Balanced resuscitation: the role during non-massive hemorrhage

Data from the American College of Surgeons’ Trauma Quality Improvement Program (TQIP) indicate that less than 3% of trauma patients receive more than 10 units of RBCs within 24 hours.4 Therefore, decision-making around transfusing plasma and platelets with RBCs in the majority of trauma patients suf...

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Bibliographic Details
Published in:Trauma surgery & acute care open 2024-05, Vol.9 (1), p.e001486-e001486
Main Authors: Garber, Kent, Kornblith, Lucy, Cuschieri, Joseph
Format: Article
Language:English
Subjects:
Blood
Blood platelets
blood transfusion
Blood transfusions
Commentary
Hemorrhage
Mortality
Plasma
Trauma
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Summary:Data from the American College of Surgeons’ Trauma Quality Improvement Program (TQIP) indicate that less than 3% of trauma patients receive more than 10 units of RBCs within 24 hours.4 Therefore, decision-making around transfusing plasma and platelets with RBCs in the majority of trauma patients suffers from a lack of comprehensive data to guide us. To address this gap, Jehan and colleagues analyzed TQIP data from 2016 to 2019 for over 85 000 patients receiving “submassive transfusions” and explored whether there is a mortality benefit when plasma and platelets are administered with RBCs, and what the RBC threshold is where the addition of plasma and platelets becomes beneficial. [...]the study also did not evaluate the effects of different plasma or platelet volumes or ratios, timing of administration, or coagulation profiles in patients receiving combined resuscitation versus RBCs alone.
ISSN:2397-5776
2397-5776
DOI:10.1136/tsaco-2024-001486