Pro-Con Debate: Prehospital Blood Transfusion-Should It Be Adopted for Civilian Trauma?

被引:11
|
作者
Dudaryk, Roman [1 ]
Heim, Catherine [2 ]
Ruetzler, Kurt [3 ]
Pivalizza, Evan G. [4 ]
机构
[1] Univ Miami Hlth Syst, Dept Anesthesiol Perioperat Med & Pain Management, 1611 NW 12th St,C-301, Miami, FL 33136 USA
[2] CHUV Lausanne, Dept Anesthesiol, Univ Hosp, Lausanne, Switzerland
[3] Cleveland Clin, Anesthesiol Inst, Dept Outcomes Res, Cleveland, OH 44106 USA
[4] Univ Texas Houston, McGovern Med Sch, Dept Anesthesiol, Houston, TX USA
来源
ANESTHESIA AND ANALGESIA | 2022年 / 134卷 / 04期
关键词
FRESH-FROZEN PLASMA; BATTLEFIELD; AFGHANISTAN; IMPACT; DEATH; RATIO; TIME;
D O I
10.1213/ANE.0000000000005747
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Exsanguination is the leading cause of death in severely injured patients; nevertheless, prehospital blood transfusion (PHT) remains a controversial topic. Here, we review the pros and cons of PHT, which is now routine in treatment of military trauma patients in the civilian setting. While PHT may improve survival in those who suffer blunt injury or require prolonged transport from the site of injury, PHT for civilian trauma generally is not supported by high-quality evidence. This article was originally presented as a pro-con debate at the 2020 meeting of the European Society of Anesthesiology and Intensive Care.
引用
收藏
页码:678 / 682
页数:5
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