Tranexamic acid reduces allogenic transfusion in revision hip arthroplasty.
In this study, the authors retrospectively reviewed revision hip arthroplasties to assess the effectiveness of a Blood Utilization Program, including the use of tranexamic acid, and to determine the variables […]
The appropriateness and physician compliance of platelet usage by a computerized transfusion decision support system in a medical center.
This study describes a helpful tool to evaluate and improve platelet transfusion practice in a large academic hospital. – Paolo Rebulla
Iron deficiency: an ominous sign in patients with systolic chronic heart failure.
In this prospective observational study, Jankowska and colleagues evaluated and followed 546 patients with stable systolic chronic heart failure (CHF) and NYHA class I-IV, for the effect of iron deficiency […]
Fibrinogen estimates are influenced by methods of measurement and hemodilution with colloid plasma expanders.
During normovolemic hemodilution, e.g. during the replacement of blood loss with crystalloids and/or colloids in a bleeding patient, the first procoagulant factor that decreases below a level requiring substitution is […]
Volume replacement with a balanced hydroxyethyl starch (HES) preparation in cardiac surgery patients.
Volume replacement with so-called “balanced” fluids as opposed to “non-balanced” is a much-discussed and interesting issue. This study confirms what is in essence known: balanced fluids ameliorate certain physiologic parameters. […]
Association between length of storage of transfused red blood cells and multiple organ dysfunction syndrome in pediatric intensive care patients.
Red blood cells (RBCs) may be stored up to 42 days prior to transfusion. However, RBCs show many changes after storage including increased RBC aggregation, decreased 2,3-diphosphoglycerate levels, loss of […]
Effects of intravenous iron combined with low-dose recombinant human erythropoietin on transfusion requirements in iron-deficient patients undergoing bilateral total knee replacement arthroplasty.
This is a randomized control trial of patients undergoing bilateral total knee arthroplasty and presenting with iron deficiency, either absolute (ferritin < 100 g/L) or functional (ferritin 100-300 g/L, transferrin […]
Impact of plasma transfusion in trauma patients who do not require massive transfusion.
The article by Inaba et al. is a retrospective observational single-center study assessing the impact of FFP transfusion on morbidity and mortality in non-massively transfused trauma patients from 2000 to […]
Cardiovascular risks of anemia correction with erythrocyte stimulating agents: should blood viscosity be monitored for risk assessment?
Jeong et al. review the concept that elevated and elevation of blood viscosity is associated with increased health risk of all forms. As a corollary it is proposed that patient […]
A critical appraisal of bleeding events reported in venous thromboembolism prevention trials of patients undergoing hip and knee arthroplasty.
Four famous key opinion leaders in the field of venous thromboembolism (VTE) prevention have performed a critical appraisal of bleeding events reported in VTE prophylaxis trials of patients undergoing hip […]
Changing from aprotinin to tranexamic acid results in increased use of blood products and recombinant factor viia for aortic surgery requiring hypothermic arrest.
Since the withdrawal of aprotinin from the market in 2007 and the replacement by lysine analogs, there are divergent opinions about increased bleeding tendencies after major cardiac surgery. In this […]
Fatal outcome of recombinant factor VIIa in heart transplantation with extracorporeal membrane oxygenation.
This case report describes a fatal outcome after application of rFVIIa in combination with PCC in a bleeding patient after heart transplantation treated with ECMO. The patient was in desperate […]
NATA Textbook – Second Edition, 2010
The second edition of the NATA textbook, entitled Alternatives to Blood Transfusion in Transfusion Medicine and co-edited by Prof. Alice Maniatis, Prof. Philippe Van der Linden and Prof. Jean-Francois Hardy, […]
Red blood cell transfusion practice in elective orthopedic surgery: a multicenter cohort study.
This is an interesting multicenter, retrospective, cohort study of RBC transfusion in major orthopedic surgery (n = 701 arthroplasties) performed in three different hospitals in Canada. The authors couldnt find […]
Operative blood loss, blood transfusion, and 30-day mortality in older patients after major noncardiac surgery.
Wu and colleagues have conducted an elegant observational study evaluating the effect of intraoperative transfusion on 30-day mortality in elderly patients (≥ 65 years) undergoing non-cardiac surgery. Standardized, prospective data […]