通过系统性审查来定义超大规模输血.
Courtney H Meyer1,2,3, Neal Mody Bailey4, Sharon L Leslie5
1Grady Health System, Atlanta, GA.
American journal of surgery
|April 15, 2024
概括
超大规模输血 (UMT) 缺乏标准定义. 这篇评论建议在创伤患者中将UMT定义为24小时内≥20个红细胞单位.
科学领域:
- 创伤护理的护理人员.
- 流血性休克管理的管理.
- 血液产品输血协议 输血协议
背景情况:
- 超大规模输血 (UMT) 对经历出血休克的创伤患者至关重要.
- 目前还没有UMT的标准化定义,这阻碍了一致的临床应用和研究.
- 这次系统性审查的目的是建立UMT的共识定义.
结论:
- 由于缺乏标准化的UMT定义,这带来了临床,研究和伦理方面的挑战.
- 将UMT定义标准化为≥20个红细胞单位/24小时是可行的和建议的.
- 这种标准化将提高创伤护理和涉及大规模输血协议的研究的一致性.
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