在新生儿重症监护病房减少/消除红细胞输血的实用指南
Robin K Ohls1, Timothy M Bahr2, Thomas G Peterson3
1Division of Neonatology, Department of Pediatrics, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA.
Seminars in fetal & neonatal medicine
|October 30, 2024
概括
红细胞输血对新生儿有风险. 使用非药理和药理方法实施输血避免计划可以显著降低新生儿重症监护室 (NICU) 患者的输血率.
科学领域:
- 新生儿医学 新生儿医学
- 血液学 血液学 血液学
- 儿科重症监护中心儿童重症监护中心
背景情况:
- 红细胞输血对于患有严重贫血或出血的新生儿至关重要.
- 新生儿输血带有已知的风险,如感染和血液循环过载.
- 不太知名的风险包括炎症恶化,早产视网膜病变以及新生儿集中治疗室患者的神经发育延迟.
研究的目的:
- 描述新生儿重症监护室 (NICU) 的高效和成本效益的输血避免方案.
- 突出降低易受伤害的新生儿红细胞输血率的好处.
主要方法:
- 实施非药物治疗的输血避免技术.
- 使用药理学方法,特别是红色受体刺激剂.
- 采用描述的输血避免方案.
主要成果:
- 在NICU患者中降低了输血率.
- 许多NICU患者通过实施协议保持无输血状态.
- 证明了一种高效且具有成本效益的输血避免计划.
结论:
- 避免输血的策略对于最小化与新生儿红细胞输血相关的风险至关重要.
- 结合非药理学和药理学方法的协议可以成功地减少NICU人群的输血依赖.
- 优化输血管理改善了最小和最不成熟的婴儿重症监护室患者的结果.
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