TY - CHAP M1 - Book, Section TI - Thrombosis and Transfusions A1 - Dulu, Alina A1 - Akella, Padmastuti A1 - Serhan, Mustapha A1 - Pastores, Stephen M. A2 - Go, Ronaldo C. PY - 2022 T2 - Understanding Crisis in Critical Care AB - There is increasing evidence that the activation of coagulation and inflammation are essential responses for host defense during critical illnesses such as sepsis, severe trauma, and in the current era of pandemic respiratory viruses. Venous thromboembolism (VTE), pulmonary microvascular thrombosis, and arterial thrombosis have been associated with influenza A virus and most recently with the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). Similarly, there have been significant advances in transfusion medicine with the establishment of appropriate thresholds for blood product support in critically ill patients, enhanced understanding of transfusion-related complications, and use of blood alternatives. This chapter will discuss the pathophysiology of thrombosis during critical illness, and review the thrombotic complications and issues surrounding anticoagulation management particularly in patients with coronavirus disease-19 (COVID-19) and anticoagulant reversal agents. Indications for red blood cell, platelet, and plasma transfusion in critically ill and trauma patients will be reviewed as well as the indications for massive transfusion, complications of blood product support, and strategies to minimize blood loss and optimize hematopoiesis. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/18 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1184737645 ER -