skip to Main Content

Archive for : Blood Management

The Storage Lesion: The Saga Continues

The Storage Lesion Early this year I discussed the potential implications of the “storage lesion” for RBC transfusions in a previous blog post, The Storage Lesion, Soldier On and Stay Tuned. Several studies were cited and questions put forth that…

Written by: Mediware Consulting and Analytics on Tuesday, November 13, 2012 Blood Management

The Heartbreak of Blood Transfusions – Part II

The Heartbreak of Blood Transfusions I have always emphasized the need for multidisciplinary, representative blood utilization committees as part of a comprehensive patient blood management program.  To that end, it is important to have representation from the “bloody specialties”, including…

Written by: Mediware Consulting and Analytics on Monday, November 12, 2012 Blood Management

The 8 Rights of Transfusion Administration

The 8 Rights of Transfusion Administration Nurses have known and upheld the five rights of medication administration for decades. The Transfusion Medicine community quickly and readily adapted these rights to another high volume, high risk hospital procedure: transfusion administration. Recently,…

Written by: Mediware Consulting and Analytics on Monday, October 8, 2012 Blood Management

Some Principles of Pediatric Blood Management

We have all heard the phrase “it’s the principle of the thing.” This phrase reminds us that in everything we do, including the clinical management of patients, there are both precedents and principles to guide our decision making processes. The…

Written by: Mediware Consulting and Analytics on Tuesday, September 18, 2012 Blood Management

Risky Business? The Relative Infectious Risks of Blood Transfusion

Every medical intervention has an inherent risk.  Blood transfusion is no exception. Physicians must know the risks versus benefits of therapeutic modalities for each specific patient treated. Unfortunately, disproportionate emphasis is sometimes placed on the risks and potential infectious complications…

Written by: Mediware Consulting and Analytics on Monday, August 13, 2012 Blood Management

A Precarious Position

In July, we will be highlighting information on antiplatelet and anticoagulant medications, both old and new.  The webinar and the Ask-the-Expert segment, will focus not only on the pharmacological mechanisms of these drugs, but the controversies surrounding their benefits, risks and…

Written by: Mediware Consulting and Analytics on Tuesday, July 17, 2012 Blood Management

Wrong Patient, Wrong Unit: Preventing Transfusion Errors

Previous newsletter articles have discussed the importance of appropriate transfusion decisions as a critical element of transfusion safety, as well as the role of bedside nursing as vigilant advocates during the transfusion administration process. This month’s article focuses on the…

Written by: Mediware Consulting and Analytics on Friday, July 6, 2012 Blood Management

Cheap and Effective: The Tranexamic Acid Story

On March 20th the New York Times1 (NYT) reported on a study in BMC Emergency Medicine (http://www.biomedcentral.com/1471-227X/12/3/abstract) that use of tranexamic acid (TXA) in trauma patients could save up to 128,000 lives annually worldwide, 4,000 of them in the United…

Written by: Mediware Consulting and Analytics on Wednesday, June 6, 2012 Blood Management

Plasma: It’s Not So “Mellow Yellow”

Plasma transfusion, whether FFP, plasma 24, thawed plasma, or any variation on this theme, continues to increase in the U.S. The 2009 National Blood Collection & Utilization Survey Report documented 5.7 million units of plasma produced and close to 4.5…

Written by: Mediware Consulting and Analytics on Thursday, May 31, 2012 Blood Management

Anemia Management in ESRD: On the Horns of a Dilemma

Recently, I have had several queries and personal communications regarding a perceived increase in RBC transfusions for patients with end-stage renal disease (ESRD) on dialysis. The literature is replete with articles surrounding the management of anemia in this patient population,…

Written by: Mediware Consulting and Analytics on Tuesday, May 15, 2012 Blood Management