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Author: Nicole P. Juffermans
Publisher: Springer
ISBN: 3319087355
Category : Medical
Languages : en
Pages : 185
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Book Description
Due to a high incidence of anemia, critically ill patients are frequently transfused, with up to 40% of patients receiving a transfusion during their stay in the Intensive Care Unit. It has become increasingly clear that there is an association between transfusion and adverse outcomes, underlining the need for a careful assessment of the risks and benefits of a blood transfusion. In the last decade, there have been several large clinical trials that have studied red blood cell transfusion triggers in various ICU patient populations, allowing us to take a personalized approach to transfusion. Moreover, ICU patients often suffer from coagulopathy. Recent studies have addressed the effectiveness of fresh frozen plasma and platelets to prevent or treat bleeding. Aiming at a personalized therapy approach in transfusion practice, this book is the first to offer a comprehensive summary of transfusion triggers for red blood cells in specific ICU patient populations and specific conditions. In addition, it discusses evidence for triggers for plasma and platelets and outlines the most common adverse effects of transfusion in the ICU. Transfusion in the Intensive Care Unit is a practical handbook that can be used in everyday practice to guide transfusion and thus will serve as a valuable resource for physicians, fellows and residents working in Intensive Care, Anesthesiology and Cardiac Surgery.
Author: Nicole P. Juffermans
Publisher: Springer
ISBN: 3319087355
Category : Medical
Languages : en
Pages : 185
Get Book Here
Book Description
Due to a high incidence of anemia, critically ill patients are frequently transfused, with up to 40% of patients receiving a transfusion during their stay in the Intensive Care Unit. It has become increasingly clear that there is an association between transfusion and adverse outcomes, underlining the need for a careful assessment of the risks and benefits of a blood transfusion. In the last decade, there have been several large clinical trials that have studied red blood cell transfusion triggers in various ICU patient populations, allowing us to take a personalized approach to transfusion. Moreover, ICU patients often suffer from coagulopathy. Recent studies have addressed the effectiveness of fresh frozen plasma and platelets to prevent or treat bleeding. Aiming at a personalized therapy approach in transfusion practice, this book is the first to offer a comprehensive summary of transfusion triggers for red blood cells in specific ICU patient populations and specific conditions. In addition, it discusses evidence for triggers for plasma and platelets and outlines the most common adverse effects of transfusion in the ICU. Transfusion in the Intensive Care Unit is a practical handbook that can be used in everyday practice to guide transfusion and thus will serve as a valuable resource for physicians, fellows and residents working in Intensive Care, Anesthesiology and Cardiac Surgery.
Author: Jecko Thachil
Publisher: John Wiley & Sons
ISBN: 1118274245
Category : Medical
Languages : en
Pages : 264
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Book Description
Issues of thrombosis, bleeding, and transfusion are extremely common, and often complex, in critically ill patients. Haematology in Critical Care: A Practical Handbookprovidesa dependable source of expert guidance on how to handle common haematological problems seen in the critical care setting, as well as the acute care of patients with a primary haematological disorder. Full-time clinical haematologists, regularly attending on intensive care, the Editors begin with an approach to abnormal laboratory tests, following with a disease-orientated approach to topics such as coagulation and haematological malignancy. Other key topics include paediatric and neonatal care, transfusion, point of care testing and the emergency presentation of haematological disease. This title brings together two of the most highly scientific specialties in clinical practice, delivering a practical approach to these problems, and guiding the clinician through the diagnosis and management of common scenarios encountered in the ICU.
Author: Melissa M. Zaccheo
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
The purpose of this evidence-based practice change project was to implement an evidence-based education program on the topic of blood transfusion practice to ICU nurses. The goal of this project was to educate ICU nurses on blood transfusion indications, adverse events, and blood conservation interventions that can be implemented to decrease patient blood loss in an ICU setting. An outcome indicator of nursing knowledge of current evidence-based blood transfusion practice in the intensive care unit has been established. Nursing knowledge was evaluated prior to and following an education program, to assess the efficacy of the education program. Improving knowledge of professional nurses on the evidence-based topic of RBC transfusion in the ICU may improve patient outcomes through best practice actions. " -- from Introduction.
Author: Kelly Fletcher
Publisher:
ISBN:
Category : Blood
Languages : en
Pages :
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Book Description
Author: Helen Galley
Publisher: BMJ Books
ISBN: 9780727916570
Category : Medical
Languages : en
Pages : 85
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Book Description
The latest volume in the popular Critical Care Focus series discusses issues of particular importance on the intensive care unit. Along with its companion volumes it focuses on current areas of debate and change, and is intended as an update for all intensive care workers and trainees.
