Developing a blood conservation program in cardiac surgery

被引:28
作者
DeAnda, Abe, Jr.
Baker, Kathy M.
Roseff, Susan D.
Green, Jeffrey A.
McCarthy, Harry
Aron, Tyrone
Spiess, Bruce D.
机构
[1] Yeshiva Univ Albert Einstein Coll Med, Montefiore Med Ctr, Dept Cardiothorac Surg, Bronx, NY 10461 USA
[2] Virginia Commonwealth Univ, Med Coll Virginia, Perfus Serv, Richmond, VA 23298 USA
[3] Virginia Commonwealth Univ, Med Coll Virginia, Reanimat Engn Shock Ctr, Richmond, VA 23298 USA
关键词
transfusion; blood conservation; cardiac surgery; blood;
D O I
10.1177/1062860606289784
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The beneficial effects of blood transfusions have been described and widely accepted. Multiple factors, including shortages, costs, infectious risks, immunologic risks, and the risk/benefit ratio to the patient, have made the medical community reassess the guidelines for transfusion. Cardiac surgery presents a unique subset of patients, because intervention at multiple stages in the care of these patients is possible to decrease the need for transfusion. An algorithm for a cardiac surgery program was developed and a reassessment performed. Once it was seen that no detrimental effect on patient care occurred, the program was expanded, was enhanced, and subsequently has been offered to the rest of the health care system. This program has resulted in a decrease in cost while maintaining patient outcomes. The success of the program is believed to be a result of the multidisciplinary approach taken, with a commitment from all members of the blood reduction team being the key component of this success.
引用
收藏
页码:230 / 237
页数:8
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