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Stuart Gillon

, Chris Wright

, Cameron Knott

, Mark McPhail

, and Luigi Camporota

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date: 24 January 2022

Haematology addresses management of the patient with haematological issues on the intensive care. The assessment, monitoring, and support of patients with haematological disorders are examined. The aetiology, investigation, and management of anaemia are discussed. The approach to major haemorrhage and the need for major transfusion are explored. The issue of thrombocytopaenia in critical illness is discussed including specific disease processes which may be encountered (e.g. heparin-induced thrombocytopaenia; thrombotic thrombocytopaenic purpura). The approach to coagulopathy is explored including point of care testing (e.g. thromboelastography) and the support of coagulation with transfusion of blood products. Sickle cell disease on the intensive care unit is discussed. Finally, there is coverage of the role of the intensive care unit in the management of haematological malignancy.

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