The Use of Whole Blood Transfusion in Trauma.

IF 1.6 Q2 ANESTHESIOLOGY
Current Anesthesiology Reports Pub Date : 2022-01-01 Epub Date: 2022-01-17 DOI:10.1007/s40140-021-00514-w
Mary Hanna, Justin Knittel, Jason Gillihan
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引用次数: 5

Abstract

Purpose of review: This review illustrates the current benefits, limitations, ongoing research, and future paths for Low Titer O Whole Blood compared to Component Therapy in massive transfusion for trauma patients.

Recent findings: Many studies show that compared to Component Therapy, Low Titer O Whole Blood transfusion is associated with better patient outcomes and simplified transfusion logistics among others. There are, however, issues with cost, supply/demand and handling of Whole Blood that limit its use, but experience in the military setting has shown that these limitations can be easily overcome.

Summary: The use of Whole Blood has increased in the civilian trauma population and there is a growing body of evidence to support its current use. More research looking at Whole Blood in females of child-bearing age, pediatric populations, and cold-stored platelets is underway.

全血输血在创伤中的应用。
综述的目的:本综述阐述了低滴度O全血与成分治疗相比在创伤患者大量输血中的当前益处、局限性、正在进行的研究和未来的发展方向。最近的发现:许多研究表明,与成分治疗相比,低滴度O全血输血与更好的患者预后和简化输血物流等相关。然而,全血的成本、供应/需求和处理等问题限制了其使用,但军事环境中的经验表明,这些限制可以很容易地克服。摘要:全血在平民创伤人群中的使用有所增加,并且有越来越多的证据支持其目前的使用。更多关于育龄女性全血、儿科人群和冷藏血小板的研究正在进行中。
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来源期刊
Current Anesthesiology Reports
Current Anesthesiology Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
2.80
自引率
0.00%
发文量
47
期刊介绍: This journal aims to offer expert review articles on the most significant recent developments in the field of anesthesiology. By providing clear, insightful, balanced contributions, the journal intends to serve those involved in the delivery of anesthesia for surgical and medical procedures, treatment of acute and chronic pain conditions, perioperative management for operative and intensive care unit patients, and associated basic science and clinical research efforts in their areas. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An Editorial Board of more than 20 internationally diverse members reviews the annual table of contents, ensures that topics include emerging research, and suggests topics of special importance to their country/region. Topics covered may include ambulatory anesthesia; anesthesia and inflammation; anesthetic mechanisms; anesthetic pharmacology; cardiovascular anesthesia; critical care anesthesia; local anesthetic pharmacology; monitoring technology; neuroanesthesia; neuromuscular blockade; obstetrical anesthesia; pain mechanisms; pain therapy; patient safety; pediatric anesthesia; quality assessment; regional anesthesia; and transplantation anesthesia.
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