Blood wastage reduction

Zoric, Lana; Daurat, G.; Dematteï, Christophe; Macheboeuf, Martine; Boisson, Christophe; Bouix, O.; Gris, Jean‐Christophe; Ripart, Jacques; Cuvillon, Philippe

doi:10.1097/eja.0b013e32835fadcf

Cited by 22 publications

(14 citation statements)

References 17 publications

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“…Due to the inherent need to have blood stocks at all times and also often unpredictable demands on the inventory, a very limited and inevitable outdating of components in blood bank is accepted [ 8 ]. Studies claim that through target interventions and adherence to strict guidelines, a significant reduction in the wastage of blood components could be achieved and maintained [ 9 – 11 ]. Globally only 106 countries have national guidelines on the appropriate clinical use of blood and blood products [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

A study on blood product usage and wastage at the public hospital, Guyana

et al. 2016

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BackgroundBlood is a valuable resource and blood wastage in a low socio economic country could impose a very serious impact on healthcare. This study therefore analyzes the usage and wastage of blood and blood products at the Georgetown Public Hospital Cooperation (GPHC), Guyana.MethodsA retrospective study was conducted on the data retrieved from laboratory blood banking information system on usage and wastage of blood products during the years 2012–2014 at the public hospital. The data were analyzed in MS Excel and SPSS 20.0.ResultsA total of 16,426 units of blood were issued from National Blood Transfusion Services. During the study period the most frequently requested blood component was packed cells followed by fresh frozen plasma (FFP), platelet, cryoprecipitate (CRYO) and whole blood respectively. Data indicated that 4167 units (25 %) of blood were wasted due to various reasons at GPHC.ConclusionsThere is a need for intervention through raising awareness among medical staff in reducing blood wastage.

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Section: Introductionmentioning

confidence: 99%

A study on blood product usage and wastage at the public hospital, Guyana

et al. 2016

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“…Previous studies of product wastage have focused on RBC timeout of temperature control (Thomas et al ., ), transport and storage outside of the blood bank (Heitmiller et al ., ; Thomas et al ., ; Zoric et al ., ). These studies, however, do not address other causes of blood product discard, such as units not completed due to transfusion reactions.…”

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confidence: 97%

Blood product and laboratory resource wastage in non‐severe allergic transfusion reactions: an opportunity for improvement

Kasim

Aldarweesh

2019

Transfusion Medicine

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SUMMARY Objective To evaluate the degree of blood product and technical resources wasted as a result of allergic transfusion reactions. Background Allergic reactions are common, and most are non‐severe with rash, urticaria, or pruritus. Management includes treatment of symptoms and completion of transfusion. A quality review demonstrated that 30% of transfusion reaction work‐ups at our institution were allergic. This raised the concern of product wastage and unnecessary utilisation of laboratory resources. Methods We conducted a retrospective study of allergic reactions, including type of product implicated, volume of products transfused and discarded, the severity of reaction, the use of medications, the incidence of symptom resolution and the rate of repeat transfusion after the allergic event. Results Of 179 allergic reactions, non‐severe reactions were reported in 75%. Non‐severe reactions were associated with red blood cell, whereas most severe reactions were associated with platelets. Few cases had premedication; however, 83% of reactions were treated once symptoms developed, and 96% resolved. Of transfusions, 61% were stopped because of symptoms before the transfusion was completed. Of patients with non‐severe reactions and transfusions that were not completed, 36% were transfused again within 48 h, representing 16% of all allergic reactions. Conclusion Allergic reactions resulted in partial transfusion of the prescribed product in just over half of the cases reviewed. Most of these reactions were non‐severe, resolved with treatment and could have been completed, thus representing wastage of both blood products and the expense of the reaction evaluation. Educational efforts to eliminate/minimise this waste are in development.

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“…(mean TTI: GVL 52 s vs. Macintosh 29 s; P = 0.0001). [ 8 ] However, in normal weight adult patients, time taken to intubate was comparable (GVL 46 s vs. Macintosh 30 s). [ 9 ] Majority of the studies comparing GVL with Macintosh laryngoscope recorded either increased or comparable TTI in adult patients.…”

Section: Discussionmentioning

confidence: 99%

“…The McCoy laryngoscope with the hinged tip has been shown to provide improved view of the glottis in patients with and without difficult airway[ 5 6 ] and less hemodynamic response to intubation compared to Macintosh laryngoscope. [ 7 ] With the advent of Glidescope video laryngoscope (GVL), this new device was compared with Macintosh laryngoscope in obese and nonobese individuals and shown to provide either similar or longer time to intubate (TTI),[ 8 9 10 11 ] but better glottis visualization. [ 10 12 ]…”

Section: Introductionmentioning

confidence: 99%

Comparison of Macintosh, McCoy, and Glidescope video laryngoscope for intubation in morbidly obese patients: Randomized controlled trial

et al. 2018

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Objectives:The aim of the study was to compare time to intubation and glottic visualization between Macintosh, McCoy, and Glidescope video laryngoscope (GVL) in morbidly obese patients.Methodology:Forty-five American Society of Anesthesiologists I–III morbidly obese patients were randomized into three groups of 15 each and time to intubation, Cormack–Lehane grading, and Intubation Difficulty Score (IDS) were compared.Results:GVL took more time to intubate (TTI) compared to Macintosh and McCoy laryngoscope (P = 0.0001). Overall IDS were similar between the groups.Conclusion:To conclude, GVL takes longer TTI with no added advantage in IDS and hemodynamic response to intubation in morbidly obese patients. McCoy is only as effective as Macintosh and hence Macintosh laryngoscope should be laryngoscope of choice due to its widespread availability and familiarity.

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Blood wastage reduction

Abstract: Seven simple strategies (including transport containers with an effective temperature analyser and audits) decreased blood wastage, especially in the ICU and operating theatre.

Cited by 22 publications

References 17 publications

A study on blood product usage and wastage at the public hospital, Guyana

A study on blood product usage and wastage at the public hospital, Guyana

Blood product and laboratory resource wastage in non‐severe allergic transfusion reactions: an opportunity for improvement

Comparison of Macintosh, McCoy, and Glidescope video laryngoscope for intubation in morbidly obese patients: Randomized controlled trial

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