Perioperative red cell transfusion: evidence, guidelines and practice.
Although we still do not know enough about the influence of anaemia and transfusion on outcomes for the surgical patient, it is possible to develop a general consensus about many aspects of management. A quality programme to improve consistency of practice in these consensus areas is feasible. (Table 6) This should be linked with further randomised trials to evaluate the clinical effectiveness of alternative regimes.
Edinburgh & South East Scotland Blood Transfusion Service, Royal Infirmary, UK. b.mcclelland@SNBTS.SCOT.NHS.UK
B
B
McClelland
D000328:Adult; D000368:Aged; D000740:Anemia / Q000209:etiology / Q000628:therapy; D019644:Arthroplasty, Replacement, Hip; D016063:Blood Loss, Surgical; D019090:Case Management; D002648:Child; D002986:Clinical Trials as Topic; D003625:Data Collection; D003657:Decision Making; D017707:Erythrocyte Transfusion; D005260:Female; D005568:Forms and Records Control; D006620:Hip Fractures / Q000601:surgery; D006801:Humans; D008297:Male; D008485:Medical Audit; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D017410:Practice Guidelines as Topic; D011300:Preoperative Care; D011364:Professional Practice / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care