma trauma NN cord-016871-1mlamf20 382 27 patient patient NN cord-016871-1mlamf20 382 28 : : : cord-016871-1mlamf20 382 29 tell tell VB cord-016871-1mlamf20 382 30 me -PRON- PRP cord-016871-1mlamf20 382 31 a a DT cord-016871-1mlamf20 382 32 trigger trigger NN cord-016871-1mlamf20 382 33 for for IN cord-016871-1mlamf20 382 34 early early JJ cord-016871-1mlamf20 382 35 haemostatic haemostatic JJ cord-016871-1mlamf20 382 36 resuscitation resuscitation NN cord-016871-1mlamf20 382 37 please please UH cord-016871-1mlamf20 382 38 ! ! . cord-016871-1mlamf20 383 1 Crit Crit NNP cord-016871-1mlamf20 383 2 Care Care NNP cord-016871-1mlamf20 383 3 Room room NN cord-016871-1mlamf20 383 4 for for IN cord-016871-1mlamf20 383 5 performance performance NN cord-016871-1mlamf20 383 6 improvement improvement NN cord-016871-1mlamf20 383 7 : : : cord-016871-1mlamf20 383 8 provider provider NN cord-016871-1mlamf20 383 9 - - HYPH cord-016871-1mlamf20 383 10 related relate VBN cord-016871-1mlamf20 383 11 factors factor NNS cord-016871-1mlamf20 383 12 associated associate VBN cord-016871-1mlamf20 383 13 with with IN cord-016871-1mlamf20 383 14 poor poor JJ cord-016871-1mlamf20 383 15 outcomes outcome NNS cord-016871-1mlamf20 383 16 in in IN cord-016871-1mlamf20 383 17 massive massive JJ cord-016871-1mlamf20 383 18 transfusion transfusion NN cord-016871-1mlamf20 383 19 Damage damage NN cord-016871-1mlamf20 383 20 control control NN cord-016871-1mlamf20 383 21 resuscitation resuscitation NN cord-016871-1mlamf20 383 22 reduces reduce VBZ cord-016871-1mlamf20 383 23 resuscitation resuscitation NN cord-016871-1mlamf20 383 24 volumes volume NNS cord-016871-1mlamf20 383 25 and and CC cord-016871-1mlamf20 383 26 improves improve VBZ cord-016871-1mlamf20 383 27 survival survival NN cord-016871-1mlamf20 383 28 in in IN cord-016871-1mlamf20 383 29 390 390 CD cord-016871-1mlamf20 383 30 damage damage NN cord-016871-1mlamf20 383 31 control control NN cord-016871-1mlamf20 383 32 laparotomy laparotomy NN cord-016871-1mlamf20 383 33 patients patient NNS cord-016871-1mlamf20 383 34 Damage damage VB cord-016871-1mlamf20 383 35 control control NN cord-016871-1mlamf20 383 36 resuscitation resuscitation NN cord-016871-1mlamf20 383 37 for for IN cord-016871-1mlamf20 383 38 vascular vascular JJ cord-016871-1mlamf20 383 39 surgery surgery NN cord-016871-1mlamf20 383 40 in in IN cord-016871-1mlamf20 383 41 a a DT cord-016871-1mlamf20 383 42 combat combat NN cord-016871-1mlamf20 383 43 support support NN cord-016871-1mlamf20 383 44 hospital hospital NN cord-016871-1mlamf20 383 45 Resuscitation resuscitation NN cord-016871-1mlamf20 383 46 and and CC cord-016871-1mlamf20 383 47 monitoring monitoring NN cord-016871-1mlamf20 383 48 in in IN cord-016871-1mlamf20 383 49 gastrointestinal gastrointestinal JJ cord-016871-1mlamf20 383 50 bleeding bleed VBG cord-016871-1mlamf20 383 51 The the DT cord-016871-1mlamf20 383 52 surgical surgical JJ cord-016871-1mlamf20 383 53 application application NN cord-016871-1mlamf20 383 54 of of IN cord-016871-1mlamf20 383 55 point point NN cord-016871-1mlamf20 383 56 - - HYPH cord-016871-1mlamf20 383 57 of of IN cord-016871-1mlamf20 383 58 - - HYPH cord-016871-1mlamf20 383 59 care care NN cord-016871-1mlamf20 383 60 haemostasis haemostasis NN cord-016871-1mlamf20 383 61 and and CC cord-016871-1mlamf20 383 62 platelet platelet NN cord-016871-1mlamf20 383 63 function function NN cord-016871-1mlamf20 383 64 testing test VBG cord-016871-1mlamf20 383 65 Proactive Proactive NNP cord-016871-1mlamf20 383 66 administration administration NN cord-016871-1mlamf20 383 67 of of IN cord-016871-1mlamf20 383 68 platelets platelet NNS cord-016871-1mlamf20 383 69 and and CC cord-016871-1mlamf20 383 70 plasma plasma NN cord-016871-1mlamf20 383 71 for for IN cord-016871-1mlamf20 383 72 patients patient NNS cord-016871-1mlamf20 383 73 with with IN cord-016871-1mlamf20 383 74 a a DT cord-016871-1mlamf20 383 75 ruptured ruptured JJ cord-016871-1mlamf20 383 76 abdominal abdominal JJ cord-016871-1mlamf20 383 77 aortic aortic JJ cord-016871-1mlamf20 383 78 aneurysm aneurysm NN cord-016871-1mlamf20 383 79 : : : cord-016871-1mlamf20 383 80 evaluating evaluate VBG cord-016871-1mlamf20 383 81 a a DT cord-016871-1mlamf20 383 82 change change NN cord-016871-1mlamf20 383 83 in in IN cord-016871-1mlamf20 383 84 transfusion transfusion NN cord-016871-1mlamf20 383 85 practice practice NN cord-016871-1mlamf20 383 86 Effect effect NN cord-016871-1mlamf20 383 87 of of IN cord-016871-1mlamf20 383 88 early early JJ cord-016871-1mlamf20 383 89 plasma plasma NN cord-016871-1mlamf20 383 90 transfusion transfusion