Transfusion Practice

18th Annual NATA Symposium

18th Annual NATA Symposium, Florence 2018The 18th Annual NATA Symposium on Patient Blood Management, Haemostasis and Thrombosis will take place at the Firenze Fiera Congress & Exhibition Center in Florence, Italy, on April 20-21, 2017.

The scientific programme is now online.

The extended deadline for abstract submission is January 15, 2017.

The second announcement can be downloaded here.

For more information, please visit the Events > Annual Symposium section.

More information about the 18th Annual NATA Symposium

Focused Update: Perioperative Management of Jehovah’s Witness Patients in Relation to Their Refusal of Allogeneic Blood Transfusion

Jehovah's Witness (JW) patients strictly refuse allogeneic blood transfusion (red blood cells, plasma and platelets), even in the presence of life-threatening anemia and/or coagulopathy. However, today JW patients can undergo major surgical procedures without facing an excessive risk of death—provided that a prospectively conceived and structured perioperative management is applied.

In a Nataonline Focused Update, Prof. Oliver Habler, Department of Anesthesiology, Surgical Intensive Care Medicine and Pain Therapy, Krankenhaus Nordwest GmbH, Frankfurt, Germany, reviews the perioperative management of JW patients with emphasis on the following cornerstones: (1) the preoperative optimization of cardiopulmonary status and the correction of preoperative anemia and coagulopathy, (2) the perioperative collection of autologous blood, (3) the minimization of perioperative blood loss and (4) the utilization of the organism’s natural tolerance to anemia and its acute accentuation in the case of life-threatening anemia.

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Focused update: The management of massive hemorrhage/transfusion in civilian trauma

The management of massive hemorrhage/transfusion in trauma has evolved considerably in the past few years. Based on a consensus established in 2005, several civilian trauma centers have adopted a restrictive approach to the administration of crystalloids in view of minimizing hemodilution, along with the transfusion of red blood cells (RBC), fresh frozen plasma (FFP) and platelet concentrates (PC) in a 1:1:1 ratio. In a Nataonline Focused Update, Professor Jean-François discusses the evidence supporting this strategy.

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From the Literature

Feb 25, 2017

Published: Dec 2016

Menendez ME, Lu N, Huybrechts KF, et al.

Variation in use of blood transfusion in primary total hip and knee arthroplasties.
J Arthroplasty 2016;31:2757-2763 e2752.

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NATA REVIEW:
This study reports on variability in red blood cell transfusion rates among US hospitals using a large dataset...
REVIEW by:
C. So-Osman

Published: Nov 2016

Carson JL, Guyatt G, Heddle NM, et al.

Clinical practice guidelines from the AABB: red blood cell transfusion thresholds and storage.
JAMA 2016;316:2025-2035.

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NATA REVIEW:
The AABB has updated its guidelines on red blood cell (RBC) transfusion and storage issues. In summary, the authors...
REVIEW by:
J. Lacroix

Published: Nov 2016

von Heymann C, Kaufner L, Sander M, et al.

Does the severity of preoperative anemia or blood transfusion have a stronger impact on long-term survival after cardiac surgery?
J Thorac Cardiovasc Surg 2016;152:1412-1420.

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NATA REVIEW:
In this study, von Heymann and colleagues describe the effects of different degrees of preoperative anaemia and/or...
REVIEW by:
J. Meier

Published: Nov 2016

Muenster S, Beloiartsev A, Yu B, et al.

Exposure of stored packed erythrocytes to nitric oxide prevents transfusion-associated pulmonary hypertension.

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NATA REVIEW:
This study investigated the potential role of of nitric oxide (NO) treatment of stored red blood cells (RBCs)...
REVIEW by:
M. Piagnerelli

Published: Nov 2016

Michetti CP, Prentice HA, Lita E, Wright J, Ng E, Newcomb AB

Reducing transfusions in critically injured patients using a restricted-criteria order set.
J Trauma Acute Care Surg 2016;81:889-896.

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NATA REVIEW:
In this study, the authors deal with the problem of adherence to evidence-based transfusion criteria. As they...
REVIEW by:
R. Rossaint

Published: Sep 2016

Chung KW, Basavaraju SV, Mu Y, et al.

Declining blood collection and utilization in the United States.
Transfusion 2016;56:2184-2192.

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NATA REVIEW:
The authors report an analysis of the 2013 Blood Collection and Utilization Survey results by the US Department...
REVIEW by:
L. T. Goodnough