title: Toward reducing perioperative transfusions.
abstract: Even though the supply of blood products has never been safer, disease transmission remains the chief patient concern about transfusions. The primary concerns for anesthetists center on risks associated with blood transfusions, such as transfusion-related acute lung injury, anaphylactic transfusion reaction, clerical errors resulting in ABO incompatibility, and blood products contaminated with infectious organisms. These concerns, combined with patients' religious tenets and other factors, have contributed to renewed efforts to minimize blood transfusion without negative patient consequences. Achieving this goal requires a concerted effort by surgeons, perioperative nurses, and anesthesia providers.
authors.affiliation: Wesley Long Community Hospital, Division of the Moses Cone Health System, Greensboro, NC, USA. crnadad@yahoo.com
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Joyce
mesh_terms: D007611:Aprotinin / Q000627:therapeutic use; D001777:Blood Coagulation / Q000187:drug effects; D016913:Blood Component Transfusion / Q000379:methods* / Q000451:nursing; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001804:Blood Transfusion, Autologous / Q000009:adverse effects / Q000379:methods / Q000451:nursing; D004334:Drug Administration Schedule; D005169:Factor VIII / Q000627:therapeutic use; D005340:Fibrinogen / Q000627:therapeutic use; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D017053:Infection Control / Q000379:methods; D009719:Nurse Anesthetists; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D010949:Plasma; D017713:Platelet Transfusion; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D017751:Safety Management; D065227:Transfusion Reaction
chemical_list: D006490:Hemostatics; C026912:cryoprecipitate coagulum; D005169:Factor VIII; D005340:Fibrinogen; D007611:Aprotinin