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Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
05:23

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

Saving lives and conserving blood: changing blood transfusion practices at St. John's Hospital, Springfield, Missouri

Alexander R Hover, Kevin Madigan, Lesha Skidmore

    Missouri Medicine
    |January 1, 2004
    PubMed

    We measured mean transfusion rates for 11 conditions accounting for the majority of inpatient blood transfusions and the pre-transfusion hemoglobin threshold triggering the transfusion. We then developed evidence-based recommendations for lower blood hemoglobin transfusion 'triggers.' Implementation of the transfusion guidelines and consensus building has decreased blood transfusion for the eleven conditions at St. John's Regional Health System (SJRHS) by 11.3% year to date (July 2002-March 2003).

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