在社区III级创伤中心使用低位数"O"全血的模型:成本效益,利用和防止宝贵资源浪费
Charles D Mabry1, J R Taylor2, Kaylee Velasquez3
1Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
The American surgeon
|May 3, 2025
概括
低位数"O"负全血 (LTOWB) 是有效的创伤出血. 本研究详细介绍了有效使用LTOWB的协议,实现零浪费,并促进创伤中心更广泛采用.
科学领域:
- 创伤护理的护理人员.
- 输血 输血 输血 输血 输血 输血 输血
- 紧急医疗 紧急医疗
背景情况:
- 低位数"O"负全血 (LTOWB) 是治疗创伤患者严重出血的宝贵资源.
- 尽管LTOWB有效,但由于对成本和浪费的担忧,LTOWB在创伤中心的采用一直受到限制.
研究的目的:
- 描述一项在III级创伤中心有效利用LTOWB的方法.
- 为了证明与标准输血协议相比,LTOWB可以在不产生额外成本或浪费的情况下使用.
主要方法:
- 实施用于LTOWB使用和血液银行管理的特定协议.
- 追踪输血数据,包括输血的红细胞和LTOWB单位数量.
- 监测LTOWB浪费率和转换为RBC.
主要成果:
- 在两年的时间里,LTOWB的190个单位被输给了124名患者.
- 血液银行实现了LTOWB的零浪费.
- 93%的LTOWB被使用而没有转换,7%被转换为RBC.
结论:
- 协议可以有效地节约LTOWB,最大限度地减少浪费,并可能降低成本.
- 这种方法可以作为一个模型,鼓励在创伤系统中更广泛地采用LTOWB.
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