Transfusion supply optimization in multiple-discipline surgical hospital

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Aim. To define optimal variant of transfusion supply of hospital by blood components and to decrease donor blood expense via application of blood preserving technologies. Material and methods. Donor blood components expense, volume of hemotransfusions and their proportion for the period 2012-2014 were analyzed. Results. Number of recipients of packed red cells, fresh-frozen plasma and packed platelets reduced 18.5%, 25% and 80% respectively. Need for donor plasma decreased 35%. Expense of autologous plasma in cardiac surgery was 76% of overall volume. Preoperative plasma sampling is introduced in patients with aortic aneurysm. Number of cardiac interventions performed without donor blood is increased 7-31% depending on its complexity.

Keywords:

hemotransfusion

transfusion supply

transfusion supply service

department of blood transfusion

station of blood transfusion

donor blood components expense

preoperative plasma sampling

plasma sampling in aortic aneurysm

intraoperative blood re-infusion

Authors:

Solov'eva I.N.

Acad. B.V. Petrovsky Russian Research Surgery Center, Moscow

Trekova N.A.

Department of Heart Valve Surgery Petrovsky Russian Research Center for Surgery, Moscow, Russia

Krapivkin I.A.

Acad. B.V. Petrovsky Russian Research Surgery Center, Moscow

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