NN cord-016871-1mlamf20 383 91 on on IN cord-016871-1mlamf20 383 92 mortality mortality NN cord-016871-1mlamf20 383 93 in in IN cord-016871-1mlamf20 383 94 patients patient NNS cord-016871-1mlamf20 383 95 with with IN cord-016871-1mlamf20 383 96 ruptured ruptured JJ cord-016871-1mlamf20 383 97 abdominal abdominal JJ cord-016871-1mlamf20 383 98 aortic aortic JJ cord-016871-1mlamf20 383 99 aneurysm aneurysm NN cord-016871-1mlamf20 383 100 Trauma trauma NN cord-016871-1mlamf20 383 101 Registry Registry NNP cord-016871-1mlamf20 383 102 of of IN cord-016871-1mlamf20 383 103 DGU DGU NNP cord-016871-1mlamf20 383 104 . . . cord-016871-1mlamf20 384 1 High high JJ cord-016871-1mlamf20 384 2 plasma plasma NN cord-016871-1mlamf20 384 3 to to IN cord-016871-1mlamf20 384 4 red red JJ cord-016871-1mlamf20 384 5 blood blood NN cord-016871-1mlamf20 384 6 cell cell NN cord-016871-1mlamf20 384 7 ratios ratio NNS cord-016871-1mlamf20 384 8 are be VBP cord-016871-1mlamf20 384 9 associated associate VBN cord-016871-1mlamf20 384 10 with with IN cord-016871-1mlamf20 384 11 lower low JJR cord-016871-1mlamf20 384 12 mortality mortality NN cord-016871-1mlamf20 384 13 rates rate NNS cord-016871-1mlamf20 384 14 in in IN cord-016871-1mlamf20 384 15 patients patient NNS cord-016871-1mlamf20 384 16 receiving receive VBG cord-016871-1mlamf20 384 17 multiple multiple JJ cord-016871-1mlamf20 384 18 transfusion transfusion NN cord-016871-1mlamf20 384 19 ( ( -LRB- cord-016871-1mlamf20 384 20 4 4 CD cord-016871-1mlamf20 384 21 £ £ $ cord-016871-1mlamf20 384 22 red red JJ cord-016871-1mlamf20 384 23 blood blood NN cord-016871-1mlamf20 384 24 cell cell NN cord-016871-1mlamf20 384 25 units unit NNS cord-016871-1mlamf20 384 26 < < XX cord-016871-1mlamf20 384 27 10 10 CD cord-016871-1mlamf20 384 28 ) ) -RRB- cord-016871-1mlamf20 384 29 during during IN cord-016871-1mlamf20 384 30 acute acute JJ cord-016871-1mlamf20 384 31 trauma trauma NN cord-016871-1mlamf20 384 32 resuscitation resuscitation NN cord-016871-1mlamf20 384 33 Indications indication NNS cord-016871-1mlamf20 384 34 for for IN cord-016871-1mlamf20 384 35 early early JJ cord-016871-1mlamf20 384 36 fresh fresh JJ cord-016871-1mlamf20 384 37 frozen frozen JJ cord-016871-1mlamf20 384 38 plasma plasma NN cord-016871-1mlamf20 384 39 , , , cord-016871-1mlamf20 384 40 cryoprecipitate cryoprecipitate NNP cord-016871-1mlamf20 384 41 , , , cord-016871-1mlamf20 384 42 and and CC cord-016871-1mlamf20 384 43 platelet platelet NN cord-016871-1mlamf20 384 44 transfusion transfusion NN cord-016871-1mlamf20 384 45 in in IN cord-016871-1mlamf20 384 46 trauma trauma NN cord-016871-1mlamf20 384 47 Instituting institute VBG cord-016871-1mlamf20 384 48 a a DT cord-016871-1mlamf20 384 49 thawed thaw VBN cord-016871-1mlamf20 384 50 plasma plasma NN cord-016871-1mlamf20 384 51 procedure procedure NN cord-016871-1mlamf20 384 52 : : : cord-016871-1mlamf20 384 53 it -PRON- PRP cord-016871-1mlamf20 384 54 just just RB cord-016871-1mlamf20 384 55 makes make VBZ cord-016871-1mlamf20 384 56 sense sense NN cord-016871-1mlamf20 384 57 and and CC cord-016871-1mlamf20 384 58 saves save VBZ cord-016871-1mlamf20 384 59 cents cent NNS cord-016871-1mlamf20 384 60 Blood blood NN cord-016871-1mlamf20 384 61 conservation conservation NN cord-016871-1mlamf20 384 62 for for IN cord-016871-1mlamf20 384 63 critically critically RB cord-016871-1mlamf20 384 64 ill ill JJ cord-016871-1mlamf20 384 65 patients patient NNS cord-016871-1mlamf20 385 1 A a DT cord-016871-1mlamf20 385 2 prospective prospective JJ cord-016871-1mlamf20 385 3 study study NN cord-016871-1mlamf20 385 4 of of IN cord-016871-1mlamf20 385 5 anemia anemia NN cord-016871-1mlamf20 385 6 status status NN cord-016871-1mlamf20 385 7 , , , cord-016871-1mlamf20 385 8 hemoglobin hemoglobin NN cord-016871-1mlamf20 385 9 concentration concentration NN cord-016871-1mlamf20 385 10 , , , cord-016871-1mlamf20 385 11 and and CC cord-016871-1mlamf20 385 12 mortality mortality NN cord-016871-1mlamf20 385 13 in in IN cord-016871-1mlamf20 385 14 an an DT cord-016871-1mlamf20 385 15 elderly elderly JJ cord-016871-1mlamf20 385 16 cohort cohort NN cord-016871-1mlamf20 385 17 Transfusions transfusion NNS cord-016871-1mlamf20 385 18 in in IN cord-016871-1mlamf20 385 19 surgical surgical JJ cord-016871-1mlamf20 385 20 patients patient NNS cord-016871-1mlamf20 386 1 Intraoperative intraoperative JJ cord-016871-1mlamf20 386 2 autotransfusion autotransfusion NN cord-016871-1mlamf20 386 3 in in IN cord-016871-1mlamf20 386 4 abdominal abdominal JJ cord-016871-1mlamf20 386 5 aortic aortic JJ cord-016871-1mlamf20 386 6 aneurysm aneurysm NN