Perception of risk in massive transfusion as it relates to fetal outcomes: A survey of surgeons and nurses at one American trauma center

Background The use of blood products early in the resuscitation bleeding trauma patients is widely accepted, but made difficult by limited supplies D− red cell (RBC)-containing products. Use D+ RBC-containing would alleviate this issue, could lead to alloimmunization. Risk associated with transfusing RBC emergency situations being reconsidered. level concern surrounding transfusion as it relates future fetal harm was surveyed among surgeons and nurses. Methods Faculty staff Departments Surgery Nursing were on risks receiving an subsequent potential for harm. Answers grouped likely accept (likely/very likely) or refuse (unlikely/very unlikely). Participants compared sex, women child-bearing age, ([15–50 years] vs. [>50 years]). Results Ninety surveys initiated 76 fully completed. Male (n = 39) female 37) respondents comparable. Most (30/37, 81%) childbearing age. Overall, both males (38/39, 95%) females (33/37, 89%; p .19) a emergency. There no difference acceptance if risk presented 1% (p .73) 0.1% .51). (34/37, 92%) not opposed even there unspecified Conclusion nurses who responded situation might harming fetus.