Parsimonious blood use and lower transfusion triggers: What is the evidence?

被引：4

作者：

Auron, Moises ^{[1
,2
,3
]}

Castillo, Marina Y. Duran ^{[4
]}

Kumar, Ajay ^{[5
]}

机构：

[1] Cleveland Clin, Dept Hosp Med, M2 Annex,9500 Euclid Ave, Cleveland, OH 44195 USA

[2] Cleveland Clin, Dept Pediat Hosp Med, Cleveland, OH 44106 USA

[3] Case Western Reserve Univ, Cleveland Clin, Lerner Coll Med, Med & Pediat, Cleveland, OH 44106 USA

[4] Metrohlth Med Ctr, Dept Pulm & Crit Care, Cleveland, OH USA

[5] Hartford Hosp, Dept Med, Hartford, CT 06115 USA

来源：

CLEVELAND CLINIC JOURNAL OF MEDICINE | 2017年 / 84卷 / 01期

关键词：

ACUTE NORMOVOLEMIC HEMODILUTION; CELL TRANSFUSION; LIBERAL TRANSFUSION; RESTRICTIVE TRANSFUSION; COGNITIVE FUNCTION; ANEMIA; MANAGEMENT; TOLERANCE; DISEASE; ALTERNATIVES;

D O I：

10.3949/ccjm.84a.15134

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Evidence supports a parsimonious approach to blood use for managing anemia, contrasting with the long-standing practice of blood transfusion targeting arbitrary hemo-globin levels. Hemodilution studies have demonstrated that humans can tolerate anemia. The cumulative data have confirmed and validated the safety of a conservative approach to transfusion. This has translated into formal national guidelines for blood transfusion as well as patient safety and quality markers supporting blood management stewardship to minimize unnecessary use of blood products.

引用

页码：43 / 51

页数：9

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