The appropriate use of blood transfusions remains variable among health-care institutions and patient populations. Transfusion practices are discussed in this article in relation to medical practice guidelines and utilization review. Specific transfusion practices in the settings of intensive care, orthopedic surgery, and open heart surgery are reviewed. A new, promising approach to improving transfusion outcomes is the use of transfusion aigorithms. Transfusion algorithms may prove especially useful if they incorporate point-of-care testing that is both physiologic and patient-specific for transfusion decisions. Transfusion algarithms are discussed and data presented for cardiac surgical adults
Blood Conservation| May 01 1996
Current Red Blood Cell Transfusion Practices
Lawrence Tim Goodnough, MD
From the Department of Medicine and Pathology, Washington University School of Medicine, and Barnes Hospital, St. Louis, Missouri.
Reprint requests to Lawrence T. Goodnough, MD, Associate Professor of Medicine and Pathology, Washington University School of Medicine, Division of Laboratory Medicine, 660 S. Euclid Avenue, Box 8118, St. Louis, MO 63110.
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AACN Adv Crit Care (1996) 7 (2): 212–220.
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Lawrence Tim Goodnough; Current Red Blood Cell Transfusion Practices. AACN Adv Crit Care 1 May 1996; 7 (2): 212–220. doi:
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