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Alternative to Blood Replacement in the Critically Ill.
Deborah J Tolich1, Kelly McCoy1
1Blood Management, Cleveland Clinic Health System, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Critical Care Nursing Clinics of North America
|August 6, 2017
Summary
This review covers strategies to minimize blood transfusions in critically ill patients. It explores treatments for iatrogenic anemia, fluid management, and alternative oxygen carriers.
Area of Science:
- Critical care medicine
- Hematology
Background:
- Critically ill patients often require blood transfusions.
- Minimizing transfusions can reduce risks and costs.
- Iatrogenic anemia is a common issue in intensive care units.
Purpose of the Study:
- To review current treatments and strategies for reducing blood transfusions in critically ill patients.
- To discuss adjuncts to blood transfusion for managing blood volumes.
- To explore management options for patients where blood transfusion is not feasible.
Main Methods:
- Literature review of treatments and strategies for blood management.
- Analysis of iatrogenic anemia, fluid management, and pharmaceutical agents.
- Evaluation of hemostatic agents and hemoglobin-based oxygen carriers.
Main Results:
- Various strategies exist to reduce blood transfusion needs.
- Pharmaceuticals and hemostatic agents offer viable alternatives.
- Fluid management is crucial for optimizing blood volume.
- Hemoglobin-based oxygen carriers show potential.
Conclusions:
- A multimodal approach is essential for optimizing blood management in critically ill patients.
- Reducing transfusions improves patient outcomes and reduces healthcare burden.
- Further research into novel blood management strategies is warranted.
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