title: [The prevention of transfusion-associated circulatory overload].
abstract: Hydrostatic pulmonary edema is a frequent and severe complication of blood transfusion. Recent epidemiological studies open the way for a better prevention of Transfusion-Associated Circulatory Overload. Preventive measures rely solely on the medical and nursing staff. Mitigation strategies include a careful identification of patients and conditions at-risk, a single-unit transfusion policy in patients with chronic anemia, the use of slow infusion rates, the careful monitoring of patient vital signs (particularly systemic arterial blood pressure). Peritransfusion IV diuretics use is likely to be helpful, although optimal prescribing patterns have not been defined.
authors.affiliation: Pôle anesthésie-réanimations-soins intensifs-blocs opératoires-urgences, CHRU de Brest, université de Bretagne occidentale, boulevard Tanguy-Prigent, 29609 Brest cedex, France. Electronic address: yves.ozier@chu-brest.fr.
authors.forename: Y
authors.initials: Y
authors.lastname: Ozier
mesh_terms: D000367:Age Factors; D000368:Aged; D001803:Blood Transfusion / Q000379:methods / Q000451:nursing; D001810:Blood Volume; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000453:epidemiology; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000503:physiopathology; D015994:Incidence; D008297:Male; D005996:Nitroglycerin / Q000627:therapeutic use; D011292:Premedication; D011654:Pulmonary Edema / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D012307:Risk Factors; D012727:Sex Characteristics; D049994:Sodium Potassium Chloride Symporter Inhibitors / Q000627:therapeutic use; D065227:Transfusion Reaction; D014665:Vasodilator Agents / Q000627:therapeutic use; D014883:Water-Electrolyte Imbalance / Q000150:complications
chemical_list: D049994:Sodium Potassium Chloride Symporter Inhibitors; D014665:Vasodilator Agents; D005996:Nitroglycerin
keywords: Blood transfusion; Complications; Hemovigilance; Hémovigilance; Transfusion; Transfusion-associated circulatory overload; Œdème pulmonaire de surcharge transfusionnelle