Author: Patricia O’Malley
Publisher: Elsevier Health Sciences
ISBN: 0323545491
Category : Medical
Languages : en
Pages : 137
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Book Description
Dr. O'Malley is a well-known nurse researcer in the area of Hemaotology, and she has assembled top experts to write about the most important hemtaologic issues in critical care. The issue has articles devoted to the following topics: Cord blood banking; Leukemia and Lymphomas; Sickle Cell; Anticoagulants; Aplastic anemia & MDS; Hereditary Hemochromatosis and Pernicious Anemia; Hemophilia; Blood book: cells, products, transfusion; Anemia; Multiple Myeloma; DIC; and The lived experience of anemia without a cause. Nurses will come away with the clinical information they need to improve patient outcomes in the critical care setting.
Author: Senta Jorinde Raasveld
Publisher:
ISBN: 9789465060989
Category :
Languages : en
Pages : 0
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Book Description
"Transfusion has been a topic of interest for centuries. Nowadays, it is one of the key treatments in patients admitted to the intensive care unit (ICU). Researchers have tried to find the optimal indications for transfusion in different settings (e.g., trauma vs. non-trauma), subpopulations (e.g., sepsis, post-cardiothoracic surgery) as well as the specifics of transfusion itself (e.g., blood vs. components, storage times). In the past decades, there has been increasing attention to the potential downsides of transfusion. These include patient -level factors, such as short- and long-term side-effects, as well as system-level factors such as donor shortages and increasing healthcare costs. This has led to different international non-inferiority randomized trials investigating whether it is safe to apply a restrictive transfusion policy. Overall, this has resulted in guidelines moving towards a more restrictive transfusion policy in ICU patients. While these data are important for the patient population as a whole, the individual patient may benefit from a personalized approach. The work in this thesis forms an epidemiological overview of transfusion practices in two domains: on one hand, the global mixed population in the ICU; on the other hand, patients supported with extracorporeal membrane oxygenation (ECMO). The different presented studies each highlighted a different aspect of transfusion. By focusing on actual transfusion behavior, we aimed to improve our understanding of how clinical studies and guideline recommendations are translated into clinical practice. Ultimately, the goal of this work was to provide a foundation for future research, implementation and education."--
Author: Nicolas Jabbour
Publisher: Wiley-Blackwell
ISBN: 9781405121590
Category : Medical
Languages : en
Pages : 312
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Book Description
Essential guide to the new field of transfusion-free medicine and surgery – written by leading experts in the field. Transfusion Free Medicine and Surgery provides a comprehensive approach to a new paradigm shift in the field of blood management. The principles are easy and this platform provides an all-inclusive review of red blood cell production, oxygen delivery, coagulation and the role of blood transfusion in an intensive care setting. Controversial as it may sound, this book opens the door for ethical/legal debates, by putting them into perspective and providing answers to perplexing situations. The economics of blood transfusion and the hidden costs that allude the clinician are also brought into the equation. Why Buy This Book? Provides the groundwork for developing a successful transfusion-free clinical program Includes all key issues related to blood products, blood transfusion and transfusion-free medicine and surgery Discusses controversial issues associated with this new and fast moving field Includes self-assessment questions to help the reader with their continuing professional education and development Transfusion Free Medicine and Surgery is ideal for: Specialists working in transfusion and transfusion-free medicine Haematologists in practice and in training Anyone involved in any surgical discipline, internal medicine, ICU care or anaesthesia who is interested in this field
Author: Clifford S. Deutschman
Publisher: Elsevier Health Sciences
ISBN: 1437737897
Category : Medical
Languages : en
Pages : 743
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Book Description
Evidence-Based Practice of Critical Care, edited by Drs. Clifford S. Deutschman and Patrick J. Neligan, provides objective data and expert guidance to help answer the most important questions challenging ICU physicians today. It discusses the clinical options, examines the relevant research, and presents expert recommendations on everything from acute organ failure to prevention issues. An outstanding source for "best practices" in critical care medicine, this book is a valuable framework for translating evidence into practice. Gain valuable evidence-based recommendations on key topics such as acute organ failure, infection, sepsis and inflammation, and prevention issues pointing the way to the most effective approaches. Get an overview of each question, an outline of management options, a review of the relevant evidence, areas of uncertainty, existing management guidelines, and authors’ recommendations. Navigate a full range of challenges from routine care to complicated and special situations. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches.
Author: Marleen Straat
Publisher:
ISBN: 9789461698902
Category :
Languages : en
Pages : 0
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Book Description
"Since the first recorded successful blood transfusion was performed in 1665 and the first Intensive Care Unit (ICU) was founded in 1952, a transfusion has gradually become a common medical procedure in the ICU. However, recent studies have shown an association between transfusion and adverse outcome. This thesis contains both clinical and pre-clinical investigations of the effects of a transfusion in the critically ill. The studies focus on investigations of mechanisms of the association between transfusion and adverse outcome and are clustered in three parts that each focus on one of the different blood components and have its own aims: Red blood cells (I): To investigate the role of storage red blood cells as well as the presence of an inflammatory condition on the association between RBC transfusion and host response. Fresh frozen plasma (II): To assess the effect of a FFP transfusion on host response and hemostatic balance in critically ill patients. Platelets (III): To assess the effect of platelet transfusion on the development of infections in critically ill patients."--Samenvatting auteur.
