Red Blood Cell Transfusion in the Neurological ICU

被引：14

作者：

Kumar, Monisha A. ^{[1
,2
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,4
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机构：

[1] Univ Penn, Perelman Sch Med, Dept Neurol, Philadelphia, PA 19104 USA

[2] Univ Penn, Perelman Sch Med, Dept Neurosurg, Philadelphia, PA 19104 USA

[3] Univ Penn, Perelman Sch Med, Dept Anesthesiol, Philadelphia, PA 19104 USA

[4] Univ Penn, Perelman Sch Med, Dept Crit Care, Philadelphia, PA 19104 USA

来源：

NEUROTHERAPEUTICS | 2012年 / 9卷 / 01期

关键词：

Anemia; Transfusion; ICU; Erythrocytes; Hemoglobin; Neurocritical care; ANEURYSMAL SUBARACHNOID HEMORRHAGE; ACUTE LUNG INJURY; TRAUMATIC BRAIN-INJURY; CRITICALLY-ILL PATIENTS; RANDOMIZED CONTROLLED-TRIAL; INDEPENDENT RISK FACTOR; HEMOGLOBIN CONCENTRATION; CEREBRAL OXYGENATION; CARDIAC-SURGERY; ACUTE STROKE;

D O I：

10.1007/s13311-011-0094-5

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Red blood cell transfusion (RBCT) is a common therapy used in the intensive care unit to treat anemia. However, due to deleterious side effects and questionable efficacy, the clinical benefit of RBCT in patients who are not actively bleeding is unclear. The results of randomized controlled trials suggest there is no benefit to a liberal transfusion practice in general critical care populations. Whether the results of these trials are applicable to brain injured patients is unknown, as patients with primary neurological injury were excluded. This article reviews the efficacy and complications of RBCT, as well as the relationship between RBCT and its outcome in both the general intensive care unit and neurologically critically ill populations.

引用

页码：56 / 64

页数：9

共 117 条

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