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Is best transfusion practice alone best clinical practice?


Spahn, Donat R; Vamvakas, Eleftherios C (2013). Is best transfusion practice alone best clinical practice? Blood Transfusion, 11(2):172-174.

Abstract

The review by Shander et al. in this issue of the journal highlights the progress made in transfusion medicine since the 1980s, including the tremendous decrease in the risk of transfusion-transmitted infections (TTIs) and the development of remarkably similar (and uniformly restrictive) transfusion guidelines by five major professional societies and the American Association of Blood Banks1. These guidelines aim at reducing the number of a patient's allogeneic donor exposures as much as possible, by administering transfusion only when proven (rather than postulated) benefit can be expected from the transfusion. Proven benefit, exemplified by a red-blood-cell (RBC) transfusion to a stable and non-bleeding patient triggered by a haemoglobin of 7 g/dL, is based on findings from randomised controlled trials (RCTs) using clinical endpoints2. (...)

Abstract

The review by Shander et al. in this issue of the journal highlights the progress made in transfusion medicine since the 1980s, including the tremendous decrease in the risk of transfusion-transmitted infections (TTIs) and the development of remarkably similar (and uniformly restrictive) transfusion guidelines by five major professional societies and the American Association of Blood Banks1. These guidelines aim at reducing the number of a patient's allogeneic donor exposures as much as possible, by administering transfusion only when proven (rather than postulated) benefit can be expected from the transfusion. Proven benefit, exemplified by a red-blood-cell (RBC) transfusion to a stable and non-bleeding patient triggered by a haemoglobin of 7 g/dL, is based on findings from randomised controlled trials (RCTs) using clinical endpoints2. (...)

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of Anesthesiology
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:editorial
Language:English
Date:2013
Deposited On:28 Mar 2013 09:35
Last Modified:07 Dec 2017 20:18
Publisher:SIMTI Servizi srl
ISSN:1723-2007
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.2450/2012.0283-12
Official URL:http://www.bloodtransfusion.it/newbt/articolosing.aspx?id=000388
PubMed ID:23399353

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