A Massive Transfusion Protocol to Decrease Blood Component Use and Costs

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A massive transfusion protocol to decrease blood component use and costs.

HYPOTHESIS A massive transfusion protocol (MTP) decreases the use of blood components, as well as turnaround times, costs, and mortality. DESIGN Retrospective before-and-after cohort study. SETTING Academic level I urban trauma center. PATIENTS AND METHODS Blood component use was compared in 132 patients during a 2-year period following the implementation of an MTP; 46 patients who were t...

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Massive blood transfusion therapy.

Surgical patients requiring massive blood transfusion therapy present many challenges for the anesthetist. The decision to transfuse homologous banked blood and its components must be weighed against the potential complications that may occur in this form of therapy. A review of metabolic changes that occur in banked blood, the risk of infection, and physiologic derangements that may develop du...

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Massive Transfusion Protocol Activation Does Not Result in Preferential Use of Older Red Blood Cells

Widespread, anecdotal belief exists that patients receiving massive transfusion, particularly those for whom a massive transfusion protocol (MTP) is activated, are more likely to receive older red blood cells (RBCs). Retrospective review of blood bank records from calendar year 2011 identified 131 patients emergently issued ≥10 RBC units (emergency release (ER)) prior to obtaining a type and sc...

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Massive transfusion practices around the globe and a suggestion for a common massive transfusion protocol.

BACKGROUND Massive transfusion, the administration of 10 to more than 100 units of red blood cells (RBC) in less than 24 hours, can be a life saving therapy in the treatment of severe injury. The rapid administration of large numbers of RBC, along with sufficient plasma and platelets to treat or prevent coagulopathy, is frequently a disorderly process. Patient care and collaborative research mi...

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ABC of transfusion. Massive blood transfusion.

5 Maintain plasma colloid osmotic pressure "Massive transfusion" is arbitrarily defined as the replacement of the patient's total blood volume by stored homologous bank blood in less than 24 hours. It is a medical emergency, usually occurring in the accident department, the operating theatre, or the obstetric department, when a patient presents with overwhelming haemorrhage and acute hypovolaem...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2008

ISSN: 0004-0010

DOI: 10.1001/archsurg.143.7.686