Massive Transfusion Protocol
blood products blood safety massive transfusion protocol patient safety perioperativenursing Nov 24, 2023
The Massive Transfusion Protocol (MTP) in the perioperative setting aims to connect the perioperative team with the hospital’s blood bank and transport teams so that everyone is making the right decisions about how to keep the patient alive, minimise harm and minimise wastage. 🩸📢🚨
Here it is in a nutshell:
🚨 ACTIVATION.
The MTP is activated by calling the blood bank, stating the patient’s details, your location, your name and your intentions to activate the MTP.
🚨BASELINE SAMPLES.
FBE, coagulation studies, UEC and ABG.
🚨BLOOD PRODUCTS
The blood bank will then liaise with a haematologist and (usually) send you 4 units of PRBC, 2 units FFP +/- platelets or cryoprecipitate.
🚨MONITOR
Further products and drugs will be guided by reported ongoing blood loss and results of repeat sampling of full blood count, coagulation, ionised calcium and ABGs.
🚨TARGET
Your team is aiming for:
👉 Temp >35
👉 pH >7.2
👉 Lactate < 4
👉 INR < 1.5
👉 Fibrinogen > 1g/L
👉 Adequate tissue perfusion and Hb > 70
Build knowledge. ✅
Improve safety. ✅
Ref: https://www.lifeblood.com.au/health-professionals/clinical-practice/clinical-indications/massive-transfusion
Stay connected with news and updates!
Join our mailing list to receive the latest news and updates from our team.
Don't worry, your information will not be shared.
We hate SPAM. We will never sell your information, for any reason.

Unlock Exclusive Free Content
Join the mailing list. We give too much great content away for free, see what all the fuss is about.
Categories
All Categories abg acid base adrenaline adrenaline dosing adrenaline in anaphylaxis aed ahpra ahpra audit airway airway adjuncts airway assessment airway emergency airway filter airway management airway mass airway rescue airway trauma airwaylifeline airwayoptimisation algorithm allergy als als aftercare alsmedications amiodarone anaesthesia anaesthetic anaesthetic machine anaesthetics analgesia anaphylactoid anaphylaxis anaphylaxis aftercare anaphylaxis diagnosis anaphylaxis differential diagnosis anaphylaxis management anaphylaxis triggers anatomy antibiotics anzaag anzcor apnoea arrest arterial blood gas arterial line arterial line complications arterial line errors arterial lines arterialcannulation arteriallines asa article asl aspiration aspiration risk assessing pain assessment awareness bag mask ventilation beta blockers bis bispectral index blade bleeding bleeding airway block blood blood pressure blood pressure monitoring blood products blood safety bluey breathing circuit bronchoscopy bronchospasm burns cannula technique cannulation capnography cardiac arrest cardiac output cardiac surgery cardiovascular causesofcardiacarrest cell saver central venous catheter centralvenouscatheter cerebral oximetry checklist checklists chlorhexidine cico circuit climate climate change closed loop communication co2 coagulation cognitive aid colonoscopy communication complications compression rates compressions contaminant coolinginmh core body temperature cpd cpr cricoid pressure cricothyrotomy crisis resource management critical incident cross matching cvc cvc complications dantrolene debriefing defibrillation dental surgery depth of anaesthesia diabetes diagnostics difficult airway drug errors drug safety drugs ecg education educator emergence delirium emergency emergency management end tidal carbon dioxide endoscopy endotracheal tubes ent entropy environment equipment ercp ett exchange catheter fasting feedback ffp fluid balance fluid resuscitation fluid therapy fona formal diagnosis frailty ga gas gas analysis gastroscopy general anaesthetic gloves glp-1 ra glp-1 receptor agonists glp-1ras haemodynamic haemoglobin haemorrhage haemostasis handle handover hazard heart rate hemodynamics hereditarydisorder high flow hot debrief human factors hypnosis hypotension hypoxia icu immune response induction infection infection control inotropes intravenous intravenous cannulation intubation invasive blood pressure monitoring invasive device invasivebloodpressuremonitoring iv induction ketamine laryngeal mask laryngectomy laryngoscope laryngospasm learning lifelines lma long term venous access major surgery malignanthyperthermia mallampati mask ventilation massive transfusion massive transfusion protocol mast cells mean arterial pressure medications mh mhtesting mls monitoring muscle relaxants neck surgery nerve monitoring neuromuscular junction nmt non-invasive blood pressure non-shockable rhythms nurse burnout nurse education nurse wellbeing nursing obstetrics anaesthesia obstruction opioids ot oxygen oxygenation ozempic paediatric paediatric anaesthesia paediatric t piece paediatrics pain pain management patient safety perianaesthesia nurse educator perioperative perioperativenursing pipeline positioning post operative preoperative preoperative care preoxygenation primary survey professional development protocol publications pulmonary radiation rapid sequence induction recovery recovery issues recovery room emeregencies refractory anaphyalxis refractory hypotension regionalanaesthesia renal resources resuscitation reversal rotem safe apnoea time safety scalpel scalpel technique sedation seldinger shared airway shockable rhythms signs of anaphylaxis skin prick testing spinal spinal anaesthetic sterile procedures surgery surgical safety checklist tachycardia teaching styles team time-out teamwork teg temperature testing tonsillectomy tracheostomy transfusion transfusion reaction trauma treatment tryptase ultrasound ultrasoundprobes vascular surgery ventilation vf videolaryngoscope volatileagents vortex approach vt waste