在重症监护室进行血小板输血实践:Nine-I国际血小板输血调查
Lene Russell1,2,3, Elie Azoulay4, Carl Thomas Anthon5
1Department of Intensive Care, Copenhagen University Hospital Gentofte, Gentofte Hospitalsvej 1, 2900, Hellerup, Denmark. Lene.russell@mail.dk.
Annals of intensive care
|July 8, 2025
概括
重症监护室 (ICU) 医生在血小板输血方面表现出多样化的做法,在临床决策中不一致地遵守指导方针和不确定性. 这种异质性影响了患者的护理,并强调了对标准化协议的需求.
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
- 临床实践 临床实践
背景情况:
- 血小板输血在重症监护室 (ICU) 常见,用于预防或治疗出血.
- 目前的指导方针为某些ICU患者群体的血小板输血提供了有限的具体门.
- 医生的临床判断严重影响了输血决策.
研究的目的:
- 调查和描述重症监护室 (ICU) 医生关于血小板输血的当前偏好和做法.
- 在各种临床场景中确定影响这些输血决策的因素.
主要方法:
- 一项匿名的在线调查被分发给欧洲和美国的ICU医生.
- 该调查包括43项评估血小板输血实践,指南使用和决策因素的项目.
- 分析了997项已完成调查的数据.
主要成果:
- 在各国之间和各国内部观察到血小板输血实践的显著异质性.
- 大多数医生会在不出血的医疗ICU患者中以10 × 109细胞/L的速度输血预防性血小板.
- 对输血指示的信心很低 (17%),并很少遵守指南 (12%).
结论:
- 在ICU中的血小板输血实践在不同地区是高度可变和不一致的.
- 现有指导方针的遵守率很低,医生经常表达对输血指示的不确定性.
- 部门文化和同事的态度显著影响输血决策.
相关概念视频
Blood Types
Human blood is classified into different types based on the presence of antigens on the red blood cell's surface and antibodies in the plasma. Proper identification of blood type is essential for successful blood transfusion. The International Society of Blood Transfusion has identified 38 human blood types based on the surface antigens on the red blood cells. The most common types are ABO, Rh, and MNS blood types.
ABO blood group
ABO antigens are glycoproteins encoded by genes present on...
ABO blood group
ABO antigens are glycoproteins encoded by genes present on...
Blood Transfusion and Agglutination
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
Blood Transfusion
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...


