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Haematology in Critical Care: A Practical Handbook



Haematology in Critical Care: A Practical Handbook

Jecko Thachil, Quentin Hill

ISBN: 978-1-118-86916-1 March 2014 Wiley-Blackwell 264 Pages


Issues of thrombosis, bleeding, and transfusion are extremely common, and often complex, in critically ill patients.

Haematology in Critical Care: A Practical Handbookprovidesa dependable source of expert guidance on how to handle common haematological problems seen in the critical care setting, as well as the acute care of patients with a primary haematological disorder.

Full-time clinical haematologists, regularly attending on intensive care, the Editors begin with an approach to abnormal laboratory tests, following with a disease-orientated approach to topics such as coagulation and haematological malignancy. Other key topics include paediatric and neonatal care, transfusion, point of care testing and the emergency presentation of haematological disease.

This title brings together two of the most highly scientific specialties in clinical practice, delivering a practical approach to these problems, and guiding the clinician through the diagnosis and management of common scenarios  encountered in the ICU.

List of Contributors, v

Preface, ix

Acknowledgements, x

Section 1 Approach to Abnormal Blood Tests

1 Diagnostic Approach to Anaemia in Critical Care, 3
Stephen F. Hawkins and Quentin A. Hill

2 Leukopenia, 9
Stephen F. Hawkins, Jecko Thachil and Quentin A. Hill

3 Thrombocytopenia in the Intensive Care Unit, 12
Jecko Thachil

4 High Blood Counts, 16
Quentin A. Hill

5 The Abnormal Clotting Profile, 26
Jecko Thachil

6 Understanding the Blood Film, 31
Stephen F. Hawkins and Quentin A. Hill

Section 2 Approach to Coagulation Problems

7 Venous Thromboembolism in Intensive Care, 39
Sarah A. Bennett and Roopen Arya

8 Reversal and Monitoring of Anticoagulants, 45
Joost J. van Veen

9 Disseminated Intravascular Coagulation, 52
Jecko Thachil

10 Heparin-Induced Thrombocytopenia, 58
Jerrold H. Levy and Anne M. Winkler

11 Thrombotic Microangiopathies, 62
Mari Thomas and Marie Scully

12 Critical Care of Patients with a Congenital Bleeding Disorder, 69
Vanessa Martlew

Section 3 Approach to Transfusion Problems

13 Blood Components and Their Contents, 77
Shubha Allard

14 Transfusion Reactions, 86
Therese A. Callaghan

15 The Management of Non-traumatic Massive Haemorrhage, 93
Nicola S. Curry and Simon J. Stanworth

16 Plasma Exchange, 100
Khaled El-Ghariani

Section 4 Approach to Red Cell Problems

17 Appropriate Haemoglobin in Intensive Care, 107
Jonathan Wallis and Stephen Wright

18 Sickle Cell Disease and Thalassaemia in the Critical Care Setting, 112
Andrew Retter and Jo Howard

19 Management of Patients Who Refuse Blood Transfusion, 118
Derek R. Norfolk and Fran Hartley

Section 5 Approach to White Cell Problems

20 Infectious Complications in the Immunosuppressed Patient, 125
Tim Collyns and Elankumaran Paramasivam

21 Haematopoietic Stem Cell Transplantation (HSCT), 135
John Snowden and Stephen Webber

22 Multiple Myeloma and Hyperviscosity Syndrome, 144
Amin Rahemtulla and Joydeep Chakrabartty,

23 Palliative Care for the Patient with Haematological Malignancy in Intensive Care, 148
Suzanne Kite

Section 6 Admission to Intensive Care

24 Haematological Malignancy Outside Intensive Care: Current Practice and Outcomes, 159
Charlotte Kallmeyer

25 Early Care of the Unstable Patient: Preventing Admission to the Intensive Care Unit, 165
Andrew Breen

26 Decisions to Intensify Treatment: Who Will Benefit from Intensive Care?, 171
Quentin A. Hill and Peter A. Hampshire

Section 7 Point-of-Care Testing

27 The Relevance of Thromboelastography in Intensive Care Patients, 179
Jon Bailey and Nicola S. Curry

Section 8 Haematology Drugs in Critical Care

28 Recombinant Activated Coagulation Factor VII (rFVIIa) in Critical Care, 187
Leon Cloherty and Richard Wenstone

29 The Use of Haemostatic Drugs in Post-operative Bleeding, 192
Catharina Hartman and Nigel Webster

30 Delivering Chemotherapy on Intensive Care, 196
Arvind Arumainathan and Daniel Collins

Section 9 Haematology in Paediatric and Neonatal Intensive Care

31 Neonatal Anaemia, 207
Michael Richards

32 Haemolysis, 213
Michael Richards

33 Approach to Thrombocytopenia, 219
Amrana Qureshi

34 Blood Component Therapy in Children and Neonates, 224
Anne Kelly, Simon J. Stanworth and Helen V. New

Section 10 Haematological Emergencies

35 Haematological Emergencies, 235
Quentin A. Hill and Amin Rahemtulla

Appendix A: Adult, Paediatric and Neonatal Haematology Reference Intervals, 243
Quentin A. Hill

Index, 249