{"id":400,"date":"2019-04-05T08:45:32","date_gmt":"2019-04-05T11:45:32","guid":{"rendered":"https:\/\/preservasangue.com.br\/?page_id=400"},"modified":"2023-09-02T16:51:32","modified_gmt":"2023-09-02T19:51:32","slug":"como-transfundir","status":"publish","type":"page","link":"https:\/\/educasangue.com.br\/index.php\/como-transfundir\/","title":{"rendered":"MHEG"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"400\" class=\"elementor elementor-400\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2dcfbb2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2dcfbb2\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4cf3972\" data-id=\"4cf3972\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0e8049e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0e8049e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9f3ca2a\" data-id=\"9f3ca2a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-cc4c22b\" data-id=\"cc4c22b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8315ffa elementor-widget elementor-widget-elementskit-social-media\" data-id=\"8315ffa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-social-media.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t\t <ul class=\"ekit_social_media\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"elementor-repeater-item-5eb0945\">\n\t\t\t\t\t    <a\n\t\t\t\t\t\thref=\"https:\/\/m.facebook.com\/educasangue1\" aria-label=\"Facebook\" class=\"facebook\" >\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-facebook\"><\/i>\n                                                                                                            <\/a>\n                    <\/li>\n                    \t\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"elementor-repeater-item-e2aa959\">\n\t\t\t\t\t    <a\n\t\t\t\t\t\thref=\"https:\/\/www.instagram.com\/educasangue\/?hl=pt-br\" aria-label=\"Instagram\" class=\"instagram\" >\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-instagram\"><\/i>\n                                                                                                            <\/a>\n                    <\/li>\n                    \t\t\t\t\t\t\t<\/ul>\n\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-20adf13 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"20adf13\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-474f69a\" data-id=\"474f69a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-631fce0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"631fce0\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-3d76003\" data-id=\"3d76003\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b57071d elementor-widget elementor-widget-image\" data-id=\"b57071d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"525\" height=\"164\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/09\/EducaSangue.png\" class=\"attachment-large size-large wp-image-3917\" alt=\"\" sizes=\"100vw\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-8b53ec0\" data-id=\"8b53ec0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7371ce9 elementor-hidden-tablet elementor-hidden-phone elementor-widget elementor-widget-ekit-nav-menu\" data-id=\"7371ce9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"ekit-nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<nav class=\"ekit-wid-con ekit_menu_responsive_tablet\"\n\t\t\tdata-hamburger-icon=\"\"\n\t\t\tdata-hamburger-icon-type=\"icon\"\n\t\t\tdata-responsive-breakpoint=\"1024\">\n\t\t\t            <button class=\"elementskit-menu-hamburger elementskit-menu-toggler\"  type=\"button\" aria-label=\"hamburger-icon\">\n                                    <span class=\"elementskit-menu-hamburger-icon\"><\/span><span class=\"elementskit-menu-hamburger-icon\"><\/span><span class=\"elementskit-menu-hamburger-icon\"><\/span>\n                            <\/button>\n            <div id=\"ekit-megamenu-principal\" class=\"elementskit-menu-container elementskit-menu-offcanvas-elements elementskit-navbar-nav-default ekit-nav-menu-one-page-no ekit-nav-dropdown-hover\"><ul id=\"menu-principal\" class=\"elementskit-navbar-nav elementskit-menu-po-center submenu-click-on-icon\"><li id=\"menu-item-2648\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-2648 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link\">Home<\/a><\/li>\n<li id=\"menu-item-4049\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4049 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/sobre\/\" class=\"ekit-menu-nav-link\">sobre<\/a><\/li>\n<li id=\"menu-item-3155\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-has-children menu-item-3155 nav-item elementskit-dropdown-has relative_position elementskit-dropdown-menu-default_width elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link ekit-menu-dropdown-toggle\">PBM<i aria-hidden=\"true\" class=\"icon icon-down-arrow1 elementskit-submenu-indicator\"><\/i><\/a>\n<ul class=\"elementskit-dropdown elementskit-submenu-panel\">\n\t<li id=\"menu-item-1207\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1207 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/o-que-e-pbm\/\" class=\" dropdown-item\">O que \u00e9 PBM?<\/a>\t<li id=\"menu-item-167\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-167 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/pbm-no-ceara\/\" class=\" dropdown-item\">PBM no Cear\u00e1<\/a><\/ul>\n<\/li>\n<li id=\"menu-item-3464\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3464 nav-item elementskit-dropdown-has relative_position elementskit-dropdown-menu-default_width elementskit-mobile-builder-content\" data-vertical-menu=750px><a class=\"ekit-menu-nav-link ekit-menu-dropdown-toggle\">Transfus\u00e3o<i aria-hidden=\"true\" class=\"icon icon-down-arrow1 elementskit-submenu-indicator\"><\/i><\/a>\n<ul class=\"elementskit-dropdown elementskit-submenu-panel\">\n\t<li id=\"menu-item-3636\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3636 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/quando-transfundir\/\" class=\" dropdown-item\">Quando transfundir<\/a>\t<li id=\"menu-item-3637\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3637 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/como-evitar-a-transfusao-desnecessaria\/\" class=\" dropdown-item\">Como evitar a transfus\u00e3o desnecess\u00e1ria<\/a>\t<li id=\"menu-item-3638\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3638 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/procedimento-de-transfusao\/\" class=\" dropdown-item\">Procedimento de transfus\u00e3o<\/a>\t<li id=\"menu-item-3639\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3639 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/suspeita-de-reacao-transfusional\/\" class=\" dropdown-item\">Suspeita de rea\u00e7\u00e3o transfusional<\/a>\t<li id=\"menu-item-3659\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3659 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/plasma\/\" class=\" dropdown-item\">Testes pr\u00e9-transfusionais<\/a><\/ul>\n<\/li>\n<li id=\"menu-item-3346\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3346 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/dicas-e-videos-2\/\" class=\"ekit-menu-nav-link\">Dicas<\/a><\/li>\n<li id=\"menu-item-3631\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3631 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/biblioteca\/\" class=\"ekit-menu-nav-link\">Evid\u00eancias<\/a><\/li>\n<li id=\"menu-item-3630\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-3630 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/download\/\" class=\"ekit-menu-nav-link\">Download<\/a><\/li>\n<li