Transfusion Practice

21st Annual NATA Symposium

21st Annual NATA Symposium, Athens 2020The 21st Annual NATA Symposium on Patient Blood Management, Haemostasis and Thrombosis will take place on April 23-24, 2020 in Athens, Greece.

Please click on the link below for more information
21st Annual Symposium General Information

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.

Read more on this

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.

Read more on this


From the Literature

Oct 23, 2019

Published: Sep 2019

de Bruin S, Scheeren TWL, Bakker J, van Bruggen R, Vlaar APJ

Transfusion practice in the non-bleeding critically ill: an international online survey-the TRACE survey.
Crit Care 2019;23:309.

#

NATA REVIEW:
In order to elucidate whether data from transfusion trials has impacted current intensive care transfusion management,...
REVIEW by:
J. M. Cholette

Published: Sep 2019

Roquet F, Neuschwander A, Hamada S, et al.

Association of early, high plasma-to-red blood cell transfusion ratio with mortality in adults with severe bleeding after trauma.
JAMA Netw Open 2019;2:e1912076.

#

NATA REVIEW:
Roquet et al. report the results of a large retrospective trauma registry study on optimal FFP to RBC...
REVIEW by:
A. P. J. Vlaar

Published: Aug 2019

Kaserer A, Rössler J, Braun J, et al.

Impact of a Patient Blood Management monitoring and feedback programme on allogeneic blood transfusions and related costs.
Anaesthesia 2019; Aug 25 [Epub ahead of print].

#

NATA REVIEW:
While Patient Blood Management (PBM) is becoming a new standard worldwide with evidence-based and expert consensus...
REVIEW by:
S. M. Goobie

Published: Aug 2019

McNamara H, Kenyon C, Smith R, Mallaiah S, Barclay P

Four years' experience of a ROTEM((R))-guided algorithm for treatment of coagulopathy in obstetric haemorrhage.
Anaesthesia 2019;74:984-991.

#

NATA REVIEW:
This important study by McNamara et al. reports on four years of observational data from a large UK...
REVIEW by:
B. Froessler

Published: Jul 2019

Butler EK, Mills BM, Arbabi S, et al.

Association of blood component ratios with 24-hour mortality in injured children receiving massive transfusion.
Crit Care Med 2019;47:975-983.

#

NATA REVIEW:
While the incidence of paediatric trauma requiring massive transfusion is lower than the incidence in adults,...
REVIEW by:
D. Faraoni

Published: May 2019

Vlot EA, Verwijmeren L, van de Garde EMW, Kloppenburg GTL, van Dongen EPA, Noordzij PG

Intra-operative red blood cell transfusion and mortality after cardiac surgery.
BMC Anesthesiol 2019;19:65.

#

NATA REVIEW:
Many studies have shown an association between transfusion and adverse events, including short- and long-term...
REVIEW by:
M. Pavesi