Autologous blood transfusion (ABT) is increasingly used in order to avoid transfusion-related risks. The effectiveness of this simple and feasible procedure depends on several factors, such as the timing of surgery, t...
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Autologous blood transfusion (ABT) is increasingly used in order to avoid transfusion-related risks. The effectiveness of this simple and feasible procedure depends on several factors, such as the timing of surgery, the patient's overall condition and, last but not least, the pre-disposition of the medical team towards the routine use of ABT. We report our experience in blood support with ABT for general thoracic surgical patients, indicating an overall partially satisfactory outcome due to a limited use of the procedure. In 1992, 61 patients (38%) received autologous blood only, as compared to 9 patients (6%) who had received ABT in 1989. The average pre-deposit per patient ratio in 1992 was 1.2 units, which provided insufficient autologous blood support. In the same period, only 23 patients were subjected to acute normovolemic hemodilution (ANH). However, we noted a reduction of homologous transfusions from 2.9 +/- < 2.1 in 1989 to 2.0 +/- < 1.5 in 1992 (P<0.01). In addition, we observed that a single pre-deposit was not enough to enhance erythropoiesis and to improve post-operative red blood cell rescue when performed in patients with Hb > 11 g%. Based on our data, we emphasize a more extensive move to ANH, along with pre-deposit, in order to avoid unnecessary homologous blood transfusions.
Perioperative nursing is changing in response to the increasing complexity of patient care during diverse, specialized surgical procedures. As a result, designated specialty surgical teams have developed to fulfill ne...
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Perioperative nursing is changing in response to the increasing complexity of patient care during diverse, specialized surgical procedures. As a result, designated specialty surgical teams have developed to fulfill needs of patients, nurses and surgeons. This exploratory, descriptive study examined reasons for implementing specialty surgical teams, the frequency and RN composition of such teams and their benefits. Data concerning the prevalence and specific use of specialty surgical teams are necessary to validate and redefine the nature and role of specialized perioperative nurses. Results of the U.S. study generally paralleled the Missouri study although findings were not as pronounced. Clearly though, in both studies, specialty surgical teams are perceived very positively by study respondents.
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