Establishing practice guidelines for surgical blood management

Lawrence T. Goodnough, George J. Despotis

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Medical practice guidelines have been promoted as a way to improve the cost-effectiveness of medical care. Algorithms for the transfusion of red blood cells, plasma, and platelets may be especially useful in the surgical setting if they incorporate point-of-care information that is both physiologic and patient-specific for transfusion decision making. Therefore, the goals of guidelines for surgical blood management should be twofold. They should (1) acknowledge patient-specific variability while addressing physician- and institution-dependent variables; and (2) improve blood component management by developing more physiologic clinical indicators of the need for allogeneic red blood cell transfusion.

Original languageEnglish
Pages (from-to)S16-S20
JournalAmerican journal of surgery
Volume170
Issue number6
DOIs
StatePublished - Jan 1 1995

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