Transfusion Practice

19th Annual NATA Symposium

19th Annual NATA Symposium, Florence 2018The 19th Annual NATA Symposium on Patient Blood Management, Haemostasis and Thrombosis took place on April 12-13, 2018 in Lisbon, Portugal.

This year, 580 delegates from 38 countries participated in the symposium and there was a record local attendance of 167 attendees from Portugal.

Download the NATA Conference App, “NATA Forum”, on the App Store or the Play Store to access presentation webcasts.

The Abstract Book can be downloaded here.

Please click on the link below for more information
19th Annual Symposium General Information

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.

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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.

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From the Literature

May 21, 2018

Published: Apr 2018

Roubinian NH, Hendrickson JE, Triulzi DJ, et al.

Contemporary risk factors and outcomes of transfusion-associated circulatory overload.
Crit Care Med 2018;46:577-585.

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NATA REVIEW:
Recently, a joint working group of members of the International Haemovigilance Network, the International Society...
REVIEW by:
C. So-Osman

Published: Nov 2017

Mazer CD, Whitlock RP, Fergusson DA, et al.

Restrictive or liberal red-cell transfusion for cardiac surgery.
N Engl J Med 2017;377:2133-2144.

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NATA REVIEW:
The comparison between liberal and restrictive transfusion strategies has been the topic of intense debate. To...
REVIEW by:
D. Faraoni

Published: Oct 2017

Andrews B, Semler MW, Muchemwa L, et al.

Effect of an early resuscitation protocol on in-hospital mortality among adults with sepsis and hypotension: a randomized clinical trial.
JAMA 2017;318:1233-1240.

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NATA REVIEW:
This single-centre, randomised, controlled, non-blinded study evaluated the potential beneficial effect of an...
REVIEW by:
M. Piagnerelli

Published: Sep 2017

Boer C, Meesters MI, Milojevic M, et al.

2017 EACTS/EACTA Guidelines on patient blood management for adult cardiac surgery.
J Cardiothorac Vasc Anesth 2017; Sep 30 [Epub ahead of print].

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NATA REVIEW:
There is growing evidence that patient blood management (PBM) is becoming "standard of care" in major surgery...
REVIEW by:
P. Van der Linden

Published: Sep 2017

Leal-Noval SR, Arellano-Orden V, Muñoz-Gómez M, et al.

Red blood cell transfusion guided by near infrared spectroscopy in neurocritically ill patients with moderate or severe anemia: a randomized, controlled trial.
J Neurotrauma 2017;34:2553-2559.

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NATA REVIEW:
Advances in the development and validation of physiological, accessible, practical and reliable markers to guide...
REVIEW by:
J. A. García-Erce

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.

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