Avtor/Urednik		Meier, J.; Filipescu, D.; Kozek-Langenecker, S.; Pitarch, J. Llau; Mallett, S.; Martus, P.; Matot, I.; Grynyuk, Andriy; Kasnik, Darja; Markovič Božič, Jasmina; Poredoš, Peter; Spindler-Vesel, Alenka; Štivan-Robar, Sabina; Uranjek, Jasna; Voje, Minca
Naslov		Intraoperative transfusion practices in Europe
Tip		članek
Vol. in št.		Letnik 116, št. 2
Leto izdaje		2016
Obseg		str. p. 255-261
ISSN		0007-0912 - British Journal of Anaesthesia
Jezik		eng
Abstrakt		Background: Transfusion of allogeneic blood influences outcome after surgery. Despite widespread availability of transfusion guidelines, transfusion practices might vary among physicians, departments, hospitals and countries. Our aim was to determine the amount of packed red blood cells (pRBC) and blood products transfused intraoperatively, and to describe factors determining transfusion throughout Europe. Methods: We did a prospective observational cohort study enrolling 5803 patients in 126 European centres that received at least one pRBC unit intraoperatively, during a continuous three month period in 2013. Results: The overall intraoperative transfusion ratewas 1.8%; 59% of transfusionswere at least partially initiated as a result of a physiological transfusion trigger- mostly because of hypotension (55.4%) and/or tachycardia (30.7%). Haemoglobin (Hb)- based transfusion trigger alone initiated only 8.5% of transfusions. The Hb concentration [mean (%%)] just before transfusion was 8.1 (1.7) g dl%1 and increased to 9.8 (1.8) g dl%1 after transfusion. The mean number of intraoperatively transfused pRBC unitswas 2.5 (2.7) units (median 2). Conclusions: Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7%9 g dl%1), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold.
Deskriptorji		Bolezni krvnega obtoka in krvnih žil
Proste vsebinske oznake		anemia anesthezia blood transfusion surgery transfusion trigger