A standardized multidisciplinary approach reduces the use of allogeneic blood products in patients undergoing cardiac surgery

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
P Van der LindenG Simoens

Abstract

Individual and institutional practices remain an independent predictor factor for allogeneic blood transfusion. Application of a standardized multidisciplinary transfusion strategy should reduce the use of allogeneic blood transfusion in major surgical patients. This prospective non randomized observational study evaluated the effects of a standardized multidisciplinary transfusion strategy on allogeneic blood products exposure in patients undergoing non-emergent cardiac surgery. The developed strategy involved a standardized blood conservation program and a multidisciplinary allogeneic blood transfusion policy based mainly on clinical judgement, not only on a specific hemoglobin concentration. Data obtained in a first group including patients operated from September 1997 to August 1998 (Group pre: n=321), when the transfusion strategy was progressively developed, were compared to those obtained in a second group, including patients operated from September 1998 to August 1999 (Group post: n=315) when the transfusion strategy was applied uniformly. Patient populations and surgical procedures were similar. Patients in Group post underwent acute normovolemic hemodilution more frequently, had a higher core temperature at arrival in...Continue Reading

References

Jul 16, 1992·The New England Journal of Medicine·J E WillardL D Hillis
Jan 2, 1991·JAMA : the Journal of the American Medical Association·L T GoodnoughP T Toy
Jan 1, 1995·Annales Françaises D'anesthèsie Et De Rèanimation·G Janvier, G Annat
Aug 1, 1995·The Annals of Thoracic Surgery·L T GoodnoughT B Ferguson
Oct 1, 1993·The Annals of Thoracic Surgery·J P SchönbergerC R Wildevuur
Nov 1, 1995·Acta Anaesthesiologica Scandinavica·H SchmidtF Brosstad
Jul 1, 1996·The Annals of Thoracic Surgery·H SchmidtS L Nielsen
Dec 1, 1996·Anesthesia and Analgesia·K J TumanA D Ivankovich
Dec 1, 1996·The Annals of Thoracic Surgery·P K Smith, L H Muhlbaier
Feb 10, 1998·The Annals of Thoracic Surgery·W DietrichH Meisner
Mar 24, 1998·Acta Anaesthesiologica Scandinavica·L KytöläG Myllylä
Feb 11, 1999·Anesthesia and Analgesia·L Shore-LessersonM A Ergin
Feb 18, 1999·The New England Journal of Medicine·L T GoodnoughJ P AuBuchon

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Citations

Dec 14, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·James A RobbleeJanis Bormanis
Jun 1, 2005·Anesthesiology Clinics of North America·Aryeh Shander, Tanuja S Rijhwani
Jan 25, 2003·Vox Sanguinis·T Kovesi, D Royston
Jun 1, 2005·Surgical Infections·Lawrence T Goodnough
Sep 9, 2005·Critical Care Medicine·Arthur C St André, Anthony DelRossi
Mar 24, 2005·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Fahad Al-ShammariRiyad Tarazi
Mar 18, 2004·Critical Care : the Official Journal of the Critical Care Forum·Donat R Spahn, Carlos Marcucci
Mar 11, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Philippe J Van der LindenPierre Kimbimbi
Jan 23, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Ayse BaysalCengiz Koksal
Oct 18, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Bhanu P NallaC David Mazer
May 28, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Paul G LoubserAryeh Shander
Oct 17, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Stefan G De HertPhilippe J Van der Linden
Apr 7, 2004·Transfusion Medicine Reviews·Zenon M BodnarukMervyn J Thomas
Apr 10, 2004·Journal of Cardiothoracic and Vascular Anesthesia·John M Murkin
Jul 23, 2009·Seminars in Cardiothoracic and Vascular Anesthesia·Keith A Samolyk
Mar 1, 2005·Seminars in Cardiothoracic and Vascular Anesthesia·Aryeh ShanderTanuja S Rijhwani
Feb 15, 2007·Vox Sanguinis·P Van der Linden, A Dierick
Mar 23, 2007·Anesthesia and Analgesia·Stefan G De HertPhilippe J Van der Linden
Apr 19, 2003·Transfusion·Lawrence T GoodnoughRichard Spence
Aug 6, 2015·European Journal of Anaesthesiology·UNKNOWN European Society of Anaesthesiology task force reports on place of aprotinin in clinical anaesthesia
Apr 30, 2003·Anesthesiology·Philippe J Van der Linden, Stefan G De Hert
May 10, 2007·Archives of Pathology & Laboratory Medicine·Lawrence T Goodnough, Aryeh Shander

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