Gerdes Joan, Bertolani Barbara, Berg Mary
Quality Improvement Department, University Medical Center, Tucson, Arizona, USA.
J Trauma Nurs. 2005 Apr-Jun;12(2):57-8. doi: 10.1097/00043860-200512020-00007.
Thawed plasma contains all of the clotting factors that Fresh Frozen Plasma contains with the exception of lower levels of Factor V and Factor VIII. Thawed plasma still has significant levels of factors to enhance coagulation. The purpose of our review was to decrease wastage and cost of fresh frozen plasma by utilizing thawed plasma and to encourage use of thawed plasma in place of fresh frozen plasma. Sources of information included our Blood Bank wastage data and cost analysis per unit. By educating the Trauma Service and Anesthesia and Emergency Services regarding the availability of thawed plasma versus fresh frozen plasma, the University Medical Center significantly decreased wastage of fresh frozen plasma after the program was initiated.
解冻血浆含有新鲜冰冻血浆所含的所有凝血因子,只是V因子和VIII因子的水平较低。解冻血浆仍有显著水平的凝血因子来增强凝血功能。我们此次综述的目的是通过使用解冻血浆来减少新鲜冰冻血浆的浪费和成本,并鼓励用解冻血浆替代新鲜冰冻血浆。信息来源包括我们血库的浪费数据和每单位的成本分析。通过向创伤科、麻醉科和急诊科宣传解冻血浆与新鲜冰冻血浆的可获得情况,该大学医学中心在该项目启动后显著减少了新鲜冰冻血浆的浪费。