红细胞输血在重症监护室
在PubMed上查看摘要
概括
此摘要是机器生成的。红细胞 (RBC) 输血在全球重症监护室 (ICU) 常见. 红细胞输血的实践和血红蛋白值在世界各地不同的重症监护室有很大差异.
科学领域
- 危急护理医学
- 血液学
- 临床实践
背景情况
- 红细胞输血是重症监护室 (ICU) 的常见干预措施.
- 尽管从临床试验中确定了血红蛋白 (Hb) 值,但目前在ICU输血红细胞的临床实践在全球范围内仍然很大程度上没有特征.
研究的目的
- 调查和描述在重症监护室内红细胞输血的全球实践.
- 评估不同国际环境中的红细胞输血方案和结果的变化.
主要方法
- 一项国际前性队列研究,涉及30个国家的233个重症监护室的3643名成年患者.
- 在一段时间内收集的数据 (2019年3月至2022年10月),重点关注红细胞输血发生情况,适应症,Hb水平和ICU期间输血的单位.
主要成果
- 25% 的患者接受了红细胞输血,在各中心,国家和大陆之间存在显著差异 (0-100%).
- 低血红蛋白 (Hb) 水平 (平均7. 4 g/ dL),活跃的出血和血液动力学不稳定性是输血的主要指示.
- 输血实践显示出广泛的变化,大约84%的ICU输血患者的Hb水平中位数超过7g/ dL.
结论
- 红细胞输血是全球重症监护室的常见做法.
- 在ICU中,红细胞输血实践在国际上有很大的差异.
- 需要进一步的研究来了解这些不同的做法对患者的结果的影响.
相关概念视频
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...

