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 […]
Hydroxyethylstarch and gelatin solutions impair blood coagulation after cardiac surgery: a prospective randomized trial.
This prospective single-blind study reports that, in comparison to Ringer acetate, both 6% HES 130/0.4 and 4% modified fluid gelatin administered postoperatively impair clot formation and strength in a dose-related […]
Effects on brain edema of crystalloid and albumin fluid resuscitation after brain trauma and hemorrhage in the rat.
The authors conducted an experimental study in rat traumatic brain injury showing that colloids lead to lesser brain edema. The study was well conducted but, obviously, clinical studies are needed […]
Incidence and risk factors for the development of anemia following gastric bypass surgery.
In order to evaluate the incidence and risk factors for the development of anemia after Roux-en-Y gastric bypass (RYGB), the authors performed a retrospective analysis of 206 patients who received […]
Endorsing single-unit transfusion combined with a restrictive haemoglobin transfusion threshold after knee arthroplasty.
The authors conducted a prospective, pre- (93 patients) and post-intervention (347 patients) study to evaluate a new transfusion strategy designed to reduce the rate of allogeneic transfusion and promote single-unit […]
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial.
This is a very important, landmark article describing for the first time the efficacy of an antifibrinolytic, tranexamic acid (TA), to decrease mortality in bleeding trauma patients. The study enrolled […]
Defining “adequate” pathogen reduction performance for transfused blood components.
In this commentary, the authors provide a nice overview of pathogen reduction technology (PRT). The necessity of 6 log PRT technique is discussed. The figures underline the viral replication including […]
Effect of early plasma transfusion on mortality in patients with ruptured abdominal aortic aneurysm.
The article by Mell et al. is a retrospective observational single-center study assessing the relationship between transfusion ratios of PRBC:FFP and mortality in patients undergoing operative repair of ruptured abdominal […]
Preoperative anemia in elective cardiac surgery: prevalence, risk factors, and influence on postoperative outcome.
This retrospective observational single-center study confirms a high prevalence of preoperative anemia (36.5%) in patients scheduled for elective cardiac surgery. Anemia is clinically relevant because it was associated with increased […]
Peri-operative blood transfusion increases length of hospital stay and number of postoperative complications in non-cardiac surgical patients.
The article by Bower is yet another observational study assessing the relationship between transfusion and serious morbidity and/or mortality in patients undergoing non-cardiac surgery. A single-center academic hospital experience of […]
The effect of plasma transfusion on morbidity and mortality: a systematic review and meta-analysis.
The authors conducted a systematic review of plasma transfusion in common clinical settings. Plasma transfusion was beneficial only in the setting of massive transfusion. However, the underlying evidence was of […]
Evidence-based practice guidelines for plasma transfusion.
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Safety and current status of blood transfusion in China.
In the article entitled “Safety and current status of blood transfusion in China”, Yu et al. describe the difficulties in blood procurement and blood conservation in the Beijing area. Because […]
Transfusion of red blood cells after prolonged storage produces harmful effects that are mediated by iron and inflammation.
The authors used a mouse model to examine the effect of RBC transfusion on adverse outcomes related to free iron and inflammation. They hypothesized that acute clearance of damaged RBCs […]
Coagulation parameters as a guide for fresh frozen plasma transfusion practice: A tertiary hospital experience.
The authors conducted an audit of plasma transfusion practice in their hospital network. The data date back to 2006 and appropriateness of transfusion was based on 1994 recommendations. Nevertheless, given […]