Blood storage and transfusion injury
Abstract
Introduction. The purpose of this paper is to offer some thoughts regarding the review article "Blood-sparing surgical techniques" published by doctors Rivera and Perez, and to comment some relevant aspects pertaining to red blood cell transfusions.
Methods. After reading the review article on "Blood-sparing surgical techniques", a literature search was done on articles related to blood product transfusions and their complications. Comments are made to complement the paper by doctors Rivera and Pérez.
Results. The literature recommends adopting a conservative attitude as far as the use of blood products is concerned, and to always individualize and assess the patient's own clinical and tissue perfusion status. There is no consensus regarding hemoglobin values, which range between 6 and 10 g/dl.
Conclusion. The decision to transfuse or not must be based on the patient's own individual parameters, clinical assessment, hemodynamic and tissue status. Studies are still needed regarding the value range between 6 and 10 g/dl.
References
2. Weinberg J, McGwin G, Griffin RL, Huynh VQ, Cherry III SA, Marques M.B., et al. Age of transfused blood: an independent predictor of mortality despite universal leukoreduction. J Trauma. 2008;65:279-84.
3. Koch CG, Li L, Sessler DI, Figueroa P, Hoeltge GA, Mihaljevic T, et al. Duration of red-cell storage and complications after cardiac surgery. N Engl J Med. 2008;358:1229-39.
4. Vincent JL. Transfusion in the Intensive Care Unit. Crit Care Med. 2006;34 Suppl:S96-101.
5. Hebert PC, Wells G, Blajchman MA. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. N Engl J Med. 1999;340:409-17.
6. Corwin HL, Gettinger A, Pearl RG, Fink MP, Levy MM, Abraham E, et al. The CRIT Study: Anemia and blood transfusion in the critically illCurrent clinical practice in the United States. Crit Care Med. 2004;32:39-52.
7. Glance LG, Dick AW, Mukamel DB, Fleming FJ, Zollo RA, Wissler R, et al. Association between intraoperative blood transfusion and mortality and morbidity in patients undergoing noncardiac surgery. Anesthesiology. 2011;114:283-92.
8. An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies. Practice Guidelines for Perioperative Blood Transfusion and Adjuvant Therapies. Anesthesiology. 2006;105:198-208.
Downloads
Altmetric
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