cord-016871-1mlamf20 386 7 surgery surgery NN cord-016871-1mlamf20 386 8 Transfusion Transfusion NNP cord-016871-1mlamf20 386 9 Requirements Requirements NNPS cord-016871-1mlamf20 386 10 in in IN cord-016871-1mlamf20 386 11 Critical Critical NNP cord-016871-1mlamf20 386 12 Care Care NNP cord-016871-1mlamf20 386 13 Investigators Investigators NNPS cord-016871-1mlamf20 386 14 for for IN cord-016871-1mlamf20 386 15 the the DT cord-016871-1mlamf20 386 16 Canadian Canadian NNP cord-016871-1mlamf20 386 17 Critical Critical NNP cord-016871-1mlamf20 386 18 Care Care NNP cord-016871-1mlamf20 386 19 Trials Trials NNPS cord-016871-1mlamf20 386 20 Groups Groups NNPS cord-016871-1mlamf20 386 21 . . . cord-016871-1mlamf20 387 1 A a DT cord-016871-1mlamf20 387 2 multicenter multicenter NN cord-016871-1mlamf20 387 3 , , , cord-016871-1mlamf20 387 4 randomized randomized JJ cord-016871-1mlamf20 387 5 , , , cord-016871-1mlamf20 387 6 controlled control VBN cord-016871-1mlamf20 387 7 clinical clinical JJ cord-016871-1mlamf20 387 8 trial trial NN cord-016871-1mlamf20 387 9 of of IN cord-016871-1mlamf20 387 10 transfusion transfusion NN cord-016871-1mlamf20 387 11 requirements requirement NNS cord-016871-1mlamf20 387 12 in in IN cord-016871-1mlamf20 387 13 critical critical JJ cord-016871-1mlamf20 387 14 care care NN cord-016871-1mlamf20 387 15 Blood blood NN cord-016871-1mlamf20 387 16 volume volume NN cord-016871-1mlamf20 387 17 analysis analysis NN cord-016871-1mlamf20 387 18 can can MD cord-016871-1mlamf20 387 19 distinguish distinguish VB cord-016871-1mlamf20 387 20 true true JJ cord-016871-1mlamf20 387 21 anemia anemia NN cord-016871-1mlamf20 387 22 from from IN cord-016871-1mlamf20 387 23 hemodilution hemodilution NNP cord-016871-1mlamf20 387 24 in in IN cord-016871-1mlamf20 387 25 critically critically RB cord-016871-1mlamf20 387 26 ill ill JJ cord-016871-1mlamf20 387 27 patients patient NNS cord-016871-1mlamf20 387 28 Anemia anemia NN cord-016871-1mlamf20 387 29 in in IN cord-016871-1mlamf20 387 30 the the DT cord-016871-1mlamf20 387 31 long long JJ cord-016871-1mlamf20 387 32 - - HYPH cord-016871-1mlamf20 387 33 term term NN cord-016871-1mlamf20 387 34 ventilator ventilator NN cord-016871-1mlamf20 387 35 - - HYPH cord-016871-1mlamf20 387 36 dependent dependent JJ cord-016871-1mlamf20 387 37 patient patient NN cord-016871-1mlamf20 387 38 with with IN cord-016871-1mlamf20 387 39 respiratory respiratory JJ cord-016871-1mlamf20 387 40 failure failure NN cord-016871-1mlamf20 388 1 Pharmacokinetics pharmacokinetic NNS cord-016871-1mlamf20 388 2 and and CC cord-016871-1mlamf20 388 3 pharmacodynamics pharmacodynamic NNS cord-016871-1mlamf20 388 4 of of IN cord-016871-1mlamf20 388 5 once once RB cord-016871-1mlamf20 388 6 - - HYPH cord-016871-1mlamf20 388 7 weekly weekly NN cord-016871-1mlamf20 388 8 subcutaneous subcutaneous JJ cord-016871-1mlamf20 388 9 epoetin epoetin NNP cord-016871-1mlamf20 388 10 alfa alfa NNP cord-016871-1mlamf20 388 11 in in IN cord-016871-1mlamf20 388 12 critically critically RB cord-016871-1mlamf20 388 13 ill ill JJ cord-016871-1mlamf20 388 14 patients patient NNS cord-016871-1mlamf20 388 15 : : : cord-016871-1mlamf20 388 16 results result NNS cord-016871-1mlamf20 388 17 of of IN cord-016871-1mlamf20 388 18 a a DT cord-016871-1mlamf20 388 19 randomized randomized JJ cord-016871-1mlamf20 388 20 , , , cord-016871-1mlamf20 388 21 double double JJ cord-016871-1mlamf20 388 22 - - HYPH cord-016871-1mlamf20 388 23 blind blind JJ cord-016871-1mlamf20 388 24 , , , cord-016871-1mlamf20 388 25 placebo placebo NN cord-016871-1mlamf20 388 26 - - HYPH cord-016871-1mlamf20 388 27 controlled control VBN cord-016871-1mlamf20 388 28 trial trial NN cord-016871-1mlamf20 388 29 Prevalence prevalence NN cord-016871-1mlamf20 388 30 and and CC cord-016871-1mlamf20 388 31 outcomes outcome NNS cord-016871-1mlamf20 388 32 of of IN cord-016871-1mlamf20 388 33 anemia anemia NN cord-016871-1mlamf20 388 34 in in IN cord-016871-1mlamf20 388 35 cancer cancer NN cord-016871-1mlamf20 388 36 : : : cord-016871-1mlamf20 388 37 a a DT cord-016871-1mlamf20 388 38 systematic systematic JJ cord-016871-1mlamf20 388 39 review review NN cord-016871-1mlamf20 388 40 of of IN cord-016871-1mlamf20 388 41 the the DT cord-016871-1mlamf20 388 42 literature literature NN cord-016871-1mlamf20 388 43 For for IN cord-016871-1mlamf20 388 44 the the DT cord-016871-1mlamf20 388 45 EPO EPO NNP cord-016871-1mlamf20 388 46 Critical Critical NNP cord-016871-1mlamf20 388 47 Care Care NNP cord-016871-1mlamf20 388 48 Trials Trials NNPS cord-016871-1mlamf20 388 49 Group Group NNP cord-016871-1mlamf20 