25 June 2024 (Tuesday) - Transfusion Evidence Alert

The Transfusion Evidence Alert email arrived in my in-box this morning.

 

Back in the day the worst thing that you could do with a bag of platelets was to stick it in the fridge. Now this is being encouraged.

And transfusion volumes – one unit transfusions were a no-no. Now one unit is the amount most people seem to have.

One thing I’ve found over the years is that what is terrible practice at one moment becomes standard practice the next.

 

ARTICLE OF THE MONTH Andexanet for factor Xa inhibitor-associated acute intracerebral hemorrhage. Connolly, S.J., et al. (2024). The New England Journal of Medicine. PICO Summary available +++++

TOP ARTICLES The impact of social media intervention based on functional motivation on repeat blood donation behavior: A prospective randomized controlled trial study. Gao, C., Mei, H., and Mao, X., (2024). Transfusion. [Record in progress]. The role of sealants for achieving anastomotic hemostasis in vascular surgery. Ma, G.W., et al. (2024). The Cochrane Database of Systematic Reviews. Predicting blood transfusion following traumatic injury using machine learning models: a systematic review and narrative synthesis. Oakley, W., et al. (2024). The Journal of Trauma and Acute Care Surgery. [Record in progress]. Restrictive versus liberal red blood cell transfusion strategies for people with haematological malignancies treated with intensive chemotherapy or radiotherapy, or both, with or without haematopoietic stem cell support. Radford, M., et al. (2024). The Cochrane Database of Systematic Reviews. Recombinant ADAMTS13 in congenital thrombotic thrombocytopenic purpura. Scully, M., et al. (2024). The New England Journal of Medicine. Early cold stored platelet transfusion following severe injury: a randomized clinical trial. S perry, J.L., et al. (2024). Annals of Surgery. [Record in progress]. A randomized trial of the inflammatory cytokines levels and the blood transfusion rate between miniaturized tubing group and conventional tubing group in congenital heart disease open heart surgeries. Wang, P., et al. (2024). Perfusion. [Record in progress]. Quantitative blood loss measurement methods for early detection of primary postpartum haemorrhage following vaginal birth: a scoping review. Wang, T., et al. (2024). Journal of Clinical Nursing. [Record in progress]. Andexanet alfa versus PCC products for factor Xa inhibitor bleeding: a systematic review with meta-analysis. White, C. M., et al. (2024). Pharmacotherapy. +++++