Transfusion Practice

21st Annual NATA Symposium

21st Annual NATA Symposium, Athens 2020The 21st Annual NATA Symposium on Patient Blood Management, Haemostasis and Thrombosis will take place on April 23-24, 2020 in Athens, Greece.

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21st 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

Nov 22, 2019

Published: Dec 2019

Kaserer A, Rössler J, Braun J, et al.

Impact of a Patient Blood Management monitoring and feedback programme on allogeneic blood transfusions and related costs.
Anaesthesia 2019;74:1534-1541.

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NATA REVIEW:
While Patient Blood Management (PBM) is becoming a new standard worldwide with evidence-based and expert consensus...
REVIEW by:
S. M. Goobie

Published: Nov 2019

Roubinian NH, Westlake M, St Lezin EM, et al.

Association of donor age, body mass index, hemoglobin, and smoking status with in-hospital mortality and length of stay among red blood cell-transfused recipients.
Transfusion 2019;59:3362-3370.

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NATA REVIEW:
The authors analysed data from a retrospective cohort of transfused patients from the Recipient Epidemiology...
REVIEW by:
J. M. Cholette

Published: Nov 2019

Raphael J, Mazer CD, Subramani S, et al.

Society of Cardiovascular Anesthesiologists clinical practice improvement advisory for management of perioperative bleeding and hemostasis in cardiac surgery patients.
J Cardiothorac Vasc Anesth 2019;33:2887-2899.

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NATA REVIEW:
Bleeding after cardiac surgery is a common and serious complication leading to transfusion of multiple blood...
REVIEW by:
J. M. Cholette

Published: Oct 2019

Dieu A, Rosal Martins M, Eeckhoudt S, et al.

Fresh frozen plasma versus crystalloid priming of cardiopulmonary bypass circuit in pediatric surgery: a randomized clinical trial.
Anesthesiology 2019; Oct 23 [Epub ahead of print].

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NATA REVIEW:
Paediatric patients undergoing cardiopulmonary bypass for cardiac surgery have historically had their bypass...
REVIEW by:
E. Adams

Published: Oct 2019

Heafner T, Bews K, Kalra M, et al.

Transfusion timing and postoperative myocardial infarction and death in patients undergoing common vascular procedures.
Ann Vasc Surg 2019; Oct 15 [Epub ahead of print].

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NATA REVIEW:
This study aimed to evaluate the association of transfusion timing (intraoperative versus postoperative) on the...
REVIEW by:
M. T. Prochaska

Published: Oct 2019

Aktas S, Ergenekon E, Ozcan E, et al.

Effects of blood transfusion on regional tissue oxygenation in preterm newborns are dependent on the degree of anaemia.
J Paediatr Child Health 2019;55:1209-1213.

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NATA REVIEW:
What is the aim of transfusion? Increasing the haemoglobin concentration, increasing oxygen delivery, increasing...
REVIEW by:
J. Meier