id=\"menu-item-162\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-162 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/fale-conosco\/\" class=\"ekit-menu-nav-link\">Fale conosco<\/a><\/li>\n<\/ul><div class=\"elementskit-nav-identity-panel\"><a class=\"elementskit-nav-logo\" href=\"https:\/\/educasangue.com.br\" target=\"\" rel=\"\"><img src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/11\/placeholder.png\" title=\"\" alt=\"\" decoding=\"async\" \/><\/a><button class=\"elementskit-menu-close elementskit-menu-toggler\" type=\"button\">X<\/button><\/div><\/div>\n\t\t\t<div class=\"elementskit-menu-overlay elementskit-menu-offcanvas-elements elementskit-menu-toggler ekit-nav-menu--overlay\"><\/div>        <\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc29568 elementor-hidden-desktop elementor-widget elementor-widget-ekit-nav-menu\" data-id=\"bc29568\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"ekit-nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<nav class=\"ekit-wid-con ekit_menu_responsive_mobile\"\n\t\t\tdata-hamburger-icon=\"icon icon-menu-button-of-three-horizontal-lines\"\n\t\t\tdata-hamburger-icon-type=\"icon\"\n\t\t\tdata-responsive-breakpoint=\"767\">\n\t\t\t            <button class=\"elementskit-menu-hamburger elementskit-menu-toggler\"  type=\"button\" aria-label=\"hamburger-icon\">\n                <i aria-hidden=\"true\" class=\"ekit-menu-icon icon icon-menu-button-of-three-horizontal-lines\"><\/i>            <\/button>\n            <div id=\"ekit-megamenu-menu_mobile\" class=\"elementskit-menu-container elementskit-menu-offcanvas-elements elementskit-navbar-nav-default ekit-nav-menu-one-page- ekit-nav-dropdown-hover\"><ul id=\"menu-menu_mobile\" class=\"elementskit-navbar-nav elementskit-menu-po-left submenu-click-on-icon\"><li id=\"menu-item-3919\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-3919 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link\">Home<\/a><\/li>\n<li id=\"menu-item-4048\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4048 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/sobre\/\" class=\"ekit-menu-nav-link\">sobre<\/a><\/li>\n<li id=\"menu-item-3921\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-has-children menu-item-3921 nav-item elementskit-dropdown-has relative_position elementskit-dropdown-menu-default_width elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link ekit-menu-dropdown-toggle\">PBM<i aria-hidden=\"true\" class=\"icon icon-down-arrow1 elementskit-submenu-indicator\"><\/i><\/a>\n<ul class=\"elementskit-dropdown elementskit-submenu-panel\">\n\t<li id=\"menu-item-3922\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3922 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/o-que-e-pbm\/\" class=\" dropdown-item\">O que \u00e9 PBM?<\/a>\t<li id=\"menu-item-3923\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3923 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/pbm-no-ceara\/\" class=\" dropdown-item\">PBM no Cear\u00e1<\/a><\/ul>\n<\/li>\n<li id=\"menu-item-3942\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-has-children menu-item-3942 nav-item elementskit-dropdown-has relative_position elementskit-dropdown-menu-default_width elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/\" class=\"ekit-menu-nav-link ekit-menu-dropdown-toggle\">Transfus\u00e3o<i aria-hidden=\"true\" class=\"icon icon-down-arrow1 elementskit-submenu-indicator\"><\/i><\/a>\n<ul class=\"elementskit-dropdown elementskit-submenu-panel\">\n\t<li id=\"menu-item-3929\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3929 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/quando-transfundir\/\" class=\" dropdown-item\">Quando transfundir<\/a>\t<li id=\"menu-item-3931\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3931 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/plasma\/\" class=\" dropdown-item\">testes pr\u00e9 transfusionais<\/a>\t<li id=\"menu-item-3928\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3928 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/procedimento-de-transfusao\/\" class=\" dropdown-item\">Procedimento de transfus\u00e3o<\/a>\t<li id=\"menu-item-3930\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3930 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/suspeita-de-reacao-transfusional\/\" class=\" dropdown-item\">Suspeita de rea\u00e7\u00e3o transfusional<\/a>\t<li id=\"menu-item-3927\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3927 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/como-evitar-a-transfusao-desnecessaria\/\" class=\" dropdown-item\">Como evitar a transfus\u00e3o desnecess\u00e1ria<\/a><\/ul>\n<\/li>\n<li id=\"menu-item-3925\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3925 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/dicas-e-videos-2\/\" class=\"ekit-menu-nav-link\">Dicas<\/a><\/li>\n<li id=\"menu-item-3932\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3932 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/biblioteca\/\" class=\"ekit-menu-nav-link\">Evid\u00eancias<\/a><\/li>\n<li id=\"menu-item-3933\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3933 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/download\/\" class=\"ekit-menu-nav-link\">Download<\/a><\/li>\n<li id=\"menu-item-3934\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3934 nav-item elementskit-mobile-builder-content\" data-vertical-menu=750px><a href=\"https:\/\/educasangue.com.br\/index.php\/fale-conosco\/\" class=\"ekit-menu-nav-link\">Fale conosco<\/a><\/li>\n<\/ul><div class=\"elementskit-nav-identity-panel\"><a class=\"elementskit-nav-logo\" href=\"https:\/\/educasangue.com.br\" target=\"\" rel=\"\"><img src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/09\/EducaSangue.png\" title=\"EducaSangue\" alt=\"EducaSangue\" decoding=\"async\" \/><\/a><button class=\"elementskit-menu-close elementskit-menu-toggler\" type=\"button\">X<\/button><\/div><\/div>\n\t\t\t<div class=\"elementskit-menu-overlay elementskit-menu-offcanvas-elements elementskit-menu-toggler ekit-nav-menu--overlay\"><\/div>        <\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-67b9755\" data-id=\"67b9755\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e5fee07 elementor-widget elementor-widget-elementskit-header-search\" data-id=\"e5fee07\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-header-search.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >        <a href=\"#ekit_modal-popup-e5fee07\" class=\"ekit_navsearch-button ekit-modal-popup\" aria-label=\"navsearch-button\">\n            <i aria-hidden=\"true\" class=\"icon icon-search\"><\/i>        <\/a>\n        <!-- language switcher strart -->\n        <!-- xs modal -->\n        <div class=\"zoom-anim-dialog mfp-hide ekit_modal-searchPanel\" id=\"ekit_modal-popup-e5fee07\">\n            <div class=\"ekit-search-panel\">\n            <!-- Polylang search - thanks to Alain Melsens -->\n                <form role=\"search\" method=\"get\" class=\"ekit-search-group\" action=\"https:\/\/educasangue.com.br\/\">\n                    <input type=\"search\" class=\"ekit_search-field\" aria-label=\"search-form\" placeholder=\"Pesquisar\" value=\"\" name=\"s\">\n\t\t\t\t\t<button type=\"submit\" class=\"ekit_search-button\" aria-label=\"search-button\">\n                        <i aria-hidden=\"true\" class=\"icon icon-search\"><\/i>                    <\/button>\n                <\/form>\n            <\/div>\n        <\/div><!-- End xs modal -->\n        <!