Department of Intensive Care, Copenhagen University Hospital, Rigshospitalet, Inge Lehmansvej 5, Opg. 3, 3. sal, 4131, Copenhagen Ø 2100, Denmark.
Department of Intensive Care, Copenhagen University Hospital, Rigshospitalet, Inge Lehmansvej 5, Opg. 3, 3. sal, 4131, Copenhagen Ø 2100, Denmark; Centre for Research in Intensive Care (CRIC), Tagensvej 22, 2200 Copenhagen N, Denmark.
Crit Care Clin. 2018 Apr;34(2):299-311. doi: 10.1016/j.ccc.2017.12.005. Epub 2018 Jan 20.
The critical care and perioperative settings are high consumers of blood products, with multiple units and different products often given to an individual patient. The recommendation of this review is always to consider the risks and benefits for a specific blood product for a specific patient in a specific clinical setting. Optimize patient status by treating anemia and preventing the need for red blood cell transfusion. Consider other options for correction of anemia and coagulation disorders and use an imperative non-overtransfusion policy for all blood products.
重症监护和围手术期是血液制品的高消耗科室，经常会给一个患者输注多个单位和不同的产品。本次综述的建议始终是要考虑在特定临床环境下针对特定患者使用特定血液制品的风险和获益。通过治疗贫血和预防红细胞输注的必要性来优化患者的状态。考虑其他纠正贫血和凝血障碍的方法，并对所有血液制品采用强制性不过度输血的策略。
