A novel protocol to maintain continuous access to thawed plasma at a rural trauma center.

The Journal of Trauma and Acute Care Surgery
Cara HanniganRobert Behm

Abstract

Early administration of plasma improves mortality in massively transfused patients, but the thawing process causes delay. Small rural centers have been reluctant to maintain thawed plasma due to waste concerns. Our 254-bed rural Level II trauma center initiated a protocol allowing continuous access to thawed plasma, and we hypothesized its implementation would not increase waste or cost. Two units of thawed plasma are continuously maintained in the trauma bay blood refrigerator. After 3 days, these units are replaced with freshly thawed plasma and returned to the blood bank for utilization prior to their 5-day expiration date. The blood bank monitors and rotates the plasma. Only trauma surgeons can use the plasma stored in the trauma bay. Wasted units and cost were measured over a 12-month period and compared with the previous 2 years. The blood bank thawed 1127 units of plasma during the study period assigning 274 to the trauma bay. When compared with previous years, we found a significant increase in waste (p < 0.001) and cost (p = 0.020) after implementing our protocol. It cost approximately US $125/month extra to maintain continuous access to thawed plasma during the study period. A protocol to maintain thawed plasma in the...Continue Reading

References

Jun 17, 2004·British Journal of Haematology·D F O'ShaughnessyUNKNOWN British Committee for Standards in Haematology, Blood Transfusion Task Force
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Feb 17, 2010·Critical Care : the Official Journal of the Critical Care Forum·Bartolomeu NascimentoSandro Rizoli
Oct 13, 2010·The Journal of Trauma·Juan C DuchesneMichael Rotondo
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Feb 22, 2013·JAMA Surgery·Zayde A RadwanBryan A Cotton
Jun 23, 2016·The Western Journal of Emergency Medicine·Steve Christos, Robin Naples
Apr 30, 2017·The Journal of Trauma and Acute Care Surgery·David E MeyerBryan A Cotton

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Citations

Oct 16, 2020·The Journal of Trauma and Acute Care Surgery·Kimberly A PeckMatthew J Martin

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