388 50 . . . cord-016871-1mlamf20 389 1 Ef Ef NNP cord-016871-1mlamf20 389 2 fi fi NN cord-016871-1mlamf20 389 3 cacy cacy NN cord-016871-1mlamf20 389 4 and and CC cord-016871-1mlamf20 389 5 safety safety NN cord-016871-1mlamf20 389 6 of of IN cord-016871-1mlamf20 389 7 epoetin epoetin NNP cord-016871-1mlamf20 389 8 alfa alfa NNP cord-016871-1mlamf20 389 9 in in IN cord-016871-1mlamf20 389 10 critically critically RB cord-016871-1mlamf20 389 11 ill ill JJ cord-016871-1mlamf20 389 12 patients patient NNS cord-016871-1mlamf20 390 1 Randomized randomized JJ cord-016871-1mlamf20 390 2 clinical clinical JJ cord-016871-1mlamf20 390 3 trial trial NN cord-016871-1mlamf20 390 4 of of IN cord-016871-1mlamf20 390 5 preoperative preoperative JJ cord-016871-1mlamf20 390 6 intravenous intravenous JJ cord-016871-1mlamf20 390 7 iron iron NN cord-016871-1mlamf20 390 8 sucrose sucrose NN cord-016871-1mlamf20 390 9 to to TO cord-016871-1mlamf20 390 10 reduce reduce VB cord-016871-1mlamf20 390 11 blood blood NN cord-016871-1mlamf20 390 12 transfusion transfusion NN cord-016871-1mlamf20 390 13 in in IN cord-016871-1mlamf20 390 14 anaemic anaemic JJ cord-016871-1mlamf20 390 15 patients patient NNS cord-016871-1mlamf20 390 16 after after IN cord-016871-1mlamf20 390 17 colorectal colorectal JJ cord-016871-1mlamf20 390 18 cancer cancer NN cord-016871-1mlamf20 390 19 surgery surgery NN cord-016871-1mlamf20 391 1 The the DT cord-016871-1mlamf20 391 2 effect effect NN cord-016871-1mlamf20 391 3 of of IN cord-016871-1mlamf20 391 4 plasma plasma NN cord-016871-1mlamf20 391 5 transfusion transfusion NN cord-016871-1mlamf20 391 6 on on IN cord-016871-1mlamf20 391 7 morbidity morbidity NN cord-016871-1mlamf20 391 8 and and CC cord-016871-1mlamf20 391 9 mortality mortality NN cord-016871-1mlamf20 391 10 : : : cord-016871-1mlamf20 391 11 a a DT cord-016871-1mlamf20 391 12 systematic systematic JJ cord-016871-1mlamf20 391 13 review review NN cord-016871-1mlamf20 391 14 and and CC cord-016871-1mlamf20 391 15 meta meta NNP cord-016871-1mlamf20 391 16 - - HYPH cord-016871-1mlamf20 391 17 analysis analysis NN cord-016871-1mlamf20 391 18 Risks risk NNS cord-016871-1mlamf20 391 19 of of IN cord-016871-1mlamf20 391 20 fresh fresh JJ cord-016871-1mlamf20 391 21 frozen frozen JJ cord-016871-1mlamf20 391 22 plasma plasma NN cord-016871-1mlamf20 391 23 and and CC cord-016871-1mlamf20 391 24 platelets platelet NNS cord-016871-1mlamf20 391 25 Appropriateness appropriateness NN cord-016871-1mlamf20 391 26 of of IN cord-016871-1mlamf20 391 27 fresh fresh JJ cord-016871-1mlamf20 391 28 - - HYPH cord-016871-1mlamf20 391 29 frozen frozen JJ cord-016871-1mlamf20 391 30 plasma plasma NN cord-016871-1mlamf20 391 31 usage usage NN cord-016871-1mlamf20 391 32 in in IN cord-016871-1mlamf20 391 33 hospital hospital NN cord-016871-1mlamf20 391 34 settings setting NNS cord-016871-1mlamf20 391 35 : : : cord-016871-1mlamf20 391 36 a a DT cord-016871-1mlamf20 391 37 meta meta JJ cord-016871-1mlamf20 391 38 - - HYPH cord-016871-1mlamf20 391 39 analysis analysis NN cord-016871-1mlamf20 391 40 of of IN cord-016871-1mlamf20 391 41 the the DT cord-016871-1mlamf20 391 42 impact impact NN cord-016871-1mlamf20 391 43 of of IN cord-016871-1mlamf20 391 44 organizational organizational JJ cord-016871-1mlamf20 391 45 intervations intervation NNS cord-016871-1mlamf20 391 46 Utilisation Utilisation NNP cord-016871-1mlamf20 391 47 de de IN cord-016871-1mlamf20 391 48 plasma plasma NN cord-016871-1mlamf20 391 49 : : : cord-016871-1mlamf20 391 50 indications indication NNS cord-016871-1mlamf20 391 51 médicales médicales NNP cord-016871-1mlamf20 391 52 et et NNP cord-016871-1mlamf20 391 53 préparation préparation FW cord-016871-1mlamf20 391 54 de de FW cord-016871-1mlamf20 391 55 plasma plasma NN cord-016871-1mlamf20 391 56 en en NNP cord-016871-1mlamf20 391 57 Suède Suède NNP cord-016871-1mlamf20 391 58 [ [ -LRB- cord-016871-1mlamf20 391 59 Use use NN cord-016871-1mlamf20 391 60 of of IN cord-016871-1mlamf20 391 61 plasma plasma NN cord-016871-1mlamf20 391 62 : : : cord-016871-1mlamf20 391 63 clinical clinical JJ cord-016871-1mlamf20 391 64 indications indication NNS cord-016871-1mlamf20 391 65 and and CC cord-016871-1mlamf20 391 66 types type NNS cord-016871-1mlamf20 391 67 of of IN cord-016871-1mlamf20 391 68 plasma plasma NN cord-016871-1mlamf20 391 69 components component NNS cord-016871-1mlamf20 391 70 in in IN cord-016871-1mlamf20 391 71 Sweden Sweden NNP cord-016871-1mlamf20 391 72 Management Management NNP cord-016871-1mlamf20 391 73 of of IN cord-016871-1mlamf20 391 74 post post JJ cord-016871-1mlamf20 391 75 - - JJ cord-016871-1mlamf20 391 76 partum partum JJ cord-016871-1mlamf20 391 77 haemorrhage haemorrhage NN cord-016871-1mlamf20 392 1 Ef Ef NNP cord-016871-1mlamf20 392 2 fi fi NNP cord-016871-1mlamf20 392 3 cacy cacy NN cord-016871-1mlamf20 392 4 evaluation evaluation NN cord-016871-1mlamf20 392 5 of of IN cord-016871-1mlamf20 392 6 current current JJ cord-016871-1mlamf20 392 7 and and CC cord-016871-1mlamf20 392 8 future future JJ cord-016871-1mlamf20 392 9 platelet platelet NN cord-016871-1mlamf20 392 10 transfusion transfusion NN cord-016871-1mlamf20 392 11 products product NNS cord-016871-1mlamf20 392 12 Whole whole JJ cord-016871-1mlamf20 392 13 blood blood NN cord-016871-1mlamf20 392 14 transfusion transfusion NN cord-016871-1mlamf20 392 15 for for IN cord-016871-1mlamf20 392 16 exsanguinating exsanguinate VBG cord-016871-1mlamf20 392 17 coagulopathy coagulopathy NN cord-016871-1mlamf20 392 18 in in IN cord-016871-1mlamf20 392 19 a a DT cord-016871-1mlamf20 392 20 U.S. U.S. NNP cord-016871-1mlamf20 392 21 fi fi NN cord-016871-1mlamf20 392 22 eld eld NNP cord-016871-1mlamf20 392 23 surgical surgical JJ cord-016871-1mlamf20 392 24 hospital hospital NN cord-016871-1mlamf20 392 25 in in IN cord-016871-1mlamf20 392 26 postwar postwar JJ cord-016871-1mlamf20 392 27 Kosovo Kosovo NNP cord-016871-1mlamf20 392 28 Recombinant Recombinant NNP cord-016871-1mlamf20 392 29 activated activate VBN cord-016871-1mlamf20 392 30 factor factor NN cord-016871-1mlamf20 393 1 VII VII NNP cord-016871-1mlamf20 393 2 ( ( -LRB- cord-016871-1mlamf20 393 3 NovoSeven NovoSeven NNP cord-016871-1mlamf20 393 4 ) ) -RRB- cord-016871-1mlamf20 394 1 : : : cord-016871-1mlamf20 394 2 addition addition NN cord-016871-1mlamf20 394 3 to to IN cord-016871-1mlamf20 394 4 replacement replacement NN cord-016871-1mlamf20 394 5 therapy therapy NN cord-016871-1mlamf20 394 6 in in IN cord-016871-1mlamf20 394 7 acute acute JJ cord-016871-1mlamf20 394 8 , , , cord-016871-1mlamf20 394 9 uncontrolled uncontrolled JJ cord-016871-1mlamf20 394 10 and and CC cord-016871-1mlamf20 394 11 life life NN cord-016871-1mlamf20 394 12 - - HYPH cord-016871-1mlamf20 394 13 threatening threaten VBG cord-016871-1mlamf20 394 14 bleeding bleed VBG cord-016871-1mlamf20 394 15 Blood blood NN cord-016871-1mlamf20 394 16 transfusions transfusion NNS cord-016871-1mlamf20 394 17 , , , cord-016871-1mlamf20 394 18 thrombosis thrombosis NN cord-016871-1mlamf20 394 19 , , , cord-016871-1mlamf20 394 20 and and CC cord-016871-1mlamf20 394 21 mortality mortality NN cord-016871-1mlamf20 394 22 in in IN cord-016871-1mlamf20 394 23 hospitalized hospitalize VBN cord-016871-1mlamf20 394 24 patients patient NNS cord-016871-1mlamf20 394 25 with with IN cord-016871-1mlamf20 394 26 cancer cancer NN cord-016871-1mlamf20 394 27 Transfusion transfusion NN cord-016871-1mlamf20 394 28 - - HYPH cord-016871-1mlamf20 394 29 related relate VBN cord-016871-1mlamf20 394 30 acute acute JJ cord-016871-1mlamf20 394 31 lung lung NN cord-016871-1mlamf20 394 32 injury injury NN cord-016871-1mlamf20 394 33 ( ( -LRB- cord-016871-1mlamf20 394 34 TRALI TRALI NNP cord-016871-1mlamf20 394 35 ) ) -RRB- cord-016871-1mlamf20 394 36 : : : cord-016871-1mlamf20 394 37 current current JJ cord-016871-1mlamf20 394 38 concepts concept NNS cord-016871-1mlamf20 394 39 and and CC cord-016871-1mlamf20 394 40 misconceptions misconception NNS cord-016871-1mlamf20 394 41 Effective effective JJ cord-016871-1mlamf20 394 42 reduction reduction NN cord-016871-1mlamf20 394 43 of of IN cord-016871-1mlamf20 394 44 transfusion transfusion NN cord-016871-1mlamf20 394 45 - - HYPH cord-016871-1mlamf20 394 46 related relate VBN cord-016871-1mlamf20 394 47 acute acute JJ cord-016871-1mlamf20 394 48 lung lung NN cord-016871-1mlamf20 394 49 injury injury NN cord-016871-1mlamf20 394 50 risk risk NN cord-016871-1mlamf20 394 51 with with IN cord-016871-1mlamf20 394 52 male male JJ cord-016871-1mlamf20 394 53 - - HYPH cord-016871-1mlamf20 394 54 predominant predominant JJ cord-016871-1mlamf20 394 55 plasma plasma NN cord-016871-1mlamf20 394 56 strategy strategy NN cord-016871-1mlamf20 394 57 in in IN cord-016871-1mlamf20 394 58 the the DT cord-016871-1mlamf20 394 59 American American NNP cord-016871-1mlamf20 394 60 Red Red NNP cord-016871-1mlamf20 394 61 Cross Cross NNP cord-016871-1mlamf20 394 62 Cumulative cumulative JJ cord-016871-1mlamf20 394 63 risks risk NNS cord-016871-1mlamf20 394 64 of of IN cord-016871-1mlamf20 394 65 early early JJ cord-016871-1mlamf20 394 66 red red JJ cord-016871-1mlamf20 394 67 blood blood NN cord-016871-1mlamf20 394 68 cell cell NN cord-016871-1mlamf20 394 69 transfusion