title: Clinical review: Canadian National Advisory Committee on Blood and Blood Products--Massive transfusion consensus conference 2011: report of the panel.
abstract: In June 2011 the Canadian National Advisory Committee on Blood and Blood Products sponsored an international consensus conference on transfusion and trauma. A panel of 10 experts and two external advisors reviewed the current medical literature and information presented at the conference by invited international speakers and attendees. The Consensus Panel addressed six specific questions on the topic of blood transfusion in trauma. The questions focused on: ratio-based blood resuscitation in trauma patients; the impact of survivorship bias in current research conclusions; the value of nonplasma coagulation products; the role of protocols for delivery of urgent transfusion; the merits of traditional laboratory monitoring compared with measures of clot viscoelasticity; and opportunities for future research. Key findings include a lack of evidence to support the use of 1:1:1 blood component ratios as the standard of care, the importance of early use of tranexamic acid, the expected value of an organized response plan, and the recommendation for an integrated approach that includes antifibrinolytics, rapid release of red blood cells, and a foundation ratio of blood components adjusted by results from either traditional coagulation tests or clot viscoelasticity or both. The present report is intended to provide guidance to practitioners, hospitals, and policy-makers.
authors.affiliation: Blood Transfusion Service, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. sdzik@partners.org
authors.forename: Walter H
authors.initials: WH
authors.lastname: Dzik
authors.forename: Morris A
authors.initials: MA
authors.lastname: Blajchman
authors.forename: Dean
authors.initials: D
authors.lastname: Fergusson
authors.forename: Morad
authors.initials: M
authors.lastname: Hameed
authors.forename: Blair
authors.initials: B
authors.lastname: Henry
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Kirkpatrick
authors.forename: Teresa
authors.initials: T
authors.lastname: Korogyi
authors.forename: Sarvesh
authors.initials: S
authors.lastname: Logsetty
authors.forename: Robert C
authors.initials: RC
authors.lastname: Skeate
authors.forename: Simon
authors.initials: S
authors.lastname: Stanworth
authors.forename: Charles
authors.initials: C
authors.lastname: MacAdams
authors.forename: Brian
authors.initials: B
authors.lastname: Muirhead
mesh_terms: D001780:Blood Coagulation Tests; D016913:Blood Component Transfusion / Q000379:methods / Q000592:standards; D001803:Blood Transfusion / Q000379:methods* / Q000592:standards; D002170:Canada; D058734:Exsanguination / Q000628:therapy; D006801:Humans; D012151:Resuscitation / Q000379:methods / Q000592:standards; D012955:Societies, Medical; D014947:Wounds and Injuries / Q000628:therapy*