挑战

在重症监护病房 (ICU) 的大多数患者会贫血,且 30-37% 的重症监护病房患者在此期间要接受输血。1,2

95PC

不幸的是,目前这些异体输血存在感染的风险,以及循环超负荷、急性和迟发性输血反应、心肌功能障碍和免疫调节的潜在可能。3,4,5,6 有很多原因引起贫血,其中一个因素是静脉和动脉采血(放血)。医院里急救病区的重病人每天需要抽 5 到 20 多次血。7,8,9 

我们的解决方案

减少输血的方法之一是诊断时在抽血过程中减少血液浪费或"丢弃量"。

Safe Set 240mL

SafeSet® 提供了一个密封的无针采血和储血系统,该装置笔直无弯曲,每次抽血可允许 2-10 毫升的血液丢弃,10,11-13 之后再回输,同时保护患者和临床医生不接触血源性病原体。如果一个病人需要(5-24 次/每天)的抽血频率,每次抽血过程需要丢弃(2-10 毫升)的混血量的话,使用 SafeSet 产品每名患者每天可节省 20 -240 毫升血。因此,发挥 SafeSet 的再回输血液丢弃的优点可帮助减少重症监护病房的贫血案例,从而减少不必要的输血。SafeSet 不仅增加了血液采样过程中的效率,也通过维持一个密闭的系统为患者和临床医生提供了更高的安全性。

参考文献

  1. Hebert PC, Schweitzer I, Calder L, et al: Review of the clinical practice literature on allogeneic red blood cell transfusion. Can Med Assoc J 156(11S):S9 -S26, 1997 
  2. Hebert PC, Wells G, Tweeddale M, et al: Does transfusion practice affect mortality in critically ill patients? Am J Respir Crit Care Med 1997; 155:1618 -1623
  3. Hebert PC, Wells G, Blajchman M, et al: A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. N Engl J Med 1999; 340:409 - 417 
  4. Goodnough LT, Brecher ME, Kanter MH, et al: Transfusion medicine: Blood transfusion. N Engl J Med 1999; 340:438 - 447
  5. Goodnough LT, Brecher ME, Kanter MH, et al: Transfusion medicine: Blood conservation. N Engl J Med 1999; 340:525-533
  6. Marik PE, Sibbald WJ: Effect of stored-blood transfusion on oxygen delivery in patients with sepsis. JAMA 1993; 269:3024 -3029
  7. Vincent JL, Baron J-F, Reinhart K, et al:Anemia and blood transfusion in critically ill patients. JAMA 2002; 288:1499-1507
  8. Nguyen BV, Bota DP, Melot C, et al: Time course of hemoglobin concentration in nonbleeding intensive care unit patients. Crit Care Med 2003; 31:406-410
  9. Zimmerman JE, Seneff MG, Sun X, et al: Evaluating laboratory usage in the intensive care unit: Patient and institutional characteristics that influence frequency of blood sampling. Crit Care Med 1997; 25:737-748
  10. Nguyen BV, Bota DP, Melot C, et al: Time course of hemoglobin (See reference #8)
  11. Gleason E, Grossman S, Campbell C: Minimizing diagnostic blood loss in critically ill patients. Am J Crit Care 1992; 1:85-90
  12. Clapham M, Willis N, Mapleson W: Minimum value of discard for valid blood sampling from indwelling arterial cannulae. Br J Anesth 1987; 59:232-235
  13. Dale JC, Ruby SG: Specimen collection volumes for laboratory tests. Arch Pathol Lab Med 2003; 127:162-168
  14. Corwin HL, Gettinger A, Pearl, RG, et al: The CRIT Study: Anemia and blood transfusion in the critically ill-Current clinical practice in the United States. Crit Care Med 2004; 32:1:39-52