Blood product transfusion: does location make a difference?
This retrospective study showed a significantly higher mortality in burns children who received more total units of FFP during hospitalization (especially during their ICU stay and not for the surgical […]
Phase III, randomized study of the effects of parenteral iron, oral iron, or no iron supplementation on the erythropoietic response to darbepoetin alfa for patients with chemotherapy-associated anemia.
This study represents the first of ten prospective clinical trials in oncology patients, which fails to show a benefit for the addition of intravenous iron to erythropoiesis-stimulating agents in improving […]
Variation in use of blood transfusion in coronary artery bypass graft surgery.
This observational cohort study of 102,470patients undergoing primary isolated CABG with cardiopulmonary bypass during calendar year 2008 at 798sites in the United States reports a wide variability in the rate […]
Transfusion requirements after cardiac surgery: the TRACS randomized controlled trial.
This prospective controlled randomized clinical trial strongly suggests that a restrictive transfusion strategy (target hematocrit: 24%) is as safe as a liberal transfusion strategy (target hematocrit: 30%) in patients undergoing […]
Transfusion-related acute lung injury: from bedside to bench and back.
An excellent, well-documented review on transfusion-related acute lung injury (TRALI), referring to all the issues still being debated: definition, clinical presentation, incidence based on blood product transfusion, attempts at elucidating […]
Thromboelastometrically guided transfusion protocol during aortic surgery with circulatory arrest: a prospective, randomized trial.
In this randomized controlled trial during aortic surgery, requirements for allogeneic blood, prothrombin complex concentrates and recombinant factor VIIa were reduced in the ROTEM-guided group, while fibrinogen concentrate usage was […]
Transfusion demand control strategies: Potential efficacy of hospital and regional interventions.
In their manuscript, Crispin et al. analyse different strategies (“contingency plans”) to effectively decrease transfusion demand in periods of 1)acute or longer lasting shortfall of the allogeneic blood supply (e.g. […]
Effect of reimbursement changes on erythropoiesis-stimulating agent utilization and transfusions.
The near 30% increase in transfusion use to treat anemia following the 2007 Decision Memo to restrict the initiation and target for ESA use for chemotherapy-induced anemia to 10g/dL is […]
Comparing the effects of 5% albumin and 6% hydroxyethyl starch 130/0.4 on coagulation and inflammatory response when used as priming solutions for cardiopulmonary bypass.
Albumin versus various colloids including several HES preparations has been evaluated in many recent trials in cardiopulmonary bypass. This trial, reporting no difference between albumin and HES 130/0.4 on coagulation […]
Use of parenteral iron products and serious anaphylactic-type reactions.
In this paper, the authors report on the use of four parenteral iron products: ferric gluconate, iron sucrose, low-molecular-weight iron dextran (LMWID) and high-molecular-weight iron dextran (HMWID). They also analyze […]
The impact of blood conservation on outcomes in cardiac surgery: is it safe and effective?
In this retrospective study, the authors report that a well-defined blood conservation strategy can be associated with a decrease in allogeneic blood use and a reduction in the incidence of […]
Transfusion requirements in 811 patients during and after cardiac surgery: a prospective observational study.
Identification of surgical patients at high risk for requiring transfusion support is necessary to optimize perioperative management of bleeding complications. The observational study described by Ravn et al. is aimed […]
Perfusion vs. oxygen delivery in transfusion with “fresh” and “old” red blood cells: the experimental evidence.
The authors present a very up-to-date review of the systemic and, in particular, the mircocirculatory effects of blood transfusions with special emphasis on the age of transfused RBCs. Maintenance of […]
Detection, Evaluation, and Management of Preoperative Anemia in the Elective Orthopedic Surgical Patient: NATA Guidelines
Preoperative anemia in patients undergoing elective orthopedic surgery is associated with increased likelihood of blood transfusion as well as increased perioperative morbidity and mortality. A standardized approach for the detection, […]
Short course pre-operative ferrous sulphate supplementation–is it worthwhile in patients with colorectal cancer?
The authors assessed whether FeSO4 supplementation (median of 39 days) impacted significantly on preoperative hemoglobin (Hb) levels and transfusion requirements in 103 patients undergoing surgery for colorectal cancer. They found […]