-- end language switcher strart -->\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-3550216\" data-id=\"3550216\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-21e2acc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"21e2acc\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6a209ef\" data-id=\"6a209ef\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6a873c4 elementor-widget elementor-widget-heading\" data-id=\"6a873c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-large\">manuseio da<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3106c50 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3106c50\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b261f8b\" data-id=\"b261f8b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-409b218 elementor-widget elementor-widget-heading\" data-id=\"409b218\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">HEMORRAGIA MACI\u00c7A<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dff8665 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"dff8665\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5b88733 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5b88733\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9e3e003\" data-id=\"9e3e003\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0bc6f19 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0bc6f19\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7e10edd\" data-id=\"7e10edd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-850c451 elementor-widget elementor-widget-text-editor\" data-id=\"850c451\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A hemorragia maci\u00e7a est\u00e1 associada a alta morbidade e mortalidade.<\/p><p>\u00c9 o principal motivo de parada card\u00edaca na sala operat\u00f3ria e morte associada ao trauma e ao parto. Os protocolos institucionais para padroniza\u00e7\u00e3o do tratamento de\u00a0 pacientes com hemorragia e mapeamento da linha do cuidado s\u00e3o muito importantes. Todos os envolvidos devem saber o que fazer de forma articulada e eficaz, principalmente nos hospitais de atendimento ao trauma e a participa\u00e7\u00e3o do comit\u00ea transfusional intra-hospitalar \u00e9 essencial na defini\u00e7\u00e3o de um protocolo de orienta\u00e7\u00e3o para esse atendimento.<\/p><p><span style=\"font-size: 1rem;\">A<\/span><span style=\"font-size: 1rem;\">\u00a0<\/span><span style=\"font-size: 1rem; font-weight: bold;\">Ressuscita\u00e7\u00e3o e a Cirurgia de Controle de Dano<\/span><span style=\"font-size: 1rem;\">\u00a0<\/span><span style=\"font-size: 1rem;\">s\u00e3o o padr\u00e3o de tratamento. Essa abordagem envolve o uso d<\/span><span style=\"font-size: 1rem;\">e torniquetes e compressivos para reduzir a perda de sangue at\u00e9 a corre\u00e7\u00e3o anat\u00f4mica, restri\u00e7\u00e3o de cristal\u00f3ides, uso de antifibrinol\u00edticos, monitoramento e restaura\u00e7\u00e3o precoce\u00a0 da coagula\u00e7\u00e3o, al\u00e9m da corre\u00e7\u00e3o da hipotermia e acidose. <\/span>Os fatores fundamentais para a estabiliza\u00e7\u00e3o do paciente s\u00e3o:\u00a0 r\u00e1pido controle da hemorragia (para minimizar a perda de sangue); manuten\u00e7\u00e3o da capacidade de transporte de oxig\u00eanio; controle precoce da coagulopatia, com reposi\u00e7\u00e3o transfusional adequada; e tratamento da acidose e hipotermia.\u00a0<\/p><p><b style=\"font-size: 1rem;\">O manuseio do trauma e da hemorragia maci\u00e7a necessita de\u00a0<\/b><b style=\"font-size: 1rem;\">uma equipe de profissionais mobilizados e articulados que conhecem seu papel e sabem exatamente o que fazer no cen\u00e1rio de crise.<\/b><\/p><p><b style=\"font-size: 1rem;\">\u00a0<\/b><b style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: 1rem;\">Guidelines recentes<\/b><\/p><p><span style=\"color: var( --e-global-color-text ); font-family: Arial, Helvetica, sans-serif; font-size: 13.3333px; font-weight: bold;\">The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition.<\/span><span style=\"color: var( --e-global-color-text ); font-family: Arial, Helvetica, sans-serif; font-size: 13.3333px; font-weight: bold;\">\u00a0<\/span><span style=\"font-family: Arial, Helvetica, sans-serif;\"><span style=\"font-size: 13.3333px;\"><span style=\"font-weight: bold;\">R<\/span>ossaint, R., Afshari, A., Bouillon, B. et al. Crit Care 27, 80 (2023). https:\/\/doi.org\/10.1186\/s13054-023-04327-7Haematological management of major haemorrhage: a British Society for Haematology Guideline<br \/><\/span><\/span><a style=\"background-color: #ffffff; color: #000000; outline: 0px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: bold;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6436241\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6436241\/\u00a0<\/a><span style=\"font-family: Arial, Helvetica, sans-serif;\"><span style=\"font-size: 13.3333px;\"><br \/><\/span><\/span><\/p><p><span style=\"font-family: Arial, Helvetica, sans-serif;\"><span style=\"font-size: 13.3333px;\"><strong>Haematological management of major haemorrhage: a British Society for Haematology Guideline.<\/strong> British Journal of Haematology Volume 198, Issue 4 p. 654-667 (2022).Simon J. Stanworth, Kerry Dowling, Nikki Curry, Heidi Doughty, Beverley J. Hunt, Laura Fraser, Shruthi Narayan, Juliet Smith, Ian Sullivan, Laura Green, The Transfusion Task Force of the British Society for Haematology. https:\/\/doi.org\/10.1111\/bjh.18275<br \/><strong><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bjh.1827\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bjh.182<\/a><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bjh.1827\">7<\/a>5<\/strong><\/span><\/span><br \/><b><br \/><\/b><\/p><p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-740f620\" data-id=\"740f620\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a01d766 elementor-widget elementor-widget-heading\" data-id=\"a01d766\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conceitos importantes <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-632d332 elementor-widget elementor-widget-toggle\" data-id=\"632d332\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1031\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1031\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Como definir a hemorragia maci\u00e7a<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1031\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1031\"><p>A hemorragia maci\u00e7a \u00e9 definida como:<\/p><ol><li>Perda de mais de uma volemia em 24 horas (&gt; 5 litros em um adulto de 70 kg),<\/li><li>50% do volume total de sangue perdido em menos de 3 horas, ou<\/li><li>Sangramento estimado em mais de 150 mL\/minuto.<\/li><\/ol><p>Clinicamente pode-se reconhecer a hemorragia grave quando:<\/p><ol><li><b>Press\u00e3o arterial sist\u00f3lica &lt;90 mmHg\u00a0 e<\/b><\/li><li><b>Frequ\u00eancia card\u00edaca &gt;110 bpm.<\/b><\/li><\/ol><p>Nessa situa\u00e7\u00e3o, a interven\u00e7\u00e3o imediata com medidas de controle do sangramento \u00e9 o diferencial para a sobrevida do paciente.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1032\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1032\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">O que \u00e9 Transfus\u00e3o Maci\u00e7a - PTM<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1032\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1032\"><p>A TM pode ocorrer na Hemorragia Grave\u00a0 e tem um potencial de complica\u00e7\u00f5es decorrentes da gravidade cl\u00ednica do paciente e grande exposi\u00e7\u00e3o transfusional.\u00a0 Pode ser d<span style=\"font-size: 1rem;\">efinida, ema adultos, como:<\/span><\/p><p><span style=\"font-size: 0.9375rem;\"><b>a.