QUESTIONNAIRE SURVEY OF THE CURRENT STATUS OF HOSPITAL TRANSFUSION SERVICES IN THE MANAGEMENT OF CRITICAL HEMORRHAGES

• Kino Shuichi

  Transfusion Service and Cellular Therapy, Asahikawa Medical College Hospital Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Handa Makoto

  Department of Transfusion Medicine and Cellular Therapy, Keio University Hospital Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Inada Eiichi

  Department of Anesthesiology, Juntendo University School of Medicine Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Inaba Shoichi

  Kanagawa Blood Center, Japanese Red Cross Society Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Irita Kazuo

  Office for the New Hospital Construction, Kyushu University Hospital Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Yoshimura Hayashi

  Operating Room Division, Kyushu University Hospital Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Warabi Kengo

  Department of Anesthesiology, Juntendo University School of Medicine Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Tsuzaki Koichi

  Department of Anesthesiology, School of Medicine, Keio University Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Mashiko Kunihiro

  Department of Emergency and Critical Care Medicine, Chiba Hokusoh Hospital, Nippon Medical School Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Yano Tetsu

  Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

• Kamei Yoshimasa

  Department of Obstetrics, Tokyo University Hospital Study group supported by Ministry of Health, Labour and Welfare, "Study of the effects of the 'Blood Transfusion Guidelines for Critical Hemorrhages' on the survival rate, and establishment of online blood transfusion network among blood centers and hospitals"

Bibliographic Information

Other Title

• 輸血部門における危機的出血への対応に関するアンケート調査結果

Abstract

Objective: <br> Hospital transfusion services receive blood components supplied by the Red Cross Blood Center and forward them to places where blood transfusions are conducted. Therefore, in case of an urgent and/or massive transfusion, the transfusion services are required to act with speed and precision to ensure that sufficient blood components are prepared for resuscitation. We performed a nationwide questionnaire survey of the current status of transfusion services in the management of critical hemorrhages.<br> Materials and methods: <br> In November 2007, we conducted the survey in 385 transfusion services of hospitals accredited by the Japan Society of Anesthesiologists.<br> Results: <br> 1. Almost all the hospitals complied with the Japanese standard operating procedures for blood transfusion practice.<br> 2. Procedures for urgent and massive transfusions were insufficiently documented.<br> 3. The existence of newly published guidelines, entitled "Guidelines for Urgent Transfusion Practices for Life-Threatening Hemorrhages," was already known to staff members in transfusion services. Nevertheless, the guidelines were not well known to either surgeons or anesthesiologists at the hospitals.<br> 4. Many reasons for avoiding ABO-mismatched compatible blood transfusion to patients in life-threatening situations were identified.<br> 5. The time required for both blood-typing and crossmatching tests was longer outside office hours than during office hours. Consequently, the time required for emergency release was longer outside office hours.<br> 6. Transportation time from the regional blood center to a hospital transfusion service did not differ during and outside office hours.<br> 7. ABO-matched blood without crossmatching had been used for urgent transfusions at about 40% of the hospitals. Moreover, ABO-mismatched compatible blood components without crossmatching had been used at about 20%.<br> Conclusion: <br> It is necessary to establish documented institutional procedures for urgent transfusion practices according to the Guidelines for Urgent Transfusion Practices for Life-threatening Hemorrhages.<br> On the occurrence of a life-threatening hemorrhage, we recommend the use of ABO-matched blood components without crossmatching or ABO-mismatched compatible blood components within an appropriate time to save the patient's life.<br>

Journal

• Japanese Journal of Transfusion and Cell Therapy

  Japanese Journal of Transfusion and Cell Therapy 55 (5), 624-632, 2009

  The Japan Society of Transfusion Medicine and Cell Therapy

Keywords

• Guidelines for Urgent Transfusion Practices for Life-threatening Hemorrhages
• urgent transfusion
• massive transfusion
• transfusion of ABO-matched blood components without crossmatch testing
• transfusion of ABO-mismatched compatible blood components

Details

• CRID: 1390001205271315328
• NII Article ID: 10026334251
• NII Book ID: AA12159645
• DOI: 10.3925/jjtc.55.624
• ISSN: 18830625
• ISSN: 18813011
• Web Site: https://asahikawa-med.repo.nii.ac.jp/records/2533
• Web Site: https://search.jamas.or.jp/link/ui/2010074434
• Text Lang: ja
• Data Source:
  • JaLC
  • IRDB
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed