院前输注异体血制品。

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

Current Opinion in Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-02-02 DOI:10.1097/ACO.0000000000001353

Cristina Alomar-Dominguez, Johannes Bösch, Dietmar Fries

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引用次数: 0

摘要

综述目的：本文旨在对创伤和严重出血病例院前输注异体血制品的现有数据进行结构性和实用性分析：院前输注异体血制品是一种非常早期的干预措施，有可能改善治疗效果，但同时也面临着资源分配、血制品储存、物流、患者选择、法律和伦理考虑、不良反应和成本等挑战。小结：院前异体输血在临床实践中存在的疗效问题和挑战可能会超过其潜在的益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Prehospital transfusion of allogeneic blood products.

Purpose of review: The purpose of this article is to provide a structural and practical analysis of the currently available data concerning prehospital transfusion of allogeneic blood products in cases of trauma and severe bleeding.

Recent findings: Prehospital transfusion of allogeneic blood products is a very early intervention, which may offer the potential to improve outcome, but that also comes with challenges including resource allocation, blood product storage, logistics, patient selection, legal and ethical considerations, adverse effects, and costs. Potential benefits including improved stability and reduction in coagulopathy and blood loss have not yet been clearly demonstrated.

Summary: The questionable efficacy and challenges in clinical practice may outweigh the potential benefits of prehospital allogeneic transfusion.

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来源期刊

Current Opinion in Anesthesiology 医学-麻醉学

CiteScore

4.90

自引率

8.00%

发文量

207

审稿时长

12 months

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.