Patterns of paediatric massive blood transfusion protocol use in trauma and non‐trauma patients

2021 ◽  
Author(s):  
Emily C. Alberto ◽  
Yinan Zheng ◽  
Zachary P. Milestone ◽  
Megan Cheng ◽  
Omar Z. Ahmed ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Trauma Patients ◽  
Massive Blood Transfusion ◽  
Transfusion Protocol

1192: INCREASING AWARENESS OF THE MASSIVE BLOOD TRANSFUSION PROTOCOL AMONG CRITICAL CARE FELLOWS

2018 ◽  
Vol 46 (1) ◽  
pp. 580-580
Author(s):  
Sangita Goel ◽  
Lisa Daniels ◽  
Janelle Poyant ◽  
Aarti Narayan ◽  
Ankit Sakhuja ◽  
...  
Keyword(s):  
Critical Care ◽  
Blood Transfusion ◽  
Massive Blood Transfusion ◽  
Transfusion Protocol

Case Report: Activation of Massive Blood Transfusion Protocol in a 1-Year-Old Patient for Cranial Vault Reduction Surgery

FACE ◽  
2021 ◽  
pp. 273250162110489
Author(s):  
Alberto J. de Armendi ◽  
Alexandra E. Hylton ◽  
Thomas Stevens ◽  
Charles E. Holland ◽  
Michael O’Dell ◽  
...  
Keyword(s):  
Case Report ◽  
Blood Transfusion ◽  
Cranial Vault ◽  
Massive Blood Transfusion ◽  
Transfusion Protocol

scholarly journals Review of Existing Scoring Systems for Massive Blood Transfusion in Trauma Patients

Shock ◽  
2019 ◽  
Vol 52 (3) ◽  
pp. 288-299 ◽  
Author(s):  
Ayman El-Menyar ◽  
Ahammed Mekkodathil ◽  
Husham Abdelrahman ◽  
Rifat Latifi ◽  
Sagar Galwankar ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Scoring Systems ◽  
Trauma Patients ◽  
Massive Blood Transfusion

scholarly journals Massive Transfusion Protocol Over-Activation

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S164-S165
Author(s):  
M Abdelmonem ◽  
H Wasim ◽  
M Abdelmonem
Keyword(s):  
Blood Transfusion ◽  
Blood Cells ◽  
Blood Product ◽  
Massive Transfusion ◽  
Labor And Delivery ◽  
Massive Blood Transfusion ◽  
Packed Red Blood Cells ◽  
Massive Transfusion Protocol ◽  
The Difference ◽  
Transfusion Protocol

Abstract Introduction/Objective Massive blood transfusion protocol (MTP) is revealed in many cases, such as massive hemorrhage after surgeries, trauma settings, and labor and delivery. Patients who require blood transfusion of more than ten units of packed red blood cells in 24 hours or transfusion of more than four units of packed red blood cells (PRBCs) in one hour are the massive blood transfusion protocol candidates. Methods/Case Report A retrospective study was performed at a 225-bed level III trauma center in California. The overall massive blood transfusion protocol utilization, blood product emergency release, and blood product waste were recorded twelve months before and after launching an educational and collaboration program between blood banks and clinicians about the difference between massive transfusion protocol and blood emergency release. Results (if a Case Study enter NA) MTP utilization for the 12 months (June 2017 to June 2018) was demonstrated as 59 MTP activations: 32 MTPs from the emergency department, 4 MTPs from inpatient floors, 3 MTPs from labor and delivery, and 4 MTPs from operating rooms while the blood product emergency releases were 7 emergency releases. MTP utilization from (June 2018 to June 2019) was demonstrated as 15 MTP activations: 11 MTPs from the emergency department, 2 MTPs from inpatient floors, 1 MTPs from labor and delivery, and 1 MTPs from operating rooms, while the blood product emergency releases were 43 emergency releases. The blood product waste was reduced by 44.6% in 2018. Conclusion There was a significant reduction in MTP activation and blood product waste after implementing the educational program for the clinicians. The collaboration between the blood bank and the clinicians and coordinating educational sessions for clinicians about the difference between MTP and emergency release and the negative impact of the MTP over-activation on the blood product waste and the clinical laboratory scientists in the blood bank is vital in MTP utilization.

