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Intraoperative transfusion practices in Europe
J Meier1, D Filipescu2, S Kozek-Langenecker3
1Clinic of Anesthesiology and Intensive Care Medicine, Faculty of Medicine of the Kepler University Linz, Linz, Austria jens.meier@gmail.com.
British Journal of Anaesthesia
|January 21, 2016
Summary
Intraoperative transfusions in Europe are often triggered by physiological signs like hypotension, not just hemoglobin levels. Further education is needed on the number of packed red blood cells (pRBC) transfused.
Area of Science:
- Anesthesiology
- Transfusion Medicine
- Surgical Outcomes
Background:
- Allogeneic blood transfusion impacts surgical outcomes.
- Transfusion practices vary across Europe despite guidelines.
- Understanding intraoperative transfusion patterns is crucial.
Purpose of the Study:
- To determine the volume of packed red blood cells (pRBC) and blood products transfused intraoperatively.
- To identify factors influencing transfusion decisions across Europe.
Main Methods:
- Prospective observational cohort study.
- Involved 5803 patients across 126 European centers.
- Data collected over a three-month period in 2013.
Main Results:
- Intraoperative transfusion rate was 1.8%.
- 59% of transfusions were initiated due to physiological triggers (hypotension, tachycardia).
- Hemoglobin-based triggers initiated only 8.5% of transfusions; mean Hb before transfusion was 8.1 g/dL.
Conclusions:
- European Society of Anaesthesiology guidelines are moderately implemented regarding hemoglobin thresholds.
- Significant need for educational initiatives on the quantity of pRBC units transfused per threshold.
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