Key result
Transfusion algorithms incorporating physiologic and patient-specific point-of-care testing represent a promising approach to improving transfusion outcomes in cardiac surgical adults.
The use of transfusion algorithms incorporating point-of-care testing is a promising approach to optimize red blood cell transfusion practices and improve outcomes in settings such as cardiac surgery.
Does not support practice change; leaves open need for randomized trials of point-of-care algorithms in cardiac surgery.
The appropriate use of blood transfusions remains variable among health-care institutions and patient populations. Transfusion practices are discussed in this article in relation to medical practice guidelines and utilization review. Specific transfusion practices in the settings of intensive care, orthopedic surgery, and open heart surgery are reviewed. A new, promising approach to improving transfusion outcomes is the use of transfusion algorithms. Transfusion algorithms may prove especially useful if they incorporate point-of-care testing that is both physiologic and patient-specific for transfusion decisions. Transfusion algorithms are discussed and data presented for cardiac surgical adults.
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Lawrence T. Goodnough (1996) conducted a review in Red blood cell transfusion. Transfusion algorithms was evaluated. Transfusion algorithms incorporating physiologic and patient-specific point-of-care testing represent a promising approach to improving transfusion outcomes in cardiac surgical adults.
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