<\/b> Reposi\u00e7\u00e3o de 10 ou mais unidades de CH em adultos em 24 horas, ou<br \/><\/span><span style=\"font-size: 0.9375rem;\"><b>b.<\/b> Reposi\u00e7\u00e3o de sangue &gt; 75 ml\/min em 24 horas, ou<\/span><span style=\"font-size: 0.9375rem;\"> 50% da volemia em 3 horas, ou<br \/><\/span><span style=\"font-size: 0.9375rem;\"><b>c.<\/b> Perda de 1,5 ml de sangue\/kg\/min em 20 minutos, ou<br \/><\/span><span style=\"font-size: 0.9375rem;\"><b>d. <\/b>Transfus\u00e3o de 4 U de CH em 1 hora.<\/span><\/p><p>Na crian\u00e7a, a TM pode ser definida como a reposi\u00e7\u00e3o transfusional de 50% da volemia em 3 horas ou 100% em 24 horas.\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1033\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1033\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Como identificar o paciente de risco<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1033\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1033\"><p><span style=\"font-size: 0.9375rem;\">Apenas 3 a 8% dos pacientes com hemorragia grave apresentam necessidade de TM.<\/span><\/p><p>\u00c9 extremamente importante identificar os pacientes de maior risco para receber transfus\u00e3o maci\u00e7a para iniciar rapidamente a ressuscita\u00e7\u00e3o com uma abordagem transfusional diferenciada voltada para a <b>preven\u00e7\u00e3o e tratamento<\/b> precoces da <b>coagulopatia<\/b> com reposi\u00e7\u00e3o balanceada de plasma e CH.<\/p><p><span style=\"font-size: 0.9375rem;\">Existem v\u00e1rios modelos propostos para avalia\u00e7\u00e3o do risco de TM.\u00a0<\/span><\/p><p><b>No trauma: <\/b><br \/>O escore <b>ABC<\/b> (Assesment of Blood Consumption) proposto em 2009 \u00e9 de f\u00e1cil utiliza\u00e7\u00e3o. Aplic\u00e1vel no cen\u00e1rio do trauma, apresenta altas taxas de sensibilidade e especificidade para predizer o risco de TM se pontua\u00e7\u00e3o maior ou igual a 2, considerando:<br \/>&#8211; Mecanismo da les\u00e3o: penetrante = 1<br \/>&#8211; Press\u00e3o sist\u00f3lica: &lt; 90mmHg = 1\u00a0<br \/><span style=\"font-size: 0.9375rem;\">&#8211; Frequ\u00eancia card\u00edaca: &gt;120 bpm = 1 <br \/>&#8211; FAST: positivo = 1<\/span><\/p><p><b style=\"font-size: 0.9375rem;\">N\u00e3o esque\u00e7a! <\/b><span style=\"font-size: 0.9375rem;\">No trauma, quando a pontua\u00e7\u00e3o do ABC for igual ou superior a dois, o paciente apresenta grande risco de ser submetido a TM.<\/span><\/p><p><span style=\"font-size: 0.9375rem;\">No paciente <b>cir\u00fargico<\/b> e na <b>obstetr\u00edcia<\/b> a PA sist\u00f3lica &lt;90mmHg e FC &gt; 120 bpm podem ser usadas como par\u00e2metro.<\/span><\/p><p>\u00c9 importante, entretanto, n\u00e3o se ater a uma avalia\u00e7\u00e3o aplicada em um \u00fanico momento, mas reavaliar o paciente periodicamente.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1034\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1034\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">O que \u00e9 a coagulopatia do trauma<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1034\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1034\"><p>A coagulopatia \u00e9 uma complica\u00e7\u00e3o grave da hemorragia grave associada ao trauma pode ser identificada na admiss\u00e3o, antes mesmo da ressuscita\u00e7\u00e3o vol\u00eamica em 1 a cada 4 pacientes e aumenta a mortalidade em 5 vezes.\u00a0<span style=\"font-size: 1rem;\">esclareceram o importante papel da ativa\u00e7\u00e3o da c\u00e9lula endotelial em sua fisiopatologia.\u00a0<\/span><span style=\"text-align: justify; font-size: 1rem;\">Quando hipoperfundido, o endot\u00e9lio secreta o Ativador do plasminog\u00eanio tecidual (t-PA) e aumenta a express\u00e3o de trombomodulina. O t-PA \u00e9 repons\u00e1vel pela convers\u00e3o de plasminog\u00eanio em plasmina aumentando a atividade fibrinol\u00edtica, enquanto a trombomodulina faz a ativa\u00e7\u00e3o da prote\u00edna C &#8211; que inibe os fatores V e VIII e induz anticoagula\u00e7\u00e3o end\u00f3gena, al\u00e9m da inibi\u00e7\u00e3o do inibidor de fibrin\u00f3lise PAI-1. Estas altera\u00e7\u00f5es favorecem o estado de hiperfibrin\u00f3lise. Quanto mais grave o trauma, maiores ser\u00e3o o dano tecidual e a chance de sangramento e instabilidade hemodin\u00e2mica; consequentemente, mais intenso ser\u00e1 o estado de anticoagula\u00e7\u00e3o end\u00f3gena e hiperfibrin\u00f3lise.\u00a0<\/span><\/p><p><span style=\"text-align: justify; font-size: 1rem;\">Dessa forma, o entendimento atual sobre a fisiopatologia da coagulopatia do trauma envolve:<\/span><\/p><ol><li><span style=\"text-align: justify; font-size: 1rem;\">Coagulopatia dilucional: associada a perda, consumo e dilui\u00e7\u00e3o dos integrantes da coagula\u00e7\u00e3o.<\/span><\/li><li><span style=\"font-size: 1rem; text-align: justify;\">Falha nos pr\u00e9-requisitos para um bom funcionamento da hemostasia: hipocalcemia, hipotermia e acidose.<\/span><\/li><li><span style=\"font-size: 1rem; text-align: justify;\">Hiperfibrin\u00f3lise e anticoagula\u00e7\u00e3o end\u00f3gena<\/span><\/li><\/ol><p><span style=\"font-size: 1rem; text-align: justify;\"><b>A coagulopatia deve ser identificada e tratada precocemente!<\/b><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1035\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1035\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">O que \u00e9 ressuscita\u00e7\u00e3o de controle de dano<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1035\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1035\"><ol><li><span style=\"text-align: justify; font-size: 1rem;\"><strong>Ressuscita\u00e7\u00e3o balanceada:<\/strong> O <\/span><span style=\"text-align: justify; font-size: 1rem;\">termo \u201cressuscita\u00e7\u00e3o agressiva\u201d foi eliminado e o padr\u00e3o de 2 litros de cristal\u00f3ides foi modificado para 1 litro.<\/span><\/li><li><strong>Ressuscita\u00e7\u00e3o hemost\u00e1tica:<\/strong> O uso de reposi\u00e7\u00e3o balanceada de plasma, plaquetas e hem\u00e1cias em uma propor\u00e7\u00e3o de 1:1:1 reduziu hemorragia nas primeiras 24 horas.<\/li><li><strong>Preven\u00e7\u00e3o de acidose, hipotermia e hipocalcemia:<\/strong> A corre\u00e7\u00e3o da acidose, hipotermia e hipocalcemia s\u00e3o essenciais para a estabiliza\u00e7\u00e3o do paciente.<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9466d6c elementor-widget elementor-widget-heading\" data-id=\"9466d6c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Recomenda\u00e7\u00f5es <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-385f38a elementor-widget elementor-widget-toggle\" data-id=\"385f38a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5911\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-5911\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Atendimento pr\u00e9-hospitalar<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5911\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-5911\"><p>Recomenda\u00e7\u00f5es para abordagem pr\u00e9-hospitalar do paciente com hemorragia maci\u00e7a:<\/p><p>1. Redu\u00e7\u00e3o do sangramento. O emprego de torniquetes e compress\u00e3o manual para reduzir o sangramento deve ser estimulado. <br \/>2. Utiliza\u00e7\u00e3o de agentes antifibrinol\u00edticos precocemente.<br \/>3. Restri\u00e7\u00e3o do uso de cristaloides.<br \/>4. Hipotens\u00e3o permissiva em pacientes sem trauma cranioencef\u00e1lico. <br \/>5. Redu\u00e7\u00e3o do tempo de chegada ao hospital, com transporte direto para um centro de trauma preparado para o atendimento.<br \/>6. Cuidados para controle da hipotermia.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5912\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-5912\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Manuseio da oxigena\u00e7\u00e3o tecidual,tipo de fluido e temperatura<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5912\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-5912\"><ul><li>Manter PAS entre 80-90 mmHg at\u00e9 controle do sangramento (exce\u00e7\u00e3o para TCE).<\/li><li>Uso de cristaloides isot\u00f4nicos de forma restritiva at\u00e9 controle de press\u00e3o arterial (&lt; 1000 ml).<\/li><li>Vasopressores podem ser \u00fateis.<\/li><li>Uso precoce de estrat\u00e9gias para manter a temperatura corporal entre 36\u00baC e 37\u00baC.<\/li><li>Transfus\u00e3o de CH: manter Hb de 7a 9 g\/dL.\u00a0<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5913\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-5913\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">R\u00e1pido controle do sangramento<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5913\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-5913\"><ul><li>Usar compress\u00e3o e torniquetes.<\/li><li>Empregar cirurgia de controle de dano em pacientes com choque grave, hemorragia ativa ou coagulopatia.<\/li><li>Cirurgia definitiva em pacientes est\u00e1veis sem fatores de risco (coagulopatia, acidose, hipotermia, les\u00e3o anat\u00f4mica\u00a0 inacess\u00edvel).<\/li><li>Estabilizar pelvis se les\u00e3o de cintura p\u00e9lvica.<\/li><li>Utilizar agentes hemost\u00e1ticos e emboliza\u00e7\u00e3o<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5914\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-5914\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Manuseio precoce da coagula\u00e7\u00e3o<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5914\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-5914\"><ul><li>Iniciar reposi\u00e7\u00e3o de plasma na propor\u00e7\u00e3o de 1 plasma para cada hem\u00e1cia transfundida (nunca mais de 1 plasma para cada 2 hem\u00e1cias).<\/li><li>N\u00e3o esquecer da dosagem e reposi\u00e7\u00e3o de\u00a0 fibrinog\u00eanio (CRIO ou hemoderivado) e plaquetas.<\/li><li>Iniciar \u00e1cido tranex\u00e2mico o mais rapidamente poss\u00edvel, at\u00e9 3 horas do trauma.<\/li><li>Avaliar a coagula\u00e7\u00e3o a cada 30-60 minutos, com testes convencionais ou viscoel\u00e1sticos.<\/li><\/ul><p><span style=\"text-align: justify;\"><b>Lembre-se! <\/b>O uso balanceado de Plasma e Hem\u00e1cias se mostrou mais efetivo no controle da coagulopatia que a abordagem tradicional Cristal\u00f3ides &#8211; CH &#8211; Outros hemocomponentes. Transfundir Plasma e CH em uma rela\u00e7\u00e3o 1:1 mostrou redu\u00e7\u00e3o de 46% na mortalidade quando comparado \u00e0 rela\u00e7\u00e3o convencional de 1:8 em pacientes com necessidade de transfus\u00e3o maci\u00e7a.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5915\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-5915\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Antifibrinol\u00edtico<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5915\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-5915\"><p>O <strong>\u00c1cido Tranex\u00e2mico (ATX)<\/strong> \u00e9 o antifibrinol\u00edtico de escolha para uso em pacientes com hemorragia grave. Sua utiliza\u00e7\u00e3o diminui o sangramento em cirurgias eletivas reduzindo em cerca de um ter\u00e7o a necessidade de transfus\u00f5es. No sangramento associado ao trauma, o TXA \u00e9 ben\u00e9fico se usado at\u00e9 tr\u00eas horas depois do evento, com redu\u00e7\u00e3o significativa do risco de morte devido a hemorragia. Ap\u00f3s tr\u00eas horas o uso do TXA aumenta o risco de complica\u00e7\u00f5es. O TXA tem baixo custo, \u00e9 de f\u00e1cil utiliza\u00e7\u00e3o e deve ser incorporado no manuseio do trauma, inclusive no atendimento pr\u00e9-hospitalar.\u00a0<\/p><p><b>At\u00e9 3 horas do trauma:<\/b><\/p><ul><li><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: 1rem; font-weight: bold;\">dose de ataque: <\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">1 g (4 ampolas) em 10 minutos por inje\u00e7\u00e3o intravenosa. Em pediatria usar <\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">15<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 0.9375rem;\"> mg\/kg at\u00e9 a dose total de 1g;<\/span><\/li><li><span style=\"font-size: 0.9375rem;\"><b>dose de manuten\u00e7\u00e3o: <\/b>1 g (4 ampolas) em 8 horas em infus\u00e3o intravenosa isot\u00f4nica cont\u00ednua (em bomba de infus\u00e3o). Em pediatria usar 5 mg\/kg\/h.<\/span><\/li><\/ul><p><span style=\"font-weight: bold;\">At\u00e9 3 horas do parto:\u00a0<\/span><\/p><ul><li><span style=\"font-weight: bold;\">dose de ataque: <\/span>1 g (4 ampolas) em 20 minutos por inje\u00e7\u00e3o intravenosa ou em infus\u00e3o intravenosa isot\u00f4nica;<\/li><li><span style=\"font-size: 0.9375rem;\"><span style=\"font-weight: bold;\">se persist\u00eancia do sangramento ap\u00f3s 30 minutos ou ressangramento em 24 horas: <\/span>repetir a mesma dose.\u00a0<\/span><\/li><\/ul><p><span style=\"font-size: 0.9375rem;\"><b>Outras situa\u00e7\u00f5es de sangramento grave<\/b>, <b>considerar:<\/b> <\/span><\/p><ul><li><span style=\"font-size: 0.9375rem;\">1<\/span><span style=\"font-size: 0.9375rem;\">\u00a0g (4 ampolas) em 20 minutos por inje\u00e7\u00e3o intravenosa ou em infus\u00e3o intravenosa isot\u00f4nica.<\/span><\/li><\/ul><p><span style=\"font-size: 0.9375rem;\"><b>E o \u00c1cido Epsilon Aminocapr\u00f3ico (AEAC) pode ser \u00fatil?<\/b><\/span><\/p><p><b><\/b><span style=\"font-size: 0.9375rem;\">Somente na indisponibilidade do ATX! Lembre que o AEAC tem a\u00e7\u00e3o 10 vezes inferior ao ATX e s\u00f3 deve ser\u00a0 usado como \u00faltima op\u00e7\u00e3o:<br \/><\/span><b style=\"font-size: 0.9375rem;\">&#8211; dose de ataque: <\/b><span style=\"font-size: 0.9375rem;\">150 mg\/Kg em bolus;<br \/><\/span><span style=\"font-size: 0.9375rem;\">&#8211;<\/span><b style=\"font-size: 0.9375rem;\"> dose de manuten\u00e7\u00e3o:<\/b><span style=\"font-size: 0.9375rem;\"> 15mg\/Kg\/hora de peso em infus\u00e3o cont\u00ednua at\u00e9 parada do sangramento.<\/span><\/p><p><span style=\"font-size: 0.9375rem;\"><strong>Simplificando o c\u00e1lculo:<\/strong> em adultos, usar 9 ampolas de AEAC em dose de ataque e passar para 1 ampola\/kg\/hora em infus\u00e3o cont\u00ednua at\u00e9 parada do sangramento. A apresenta\u00e7\u00e3o mais comum s\u00e3o ampolas de 1g.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5916\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-5916\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Monitoramento laboratorial<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5916\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-5916\"><p><span style=\"font-size: 1rem;\">O monitoramento laboratorial deve ser iniciado no momento da chegada do paciente ao servi\u00e7o hospitalar<\/span><span style=\"font-size: 1rem;\">\u00a0com a<\/span>\u00a0coleta de amostras feita pelo pessoal respons\u00e1vel pelo atendimento inicial do paciente antes da reposi\u00e7\u00e3o de fluidos e sangue. As amostras s\u00e3o enviadas ao laborat\u00f3rio e \u00e0 Ag\u00eancia Transfusional.\u00a0<\/p><p><b style=\"font-size: 1rem; color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\">Sangue venoso:<\/b><\/p><p><span style=\"font-size: 1rem;\">&#8211;\u00a0<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">tubo de pelo menos 5 mL com EDTA &#8211; tampa roxa para h<\/span><span style=\"font-size: 1rem; color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight );\">emat\u00f3crito, hemoglobina e plaquetas<\/span><\/p><p><span style=\"font-size: 1rem;\">&#8211;\u00a0<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">tubo de pelo menos 3,5 mL com citrato &#8211; tampa azul para\u00a0<\/span><span style=\"font-size: 1rem; color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight );\">TAP, TTPa e Fibrinog\u00eanio (NUNCA esque\u00e7a o fibrinog\u00eanio).