Transfusion practice in the bleeding critically ill

Autor: de Bruin, Sanne, Eggermont, Dorus, van Bruggen, Robin, de Korte, Dirk, Scheeren, Thomas W.L., Bakker, Jan, Vlaar, Alexander P.J., Abbasciano, Riccardo G., Antonelli, Massimo, Aubron, Cécile, van Baarle, Frank E.H.P., Cecconi, Maurizio, Dionne, Joanna C., Duranteau, Jacques, Gyatt, Gordon, Hunt, Beverley J., Juffermans, Nicole P., Lance, Marcus, Meier, Jens, Muller, Marcella C.A., Murphy, Gavin J., Nielsen, Nathan, Oczkowski, Simon J., Perner, Anders, Raasveld, S. Jorinde, Schöchel, Herbert, Wijnberge, Marije
Přispěvatelé: Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Pediatric Surgery, Graduate School, ACS - Pulmonary hypertension & thrombosis, AII - Inflammatory diseases, Landsteiner Laboratory, AII - Infectious diseases, Intensive Care Medicine, ACS - Microcirculation
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: de Bruin, S, Eggermont, D, van Bruggen, R, de Korte, D, Scheeren, T W L, Bakker, J, Vlaar, A P J, Abbasciano, R G, Antonelli, M, Aubron, C, van Baarle, F E H P, Cecconi, M, Dionne, J C, Duranteau, J, Gyatt, G, Hunt, B J, Juffermans, N P, Lance, M, Meier, J, Muller, M C A, Murphy, G J, Nielsen, N, Oczkowski, S J, Perner, A, Raasveld, S J, Schöchel, H, Wijnberge, M & Cardiovascular Dynamics Section and Transfusion Task Force of the ESICM 2022, ' Transfusion practice in the bleeding critically ill : An international online survey—The TRACE-2 survey ', Transfusion, vol. 62, no. 2, pp. 324-335 . https://doi.org/10.1111/trf.16789
Transfusion, 62(2), 324-335. Wiley
ISBT2020
Transfusion, 62(2), 324-335. Wiley-Blackwell Publishing Ltd
Transfusion, 62(2), 324-335. Wiley-Blackwell
ISSN: 0041-1132
DOI: 10.1111/trf.16789
Popis: BACKGROUND: Transfusion is very common in the intensive care unit (ICU), but practice is highly variable, as has recently been shown in non-bleeding critically ill patients practices survey. Bleeding patients in ICU require different blood products across a range of specific patient categories. We hypothesize that a large variety in transfusion practice exists in bleeding patients.STUDY DESIGN AND METHODS: An international online survey was performed among physicians working in the ICU. Transfusion practice in massively and non-massively bleeding patients was examined, including transfusion ratios, thresholds, and the presence of transfusion guidelines.RESULTS: Six hundred eleven respondents filled in the survey of which 401 could be analyzed, representing 64 countries. Among the respondents, 52% had a massive transfusion protocol (MTP) available at their ICU. In massively bleeding patients, 46% of the respondents used fixed transfusion component ratios. Of those who used fixed blood ratios, the 1:1:1 ratio (red blood cell [RBC] concentrates: plasma: platelet concentrates) was most commonly used (33%). The presence of an MTP was associated with a more frequent use of fixed ratios (p DISCUSSION: Half of the centers had no massive transfusion protocol available. Transfusion practice in massively bleeding critically ill patients is highly variable and driven by the presence of an MTP. In the general non-massively bleeding ICU population restrictive transfusion triggers were chosen.
Databáze: OpenAIRE
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