Accuracy of CHULA (Class-4 Hemorrhage Unresponsive to Lactated Ringer’s) Criteria for Massive Transfusion Protocol Activation in Trauma Patients

2020 ◽  
Vol 103 (10) ◽  
pp. 1042-1047
Keyword(s):  
Blood Transfusion ◽  
Injury Severity ◽  
Massive Transfusion ◽  
Demographic Data ◽  
Clinical Signs ◽  
Trauma Patients ◽  
Packed Red Blood Cells ◽  
Massive Transfusion Protocol ◽  
Sensitivity Specificity ◽  
Transfusion Protocol

Background: In massive bleeding trauma patients, the use of massive transfusion protocol (MTP) has been shown to improve the outcome. However, the triggers for MTP activation vary among institutions. One of the most commonly used scoring systems to predict massive transfusion (MT) is the assessment of blood consumption (ABC) score. The authors’ institution has used a simple clinical criterion, the Class-4 Hemorrhage Unresponsive to Lactated Ringer’s (CHULA criteria), as a trigger for MTP activation. Objective: To identify the accuracy of CHULA criteria for MTP activation in trauma patients. Materials and Methods: Between April 2013 and April 2016, the authors retrospectively collected the data of trauma patients receiving blood transfusion in the first 24 hours at King Chulalongkorn Memorial Hospital, including demographic data, trauma scores, amount of blood transfusion, and mortality. The detail of CHULA criteria included 1) a patient with clinical signs of Class-4 hemorrhage, 2) not responding to one to two liters of Lactated Ringer’s bolus, and 3) had suspected ongoing bleeding. MT was defined as 1) packed red blood cells (PRC) transfusion of equal to or greater than 10 units in 24 hours, or 2) PRC transfusion of more than four units in the first hour. The accuracy of CHULA criteria for MTP activation was analyzed. Comparison between CHULA criteria and ABC score (of equal to or greater than 2) was also performed. Results: Three hundred fifty-eight patients were included in the present study, 292 males and 66 females. The mechanisms of injury were 68% blunt and 32% penetrating, with an average injury severity score of 21. MTP was activated by CHULA criteria in 100 patients and 73 received MT. Of the 258 patients who did not meet CHULA criteria, five received MT. As a trigger for MT activation, CHULA criteria had sensitivity, specificity, and accuracy of 93.6%, 90.4%, and 91%, respectively; while ABC score had sensitivity, specificity, and accuracy of 62.8%, 78.9%, and 75.4%, respectively. Conclusion: CHULA criteria can predict MT in trauma patients with 91% accuracy. When compared with ABC score, CHULA criteria were not inferior to ABC score in predicting MT. Keywords: Massive transfusion, CHULA criteria, ABC score

scholarly journals Beyond Surgical Site Bleeding

2018 ◽  
Vol 4 ◽  
pp. 2513826X1876943
Author(s):  
Alexandra Bain ◽  
Jouseph O. Barkho ◽  
Matthew McRae ◽  
Mark McRae
Keyword(s):  
Duodenal Ulcer ◽  
Blood Transfusion ◽  
Gastroduodenal Artery ◽  
Hemorrhage Control ◽  
Autologous Breast Reconstruction ◽  
Massive Blood Transfusion ◽  
Upper Gastrointestinal Bleed ◽  
Inflammatory Drugs ◽  
Upper Gastrointestinal ◽  
Transfusion Protocol

We report the case of a 66-year-old female who underwent autologous breast reconstruction and sustained a massive upper gastrointestinal bleed secondary to a duodenal ulcer after using nonsteroidal anti-inflammatory drugs (NSAIDs) consistently for 2 weeks. She required resuscitation with a massive blood transfusion protocol and definitive hemorrhage control with interventional coiling of the gastroduodenal artery. We discuss the importance of thinking beyond surgical site bleeding with NSAIDs as well as risk stratification and prevention of NSAID-induced complications.

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