Transfusion Practice

18th Annual NATA Symposium

18th Annual NATA Symposium, Florence 2018The 18th Annual NATA Symposium on Patient Blood Management, Haemostasis and Thrombosis, which took place in Florence on April 20-21 was a great success, with close to 600 participants from over 45 countries.

Get a glimpse of this great educational meeting in this short video clip.

The 19th Annual NATA Symposium will be held in Lisbon, Portugal, on April 12-13, 2018.

The deadline for abstract submission is December 20, 2017. More information will be posted here shortly.

Focused Update: Perioperative Management of Jehovah’s Witness Patients in Relation to Their Refusal of Allogeneic Blood Transfusion

Jehovah's Witness (JW) patients strictly refuse allogeneic blood transfusion (red blood cells, plasma and platelets), even in the presence of life-threatening anemia and/or coagulopathy. However, today JW patients can undergo major surgical procedures without facing an excessive risk of death—provided that a prospectively conceived and structured perioperative management is applied.

In a Nataonline Focused Update, Prof. Oliver Habler, Department of Anesthesiology, Surgical Intensive Care Medicine and Pain Therapy, Krankenhaus Nordwest GmbH, Frankfurt, Germany, reviews the perioperative management of JW patients with emphasis on the following cornerstones: (1) the preoperative optimization of cardiopulmonary status and the correction of preoperative anemia and coagulopathy, (2) the perioperative collection of autologous blood, (3) the minimization of perioperative blood loss and (4) the utilization of the organism’s natural tolerance to anemia and its acute accentuation in the case of life-threatening anemia.

Read more on this

Focused update: The management of massive hemorrhage/transfusion in civilian trauma

The management of massive hemorrhage/transfusion in trauma has evolved considerably in the past few years. Based on a consensus established in 2005, several civilian trauma centers have adopted a restrictive approach to the administration of crystalloids in view of minimizing hemodilution, along with the transfusion of red blood cells (RBC), fresh frozen plasma (FFP) and platelet concentrates (PC) in a 1:1:1 ratio. In a Nataonline Focused Update, Professor Jean-François discusses the evidence supporting this strategy.

Read more on this


From the Literature

Oct 17, 2017

Published: Jun 2017

Mesar T, Larentzakis A, Dzik W, Chang Y, Velmahos G, Yeh DD

Association between ratio of fresh frozen plasma to red blood cells during massive transfusion and survival among patients without traumatic injury.
JAMA Surg 2017;152:574-580.

#

NATA REVIEW:
Following reports from US military and civilian trauma centres, the practice of transfusing massively bleeding...
REVIEW by:
J.-F. Hardy

Published: Jun 2017

Leahy MF, Hofmann A, Towler S, et al.

Improved outcomes and reduced costs associated with a health-system-wide patient blood management program: a retrospective observational study in four major adult tertiary-care hospitals.
Transfusion 2017;57:1347-1358.

#

NATA REVIEW:
"Randomised controlled trials (RCTs) are the de facto standard for answering clinical questions, delivering the...
REVIEW by:
J. Meier

Published: May 2017

Bergamin FS, Almeida JP, Landoni G, et al.

Liberal versus restrictive transfusion strategy in critically ill oncologic patients: the Transfusion Requirements in Critically Ill Oncologic Patients randomized controlled trial.
Crit Care Med 2017;45:766-773.

#

NATA REVIEW:
Liberal red blood cell (RBC) transfusion in critically ill oncology patients – Is liberal better in this population...
REVIEW by:
J. Stensballe

Published: Jan 2017

Meybohm P, Richards T, Isbister J, et al.

Patient blood management bundles to facilitate implementation.
Transfus Med Rev 2017;31:62-71.

#

NATA REVIEW:
How to cook a patient blood management programme! In this 'position paper', a group of well-known...
REVIEW by:
S. Lasocki

Published: Dec 2016

Menendez ME, Lu N, Huybrechts KF, et al.

Variation in use of blood transfusion in primary total hip and knee arthroplasties.
J Arthroplasty 2016;31:2757-2763 e2752.

#

NATA REVIEW:
This study reports on variability in red blood cell transfusion rates among US hospitals using a large dataset...
REVIEW by:
C. So-Osman

Published: Dec 2016

Borgert M, Binnekade J, Paulus F, et al.

Implementation of a transfusion bundle reduces inappropriate red blood cell transfusions in intensive care - a before and after study.
Transfus Med 2016;26:432-439.

#

NATA REVIEW:
This study describes an intervention in one intensive care unit, consisting of a transfusion bundle in which...
REVIEW by:
A. Norgaard