transfusion NN cord-016871-1mlamf20 395 1 In in IN cord-016871-1mlamf20 395 2 fl fl NNP cord-016871-1mlamf20 395 3 ammation ammation NN cord-016871-1mlamf20 395 4 and and CC cord-016871-1mlamf20 395 5 the the DT cord-016871-1mlamf20 395 6 Host Host NNP cord-016871-1mlamf20 395 7 Response response NN cord-016871-1mlamf20 395 8 to to IN cord-016871-1mlamf20 395 9 Injury injury NN cord-016871-1mlamf20 395 10 Investigators investigator NNS cord-016871-1mlamf20 395 11 . . . cord-016871-1mlamf20 396 1 Fresh fresh JJ cord-016871-1mlamf20 396 2 frozen frozen JJ cord-016871-1mlamf20 396 3 plasma plasma NN cord-016871-1mlamf20 396 4 is be VBZ cord-016871-1mlamf20 396 5 independently independently RB cord-016871-1mlamf20 396 6 associated associate VBN cord-016871-1mlamf20 396 7 with with IN cord-016871-1mlamf20 396 8 a a DT cord-016871-1mlamf20 396 9 higher high JJR cord-016871-1mlamf20 396 10 risk risk NN cord-016871-1mlamf20 396 11 of of IN cord-016871-1mlamf20 396 12 multiple multiple JJ cord-016871-1mlamf20 396 13 organ organ NN cord-016871-1mlamf20 396 14 failure failure NN cord-016871-1mlamf20 396 15 and and CC cord-016871-1mlamf20 396 16 acute acute JJ cord-016871-1mlamf20 396 17 respiratory respiratory JJ cord-016871-1mlamf20 396 18 distress distress NN cord-016871-1mlamf20 396 19 syndrome syndrome NN cord-016871-1mlamf20 397 1 A a DT cord-016871-1mlamf20 397 2 prospective prospective JJ cord-016871-1mlamf20 397 3 , , , cord-016871-1mlamf20 397 4 double double JJ cord-016871-1mlamf20 397 5 - - HYPH cord-016871-1mlamf20 397 6 blind blind JJ cord-016871-1mlamf20 397 7 , , , cord-016871-1mlamf20 397 8 randomized randomized JJ cord-016871-1mlamf20 397 9 clinical clinical JJ cord-016871-1mlamf20 397 10 feasibility feasibility NN cord-016871-1mlamf20 397 11 trial trial NN cord-016871-1mlamf20 397 12 of of IN cord-016871-1mlamf20 397 13 controlling control VBG cord-016871-1mlamf20 397 14 the the DT cord-016871-1mlamf20 397 15 storage storage NN cord-016871-1mlamf20 397 16 age age NN cord-016871-1mlamf20 397 17 of of IN cord-016871-1mlamf20 397 18 red red JJ cord-016871-1mlamf20 397 19 blood blood NN cord-016871-1mlamf20 397 20 cells cell NNS cord-016871-1mlamf20 397 21 for for IN cord-016871-1mlamf20 397 22 transfusion transfusion NN cord-016871-1mlamf20 397 23 in in IN cord-016871-1mlamf20 397 24 cardiac cardiac JJ cord-016871-1mlamf20 397 25 surgical surgical JJ cord-016871-1mlamf20 397 26 patients patient NNS cord-016871-1mlamf20 397 27 Prospective prospective JJ cord-016871-1mlamf20 397 28 monitoring monitoring NN cord-016871-1mlamf20 397 29 of of IN cord-016871-1mlamf20 397 30 plasma plasma NN cord-016871-1mlamf20 397 31 and and CC cord-016871-1mlamf20 397 32 platelet platelet NN cord-016871-1mlamf20 397 33 transfusions transfusion NNS cord-016871-1mlamf20 397 34 in in IN cord-016871-1mlamf20 397 35 a a DT cord-016871-1mlamf20 397 36 large large JJ cord-016871-1mlamf20 397 37 teaching teaching NN cord-016871-1mlamf20 397 38 hospital hospital NN cord-016871-1mlamf20 397 39 results result NNS cord-016871-1mlamf20 397 40 in in IN cord-016871-1mlamf20 397 41 signi signi NNP cord-016871-1mlamf20 397 42 fi fi NNP cord-016871-1mlamf20 397 43 ca can MD cord-016871-1mlamf20 397 44 nt not RB cord-016871-1mlamf20 397 45 cost cost VB cord-016871-1mlamf20 397 46 reduction reduction NN cord-016871-1mlamf20 397 47 Emergency emergency NN cord-016871-1mlamf20 397 48 transfusion transfusion NN cord-016871-1mlamf20 397 49 score score NN cord-016871-1mlamf20 397 50 ( ( -LRB- cord-016871-1mlamf20 397 51 ETS ETS NNP cord-016871-1mlamf20 397 52 ) ) -RRB- cord-016871-1mlamf20 397 53 : : : cord-016871-1mlamf20 398 1 a a DT cord-016871-1mlamf20 398 2 useful useful JJ cord-016871-1mlamf20 398 3 instrument instrument NN cord-016871-1mlamf20 398 4 for for IN cord-016871-1mlamf20 398 5 prediction prediction NN cord-016871-1mlamf20 398 6 of of IN cord-016871-1mlamf20 398 7 blood blood NN cord-016871-1mlamf20 398 8 transfusion transfusion NN cord-016871-1mlamf20 398 9 requirement requirement NN cord-016871-1mlamf20 398 10 in in IN cord-016871-1mlamf20 398 11 severely severely RB cord-016871-1mlamf20 398 12 injured injure VBN cord-016871-1mlamf20 398 13 patients patient NNS cord-016871-1mlamf20 398 14 Management Management NNP cord-016871-1mlamf20 398 15 of of IN cord-016871-1mlamf20 398 16 surgical surgical JJ cord-016871-1mlamf20 398 17 patients patient NNS cord-016871-1mlamf20 398 18 receiving receive VBG cord-016871-1mlamf20 398 19 anticoagulation anticoagulation NN cord-016871-1mlamf20 398 20 and and CC cord-016871-1mlamf20 398 21 antiplatelet antiplatelet NN cord-016871-1mlamf20 