AABB建议对住院的成人和儿童进行限制性红细胞输血
Errol Moras1, J Dawn Abbott1,2, Saraschandra Vallabhajosyula2
1Ichan School of Medicine at Mount Sinai-Morningside West, New York, NY, USA (E.M., J.D.A.).
Annals of internal medicine
|February 5, 2024
概括
2023年AABB指南为红细胞输血实践提供了更新的建议. 这些指导方针旨在改善患者的治疗结果,并优化血液制品在临床环境中的使用.
科学领域:
- 血液学 血液学 血液学
- 输血医学 输血医学
- 临床指南 临床指南
背景情况:
- 红细胞 (RBC) 输血很常见,但存在风险.
- 基于证据的指导方针对于安全有效的输血实践至关重要.
- 以前的指南需要定期更新以反映新的研究.
研究的目的:
- 提出2023年AABB红细胞输血国际指导方针.
- 为临床医生提供基于证据的建议.
- 促进红细胞输血的最佳使用.
主要方法:
- 对最近文献进行系统审查.
- 由专家小组制定基于共识的建议.
- 根据证据质量对建议进行分级.
主要成果:
- 更新了关于输血触发器的指南.
- 针对特定患者群体的建议 (例如,重症监护,心脏病学).
- 强调患者的血液管理策略.
结论:
- 2023年AABB指南提供了关于红细胞输血的全面更新.
- 遵守这些准则可以提高患者的安全性和结果.
- 对输血实践的持续评估是必不可少的.
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