\u00a0\u00a0<\/span><\/p><p><span style=\"font-size: 1rem;\">&#8211;\u00a0<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">tubo de pelo menos 3,5 mL com citrato &#8211; tampa azul para t<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">este tromboel\u00e1stico (ROTEM) quando dispon\u00edvel<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">.\u00a0<\/span><\/p><p><span style=\"font-size: 1rem;\"><b>Sangue arterial:<\/b><\/span><\/p><p><span style=\"font-size: 1rem;\">&#8211;\u00a0<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">tubo ou seringa com heparina &#8211; tampa verde para g<\/span><span style=\"font-size: 1rem; color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight );\">asometria (pH, BE e Ca)<\/span><\/p><p><span style=\"font-size: 1rem;\"><b>Os tubos devem estar corretamente identificados com:<\/b><br \/><\/span><span style=\"font-size: 1rem;\">&#8211; Nome completo do paciente<br \/>&#8211; N\u00famero do registro no hospital (Prontu\u00e1rio, Boletim de Emerg\u00eancia ou outro cadastro dispon\u00edvel)<br \/>&#8211; Data e hora da coleta\u00a0<br \/>&#8211; Nome do profissional respons\u00e1vel pela coleta<br \/><\/span><span style=\"font-size: 1rem;\">Obs: Para pacientes desconhecidos, situa\u00e7\u00e3o frequente no atendimento de urg\u00eancia, o servi\u00e7o hospitalar deve ter um padr\u00e3o para orientar o atendimento.\u00a0<\/span><\/p><p><b>E para as transfus\u00f5es? <\/b>A Ag\u00eancia Transfusional precisa receber 1 tubo de pelo menos 5ml com EDTA &#8211; tampa roxa para tipagem ABO e RhD e realiza\u00e7\u00e3o dos testes transfusionais, o mais rapidamente poss\u00edvel.<\/p><div><p><b style=\"font-size: 1rem;\">Lembre! <\/b><span style=\"font-size: 1rem;\">A coleta de sangue deve ser feita o mais <\/span><b style=\"font-size: 1rem;\">precocemente<\/b><span style=\"font-size: 1rem;\"> poss\u00edvel pela <\/span><b style=\"font-size: 1rem;\">equipe respons\u00e1vel pelo atendimento inicial<\/b><span style=\"font-size: 1rem;\"> do paciente e repetida uma hora ap\u00f3s o in\u00edcio do tratamento e posteriormente, a crit\u00e9rio cl\u00ednico, para monitorar evolu\u00e7\u00e3o e resposta \u00e0s medidas terap\u00eauticas. Aguardar a equipe do laborat\u00f3rio ou da ag\u00eancia transfusional para fazer a coleta pode retardar os resultados desnecessariamente e atrapalhar o acompanhamento do paciente.<\/span><\/p><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5917\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-5917\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Conduzindo a fase cega - reposi\u00e7\u00e3o balanceada<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5917\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-5917\"><p>Ap\u00f3s reconhecimento da situa\u00e7\u00e3o de risco para TM e coleta de amostras para a Ag\u00eancia e Laborat\u00f3rio, passar para a reposi\u00e7\u00e3o de Plasma e Concentrado de Hem\u00e1cias, na propor\u00e7\u00e3o de 1 unidade de plasma para cada unidade de hem\u00e1cias. O objetivo \u00e9 manter\u00a0 a propor\u00e7\u00e3o de Plasma:CH em 1:1 ou no m\u00e1ximo 1:2.\u00a0<span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">Padronizar a libera\u00e7\u00e3o de componentes em pacotes, at\u00e9 a chegada dos exames laboratoriais \u00e9 uma boa estrat\u00e9gia.\u00a0<\/span><\/p><p>Uma proposta para organiza\u00e7\u00e3o da libera\u00e7\u00e3o de componentes pode ser:<br \/><b style=\"font-size: 0.9375rem;\">1\u00ba pacote:\u00a0<\/b><span style=\"font-size: 0.9375rem;\">4 unidades de CH e 04 unidades de Plasma descongelado; <br \/><b>2\u00ba pacote:<\/b><\/span><span style=\"font-size: 1rem;\"><b>\u00a0<\/b><\/span><span style=\"font-size: 0.9375rem;\">4 unidades de CH (grupo O) e 04 unidades de Plasma descongelado.<br \/><\/span><span style=\"font-size: 0.9375rem;\"><b>Plaquetas e crioprecipitado<\/b>: Considerar\u00a0<\/span><span style=\"font-size: 15px; color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight );\">15 a 20 unidades de crioprecipitado ap\u00f3s o t\u00e9rmino dos pacotes e\u00a0<\/span><span style=\"font-size: 0.9375rem; color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight );\">uma dose de plaquetas (1 pool de buffy-coat ou 1 unidade de plaquetas por af\u00e9rese) se os exames ainda n\u00e3o estiverem dispon\u00edveis. Mas o melhor \u00e9 agilizar os exames e diminuir a libera\u00e7\u00e3o de hemocomponentes na forma de pacotes.<\/span><\/p><p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">Cada hospital precisa ter um protocolo de solicita\u00e7\u00e3o e libera\u00e7\u00e3o de CH em regime de urg\u00eancia. Nesses c<\/span><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">asos, o m\u00e9dico assistente deve assinar o Termo de Responsabilidade M\u00e9dica dispon\u00edvel na Requisi\u00e7\u00e3o de Transfus\u00e3o (RT) para libera\u00e7\u00e3o de CH com provas pr\u00e9-transfusionais em andamento.\u00a0<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5918\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-5918\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Conduzindo a fase guiada - reposi\u00e7\u00e3o guiada por metas<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5918\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-5918\"><p>Quando os exames laboratoriais estiverem dispon\u00edveis, recomenda-se:\u00a0<\/p><p>Transfus\u00e3o de <strong>CH<\/strong> se Hb em queda para manter Hb entre 7 e 9 g\/dL;<br \/>Transfus\u00e3o de <strong>PFC<\/strong> (15 a 20 mL\/Kg) se INR (TAP) ou R (TTPa) &gt; 1,5; <br \/><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: 1rem; font-weight: var( --e-global-typography-text-font-weight );\">Transfus\u00e3o de <strong>Crio<\/strong> se fibrinog\u00eanio &lt; 150 mg\/dl ( a quantidade de bolsas de CRIO depende da dosagem de fibrinog\u00eanio, hemat\u00f3crito e peso do paciente).<br \/><\/span>Transfus\u00e3o de <strong>CP<\/strong> se contagem &lt;50.000\/mm3 ou &lt;100.000 se houver trauma cr\u00e2nio-encef\u00e1lico.<br \/><br \/><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-5919\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-5919\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Compatibilidade sangu\u00ednea na emerg\u00eancia<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-5919\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-5919\"><p>Antes de saber o grupo do paciente, use sempre componentes universais, que apresentam menor risco de hem\u00f3lise:\u00a0<\/p><ul><li><span style=\"font-size: 1rem;\">para o sistema ABO: hem\u00e1cias O e plasma AB ou A com baixo t\u00edtulo de isoaglutinina;<\/span><\/li><li><span style=\"font-size: 1rem;\">para o sistema RhD: hem\u00e1cias <\/span><span style=\"font-size: 1rem;\">RhD negativo preferencialmente para mulheres abaixo de 50 anos e<\/span><span style=\"font-size: 1rem;\">\u00a0RhD positivo para homens e mulheres ap\u00f3s 50 anos de idade.<\/span><\/li><\/ul><p><b>Lembre-se! <\/b>As\u00a0provas pr\u00e9-transfusionais ser\u00e3o SEMPRE realizadas mesmo ap\u00f3s a libera\u00e7\u00e3o da unidade e in\u00edcio da transfus\u00e3o. A libera\u00e7\u00e3o de componentes universais deve ser imediatamente substitu\u00edda por unidades do mesmo grupo do paciente t\u00e3o logo sua classifica\u00e7\u00e3o sangu\u00ednea for conhecida.