398 22 agents agent NNS cord-016871-1mlamf20 398 23 Critical critical JJ cord-016871-1mlamf20 398 24 care care NN cord-016871-1mlamf20 398 25 obstetrics obstetric NNS cord-016871-1mlamf20 398 26 and and CC cord-016871-1mlamf20 398 27 gynecology gynecology NN cord-016871-1mlamf20 398 28 Treatment Treatment NNP cord-016871-1mlamf20 398 29 of of IN cord-016871-1mlamf20 398 30 obstetric obstetric JJ cord-016871-1mlamf20 398 31 hemorrhage hemorrhage NN cord-016871-1mlamf20 398 32 with with IN cord-016871-1mlamf20 398 33 recombinant recombinant JJ cord-016871-1mlamf20 398 34 activated activate VBN cord-016871-1mlamf20 398 35 factor factor NN cord-016871-1mlamf20 398 36 VII VII NNP cord-016871-1mlamf20 398 37 ( ( -LRB- cord-016871-1mlamf20 398 38 rFVIIa rfviia NN cord-016871-1mlamf20 398 39 ) ) -RRB- cord-016871-1mlamf20 399 1 Peres Peres NNP cord-016871-1mlamf20 399 2 - - HYPH cord-016871-1mlamf20 399 3 Bota Bota NNP cord-016871-1mlamf20 399 4 D D NNP cord-016871-1mlamf20 399 5 , , , cord-016871-1mlamf20 399 6 the the DT cord-016871-1mlamf20 399 7 ABC ABC NNP cord-016871-1mlamf20 399 8 Investigators Investigators NNPS cord-016871-1mlamf20 399 9 . . . cord-016871-1mlamf20 400 1 Anemia anemia NN cord-016871-1mlamf20 400 2 and and CC cord-016871-1mlamf20 400 3 blood blood NN cord-016871-1mlamf20 400 4 transfusion transfusion NN cord-016871-1mlamf20 400 5 in in IN cord-016871-1mlamf20 400 6 critically critically RB cord-016871-1mlamf20 400 7 ill ill JJ cord-016871-1mlamf20 400 8 patients patient NNS cord-016871-1mlamf20 400 9 All all DT cord-016871-1mlamf20 400 10 bleeding bleed VBG cord-016871-1mlamf20 400 11 stops stop VBZ cord-016871-1mlamf20 400 12 : : : cord-016871-1mlamf20 400 13 how how WRB cord-016871-1mlamf20 400 14 we -PRON- PRP cord-016871-1mlamf20 400 15 can can MD cord-016871-1mlamf20 400 16 help help VB cord-016871-1mlamf20 400 17 … … NFP cord-016871-1mlamf20 401 1 Rapid rapid JJ cord-016871-1mlamf20 401 2 thromboelastography thromboelastography NNP cord-016871-1mlamf20 401 3 delivers deliver VBZ cord-016871-1mlamf20 401 4 realtime realtime JJ cord-016871-1mlamf20 401 5 results result NNS cord-016871-1mlamf20 401 6 that that WDT cord-016871-1mlamf20 401 7 predict predict VBP cord-016871-1mlamf20 401 8 transfusion transfusion NN cord-016871-1mlamf20 401 9 within within IN cord-016871-1mlamf20 401 10 1 1 CD cord-016871-1mlamf20 401 11 hour hour NN cord-016871-1mlamf20 401 12 of of IN cord-016871-1mlamf20 401 13 admission admission NN cord-016871-1mlamf20 401 14 Quantitative quantitative JJ cord-016871-1mlamf20 401 15 measurement measurement NN cord-016871-1mlamf20 401 16 of of IN cord-016871-1mlamf20 401 17 thromboelastography thromboelastography NNP cord-016871-1mlamf20 401 18 as as IN cord-016871-1mlamf20 401 19 a a DT cord-016871-1mlamf20 401 20 function function NN cord-016871-1mlamf20 401 21 of of IN cord-016871-1mlamf20 401 22 platelet platelet NN cord-016871-1mlamf20 401 23 count count NN cord-016871-1mlamf20 401 24 A a DT cord-016871-1mlamf20 401 25 comparative comparative JJ cord-016871-1mlamf20 401 26 evaluation evaluation NN cord-016871-1mlamf20 401 27 of of IN cord-016871-1mlamf20 401 28 rotation rotation NN cord-016871-1mlamf20 401 29 thromboelastometry thromboelastometry NN cord-016871-1mlamf20 401 30 and and CC cord-016871-1mlamf20 401 31 standard standard JJ cord-016871-1mlamf20 401 32 coagulation coagulation NN cord-016871-1mlamf20 401 33 tests test NNS cord-016871-1mlamf20 401 34 in in IN cord-016871-1mlamf20 401 35 hemodilution hemodilution NN cord-016871-1mlamf20 401 36 - - HYPH cord-016871-1mlamf20 401 37 induced induce VBN cord-016871-1mlamf20 401 38 coagulation coagulation NN cord-016871-1mlamf20 401 39 changes change NNS cord-016871-1mlamf20 401 40 after after IN cord-016871-1mlamf20 401 41 cardiac cardiac JJ cord-016871-1mlamf20 401 42 surgery surgery NN cord-016871-1mlamf20 402 1 A a DT cord-016871-1mlamf20 402 2 comparison comparison NN cord-016871-1mlamf20 402 3 of of IN cord-016871-1mlamf20 402 4 fi fi NNP cord-016871-1mlamf20 402 5 brinogen brinogen NNP cord-016871-1mlamf20 402 6 measurement measurement NN cord-016871-1mlamf20 402 7 methods method NNS cord-016871-1mlamf20 402 8 with with IN cord-016871-1mlamf20 402 9 fi fi NNP cord-016871-1mlamf20 402 10 brin brin NNP cord-016871-1mlamf20 402 11 clot clot NN cord-016871-1mlamf20 402 12 elasticity elasticity NN cord-016871-1mlamf20 402 13 assessed assess VBN cord-016871-1mlamf20 402 14 by by IN cord-016871-1mlamf20 402 15 thromboelastometry thromboelastometry NNP cord-016871-1mlamf20 402 16 , , , cord-016871-1mlamf20 402 17 before before IN cord-016871-1mlamf20 