在重症监护室预防阳性贫血的最佳实践:节血技术
Marta Raurell-Torredà1, Rafael-Jesús Fernández-Castillo2,3, María-Esther Rodríguez-Delgado4
1Departament d'Infermeria Fonamental i Clínica, Universitat de Barcelona, Barcelona, Spain.
Nursing in critical care
|April 24, 2024
概括
重症监护病房的病人往往会因为经常抽血而患上贫血. 像闭血采样装置 (CBSD) 这样的节血技术可以帮助减少血液损失,并支持可持续的医疗保健实践.
科学领域:
- 临界护理医学 临界护理医学
- 血液学 血液学 血液学
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 贫血在重症监护病房 (ICU) 普遍存在,诊断性抽血加剧了贫血.
- 医疗保健服务通过与血液相关的过程对二氧化碳排放做出了重大贡献.
- 可持续的医疗保健需要采取干预措施来减轻这些影响.
研究的目的:
- 评估节血技术来管理ICU中的贫血.
- 探索减少血液产品利用和相关环境影响的策略.
- 评估实施小体积管 (SVT) 和闭血采样装置 (CBSD) 的可行性.
主要方法:
- 对SVT和CBSD在降低血液体积中的有效性发表的研究的综述.
- 分析这些技术对降低血红蛋白和输血需求的影响.
- 考虑实施因素,包括成本效益和实验室处理.
主要成果:
- 无论是SVT还是CBSD都会减少用于诊断目的抽取血液的数量.
- 现有研究 (2014年之前) 表明,仅靠这些技术并不能持续降低血红蛋白减少或输血需求.
- 与SVT相比,由于实验室适应要求较少,CBSD的实施可能更简单.
结论:
- 节血技术对于ICU患者的血液管理至关重要.
- 需要进一步的研究,包括成本效益研究,以优化它们的使用.
- 封闭式血液采样设备为减少血液抽取量和支持可持续医疗保健提供了潜在的更直接的选择.
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