\u00a0<\/p><p><b>Inicie com componentes universais e passe para componentes isogrupo assim que poss\u00edvel!<\/b><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ddc3f7c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ddc3f7c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b595ed5\" data-id=\"b595ed5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-241fd09 elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"241fd09\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-burn\"><\/i><\/div>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6c70aa3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6c70aa3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e51bd89\" data-id=\"e51bd89\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f92834 elementor-widget elementor-widget-heading\" data-id=\"2f92834\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vamos conhecer um protocolo?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-001b8d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"001b8d9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c06cc13\" data-id=\"c06cc13\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-1143ae1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1143ae1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-291a624\" data-id=\"291a624\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b8158e elementor-widget elementor-widget-text-editor\" data-id=\"5b8158e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>O Protocolo de Hemorragia desenvolvido pelo Comit\u00ea Transfusional do <strong>Instituto dr. Jos\u00e9 Frota<\/strong> e o <strong>Hemoce<\/strong>, \u00e9 utilizado no hospital desde 2017. At\u00e9 junho de 2023, mais de <strong>1.500 pacientes politraumatizados<\/strong> encaminhados ao hospital, que \u00e9 o maior centro de trauma do Cear\u00e1 e um dos maiores do Brasil, foram inseridos no protocolo e atendidos de acordo com suas recomenda\u00e7\u00f5es. A implementa\u00e7\u00e3o das estrat\u00e9gias de controle de dano, com utiliza\u00e7\u00e3o de transfus\u00e3o balanceada, antifibrinol\u00edtico, monitoramento laboratorial e inclus\u00e3o do fibrinog\u00eanio na avalia\u00e7\u00e3o laboratorial do paciente foram as primeiras estrat\u00e9gias incorporadas. Com a evolu\u00e7\u00e3o e amadurecimento do protocolo, foram implementadas a recupera\u00e7\u00e3o intra-operat\u00f3ria de sangue 24 horas por dia e a Tromboelastometria Rotacional para acompanhamento das poss\u00edveis altera\u00e7\u00f5es da coagula\u00e7\u00e3o apresentadas. Hoje, o protocolo est\u00e1 em sua nona revis\u00e3o e conta com uma equipe de enfermagem dedicada ao atendimento e acompanhamento dos pacientes, em parceria com o Hemoce.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d874ddc\" data-id=\"d874ddc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2263b49 elementor-widget elementor-widget-image\" data-id=\"2263b49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2023\/09\/Protocolo-de-Hemorragia-Macica-no-Trauma_IJF_JUL_2023-3.png\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"212\" height=\"300\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2023\/09\/Protocolo-de-Hemorragia-Macica-no-Trauma_IJF_JUL_2023-3-212x300.png\" class=\"attachment-medium size-medium wp-image-6139\" alt=\"\" srcset=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2023\/09\/Protocolo-de-Hemorragia-Macica-no-Trauma_IJF_JUL_2023-3-212x300.png 212w, https:\/\/educasangue.com.br\/wp-content\/uploads\/2023\/09\/Protocolo-de-Hemorragia-Macica-no-Trauma_IJF_JUL_2023-3-724x1024.png 724w, https:\/\/educasangue.com.br\/wp-content\/uploads\/2023\/09\/Protocolo-de-Hemorragia-Macica-no-Trauma_IJF_JUL_2023-3-768x1086.png 768w, https:\/\/educasangue.com.br\/wp-content\/uploads\/2023\/09\/Protocolo-de-Hemorragia-Macica-no-Trauma_IJF_JUL_2023-3-1086x1536.png 1086w, https:\/\/educasangue.com.br\/wp-content\/uploads\/2023\/09\/Protocolo-de-Hemorragia-Macica-no-Trauma_IJF_JUL_2023-3-1448x2048.png 1448w, https:\/\/educasangue.com.br\/wp-content\/uploads\/2023\/09\/Protocolo-de-Hemorragia-Macica-no-Trauma_IJF_JUL_2023-3.png 1587w\" sizes=\"100vw\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Protocolo de Hemorragia Maci\u00e7a no Trauma  - IJF Rev.009  - Imagem cedida pelo Comit\u00ea Transfusional do IJF<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d3dad8 elementor-widget elementor-widget-heading\" data-id=\"4d3dad8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Que tal um conselho de quem entende do assunto?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9e76dd6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9e76dd6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cfc1bec\" data-id=\"cfc1bec\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a91821f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a91821f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-3683489\" data-id=\"3683489\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ba6f9dc elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"ba6f9dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"https:\/\/rdcr.org\/\" tabindex=\"-1\"><img decoding=\"async\" width=\"137\" height=\"137\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2019\/05\/head-spinella.png\" class=\"attachment-full size-full wp-image-1079\" alt=\"\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\"><a href=\"https:\/\/rdcr.org\/\"><h4 class=\"elementor-heading-title elementor-size-default elementor-inline-editing pen\" data-elementor-setting-key=\"title\" data-pen-placeholder=\"Digite aqui...\" style=\"line-height: 1.4em;margin-bottom: 0px;font-size: 18px;font-weight: 500;letter-spacing: 0.2px\">\u00c1gua com sal \u00e9 para cozinhar macarr\u00e3o, hemorragia se trata com sangue.<\/h4><\/a><\/h3><p class=\"elementor-image-box-description\">\n\nEsse aforisma, de autoria de dr. Phillip C. Spinella, MD, foi divulgada no Congresso da Associa\u00e7\u00e3o Americana de Bancos de Sangue - AABB em 2017 e gentilmente cedida para uso do Hemoce pelo autor.\n\nDr. Spinella \u00e9 fundador do\nThe Traumatic Hemostasis and Oxygenation Research (THOR) Network.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-inner-column elementor-element elementor-element-b464a0a\" data-id=\"b464a0a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ec98aad elementor-widget elementor-widget-video\" data-id=\"ec98aad\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=nHF4jCsCdM0&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e0d644 elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"9e0d644\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-burn\"><\/i><\/div>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-57dd4e0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"57dd4e0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4c96ceb\" data-id=\"4c96ceb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-34dec45 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"34dec45\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-8fb797e\" data-id=\"8fb797e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1b6d9d4 elementor-position-top elementor-widget elementor-widget-image-box\" data-id=\"1b6d9d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><a href=\"http:\/\/tuttoriasaude.com.br\/\" target=\"_blank\" tabindex=\"-1\"><img loading=\"lazy\" decoding=\"async\" width=\"266\" height=\"266\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2019\/05\/Daniel-Lima.png\" class=\"attachment-full size-full wp-image-1659\" alt=\"\" \/><\/a><\/figure><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\"><a href=\"http:\/\/tuttoriasaude.com.br\/\" target=\"_blank\"><h4 class=\"elementor-heading-title elementor-size-default elementor-inline-editing pen\" data-elementor-setting-key=\"title\" data-pen-placeholder=\"Digite aqui...