402 18 and and CC cord-016871-1mlamf20 402 19 after after IN cord-016871-1mlamf20 402 20 administration administration NN cord-016871-1mlamf20 402 21 of of IN cord-016871-1mlamf20 402 22 fi fi NNP cord-016871-1mlamf20 402 23 brinogen brinogen NNP cord-016871-1mlamf20 402 24 concentrate concentrate VBP cord-016871-1mlamf20 402 25 in in IN cord-016871-1mlamf20 402 26 cardiac cardiac JJ cord-016871-1mlamf20 402 27 surgery surgery NN cord-016871-1mlamf20 402 28 patients patient NNS cord-016871-1mlamf20 402 29 Can Can MD cord-016871-1mlamf20 402 30 the the DT cord-016871-1mlamf20 402 31 use use NN cord-016871-1mlamf20 402 32 of of IN cord-016871-1mlamf20 402 33 thromboelastography thromboelastography NNP cord-016871-1mlamf20 402 34 predict predict VBP cord-016871-1mlamf20 402 35 and and CC cord-016871-1mlamf20 402 36 decrease decrease VB cord-016871-1mlamf20 402 37 bleeding bleeding NN cord-016871-1mlamf20 402 38 and and CC cord-016871-1mlamf20 402 39 blood blood NN cord-016871-1mlamf20 402 40 and and CC cord-016871-1mlamf20 402 41 blood blood NN cord-016871-1mlamf20 402 42 product product NN cord-016871-1mlamf20 402 43 requirements requirement NNS cord-016871-1mlamf20 402 44 in in IN cord-016871-1mlamf20 402 45 adult adult NN cord-016871-1mlamf20 402 46 patients patient NNS cord-016871-1mlamf20 402 47 undergoing undergo VBG cord-016871-1mlamf20 402 48 cardiac cardiac JJ cord-016871-1mlamf20 402 49 surgery surgery NN cord-016871-1mlamf20 402 50 ? ? . cord-016871-1mlamf20 403 1 Hemostatic hemostatic JJ cord-016871-1mlamf20 403 2 changes change NNS cord-016871-1mlamf20 403 3 after after IN cord-016871-1mlamf20 403 4 crystalloid crystalloid NNP cord-016871-1mlamf20 403 5 or or CC cord-016871-1mlamf20 403 6 colloid colloid NNP cord-016871-1mlamf20 403 7 fl fl NNP cord-016871-1mlamf20 403 8 uid uid NNP cord-016871-1mlamf20 403 9 administration administration NN cord-016871-1mlamf20 403 10 during during IN cord-016871-1mlamf20 403 11 major major JJ cord-016871-1mlamf20 403 12 orthopedic orthopedic NN cord-016871-1mlamf20 403 13 surgery surgery NN cord-016871-1mlamf20 403 14 : : : cord-016871-1mlamf20 404 1 the the DT cord-016871-1mlamf20 404 2 role role NN cord-016871-1mlamf20 404 3 of of IN cord-016871-1mlamf20 404 4 fi fi NNP cord-016871-1mlamf20 404 5 brinogen brinogen NNP cord-016871-1mlamf20 404 6 administration administration NNP cord-016871-1mlamf20 404 7 Point Point NNP cord-016871-1mlamf20 404 8 - - HYPH cord-016871-1mlamf20 404 9 of of IN cord-016871-1mlamf20 404 10 - - HYPH cord-016871-1mlamf20 404 11 care care NN cord-016871-1mlamf20 404 12 platelet platelet NN cord-016871-1mlamf20 404 13 function function NN cord-016871-1mlamf20 404 14 tests test NNS cord-016871-1mlamf20 404 15 : : : cord-016871-1mlamf20 404 16 detection detection NN cord-016871-1mlamf20 404 17 of of IN cord-016871-1mlamf20 404 18 platelet platelet NN cord-016871-1mlamf20 404 19 inhibition inhibition NN cord-016871-1mlamf20 404 20 induced induce VBN cord-016871-1mlamf20 404 21 by by IN cord-016871-1mlamf20 404 22 nonopioid nonopioid NNP cord-016871-1mlamf20 404 23 analgesic analgesic JJ cord-016871-1mlamf20 404 24 drugs drug NNS cord-016871-1mlamf20 404 25 Thromboelastography Thromboelastography NNP cord-016871-1mlamf20 404 26 : : : cord-016871-1mlamf20 404 27 theory theory NN cord-016871-1mlamf20 404 28 and and CC cord-016871-1mlamf20 404 29 practice practice NN cord-016871-1mlamf20 404 30 in in IN cord-016871-1mlamf20 404 31 measuring measure VBG cord-016871-1mlamf20 404 32 hemostasis hemostasis NN cord-016871-1mlamf20 404 33 Admission admission NN cord-016871-1mlamf20 404 34 rapid rapid JJ cord-016871-1mlamf20 404 35 thrombelastography thrombelastography NN cord-016871-1mlamf20 404 36 ( ( -LRB- cord-016871-1mlamf20 404 37 r r NNP cord-016871-1mlamf20 404 38 - - HYPH cord-016871-1mlamf20 404 39 TEG TEG NNP cord-016871-1mlamf20 404 40 ) ) -RRB- cord-016871-1mlamf20 404 41 can can MD cord-016871-1mlamf20 404 42 replace replace VB cord-016871-1mlamf20 404 43 conventional conventional JJ cord-016871-1mlamf20 404 44 coagulation coagulation NN cord-016871-1mlamf20 404 45 tests test NNS cord-016871-1mlamf20 404 46 in in IN cord-016871-1mlamf20 404 47 the the DT cord-016871-1mlamf20 404 48 emergency emergency NN cord-016871-1mlamf20 404 49 department department NN cord-016871-1mlamf20 404 50 : : : cord-016871-1mlamf20 404 51 experience experience NN cord-016871-1mlamf20 404 52 with with IN cord-016871-1mlamf20 404 53 1974 1974 CD cord-016871-1mlamf20 404 54 consecutive consecutive JJ cord-016871-1mlamf20 404 55 trauma trauma NN cord-016871-1mlamf20 404 56 patients patient NNS