\" style=\"line-height: 1.4em;margin-bottom: 0px;font-size: 18px;font-weight: 500;letter-spacing: 0.2px\">\u00c1cido Tranex\u00e2mico reduz compressas na cirurgia e diminui mortalidade .<\/h4><\/a><\/h3><p class=\"elementor-image-box-description\">\n\nEssa frase de dr. Daniel Lima foi usada pelo comit\u00ea transfusional do IJF na campanha Transfus\u00e3o eu levo a s\u00e9rio em 2018. Dr. Daniel \u00e9 cirurgi\u00e3o, instrutor do ATLS e membro da SBAIT. \u00c9 diretor pedag\u00f3gico do Instituto Tuttoria voltado para educa\u00e7\u00e3o m\u00e9dica e faz parte do Comit\u00ea Transfusional do IJF.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-inner-column elementor-element elementor-element-81c0f02\" data-id=\"81c0f02\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c929daa elementor-widget elementor-widget-video\" data-id=\"c929daa\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/www.youtube.com\\\/watch?v=32kct2-3L78&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-18e702a elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"18e702a\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-93e2237\" data-id=\"93e2237\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4837ef8 elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"4837ef8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-burn\"><\/i><\/div>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1a5b4e1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1a5b4e1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-6dfd4ce\" data-id=\"6dfd4ce\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-2d3b42b\" data-id=\"2d3b42b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8135e38 elementor-widget elementor-widget-heading\" data-id=\"8135e38\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Baixe nosso aplicativo<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3fe1f92 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3fe1f92\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-34abc91\" data-id=\"34abc91\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-443ee89 elementor-widget elementor-widget-image\" data-id=\"443ee89\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.educasangue&#038;hl=pt-BR\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"215\" height=\"71\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/12\/v11_google_play.png\" class=\"attachment-full size-full wp-image-4523\" alt=\"\" sizes=\"100vw\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-cb7d217\" data-id=\"cb7d217\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-30c7117 elementor-widget elementor-widget-image\" data-id=\"30c7117\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/apps.apple.com\/us\/app\/educasangue\/id1530396042\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"215\" height=\"71\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/12\/v11_app_store.png\" class=\"attachment-full size-full wp-image-4524\" alt=\"\" sizes=\"100vw\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e8d7be2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e8d7be2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-8270c2b\" data-id=\"8270c2b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8537dbd elementor-widget elementor-widget-image\" data-id=\"8537dbd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/elementskit.xpeedstudio.com\/\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1700\" height=\"394\" src=\"https:\/\/educasangue.com.br\/wp-content\/uploads\/2020\/07\/LOGO-EDUCASANGUE-PRESERVA.png\" class=\"attachment-full size-full wp-image-3223\" alt=\"\" sizes=\"100vw\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ab3083 elementor-widget elementor-widget-elementskit-social-media\" data-id=\"1ab3083\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-social-media.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\t\t\t <ul class=\"ekit_social_media\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"elementor-repeater-item-da8f4de\">\n\t\t\t\t\t    <a\n\t\t\t\t\t\thref=\"https:\/\/m.facebook.com\/educasangue1\" aria-label=\"Facebook\" class=\"facebook\" >\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-facebook\"><\/i>\n                                                                                                            <\/a>\n                    <\/li>\n                    \t\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"elementor-repeater-item-c8596be\">\n\t\t\t\t\t    <a\n\t\t\t\t\t\thref=\"#\" aria-label=\"Instagram\" class=\"2\" >\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-instagram-2\"><\/i>\n                                                                                                            <\/a>\n                    <\/li>\n                    \t\t\t\t\t\t\t<\/ul>\n\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f3075c elementor-widget elementor-widget-text-editor\" data-id=\"7f3075c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>O conte\u00fado deste site corresponde ao Manual de Uso Racional de Sangue\u00a0<br \/>DIRT GER 03<br \/>Centro de Hematologia e Hemoterapia do Cear\u00e1 &#8211; HEMOCE <br \/>2<a href=\"https:\/\/educasangue.com.br\/index.php\/versionamento\/\" target=\"_blank\" rel=\"noopener\">\u00aa Revis\u00e3o (08\/04\/2022)<\/a>.<\/p><p><span style=\"font-size: 10pt;\"><strong>Elaborado por: <\/strong>Luciana Carlos\u00a0 \u00a0 \u00a0<strong>Revisado por: <\/strong>Luany Mesquita\u00a0 \u00a0 \u00a0<strong>Aprovado por: <\/strong>Denise Brunetta<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af6a339 elementor-widget elementor-widget-text-editor\" data-id=\"af6a339\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00a92019 &#8211; 2022.\u00a0 Todos os direitos reservados.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-26d0e9e\" data-id=\"26d0e9e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Home sobre PBM O que \u00e9 PBM? PBM no Cear\u00e1 Transfus\u00e3o Quando transfundir Como evitar a transfus\u00e3o desnecess\u00e1ria Procedimento de transfus\u00e3o Suspeita de rea\u00e7\u00e3o transfusional Testes pr\u00e9-transfusionais Dicas Evid\u00eancias Download Fale conosco X Home sobre PBM O que \u00e9 PBM? PBM no Cear\u00e1 Transfus\u00e3o Quando transfundir testes pr\u00e9 transfusionais Procedimento de transfus\u00e3o Suspeita de rea\u00e7\u00e3o &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/educasangue.com.br\/index.php\/como-transfundir\/\" class=\"more-link\">Continue lendo<span class=\"screen-reader-text\"> &#8220;MHEG&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-400","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>MHEG - EducaSangue<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/educasangue.com.br\/index.php\/como-transfundir\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MHEG - EducaSangue\" \/>\n<meta property=\"og:description\" content=\"Home sobre PBM O que \u00e9 PBM? PBM no Cear\u00e1 Transfus\u00e3o Quando transfundir Como evitar a transfus\u00e3o desnecess\u00e1ria Procedimento de transfus\u00e3o Suspeita de rea\u00e7\u00e3o transfusional Testes pr\u00e9-transfusionais Dicas Evid\u00eancias Download Fale conosco X Home sobre PBM O que \u00e9 PBM? 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