National Survey of Neonatal Transfusion Practices: I. Red Blood Cell Therapy

摘要: Neonatal blood component transfusion practices during 1989 were surveyed via a questionnaire developed by the Pediatric Hemotherapy Committee of American Association Blood Banks. Of 1790 questionnaires mailed, 452 selected to form database for this analysis because they from institutions in which neonates transfused. Nearly all contained intensive care units directed neonatologists and involved management high-risk infants. Results serving as primary pediatric teaching hospital medical school compared with those no affiliation. Thirty-six percent hospitals 52% affiliation performed pretransfusion testing excess that required, resulting additional loss neonates. Sixty-six used fresh frozen plasma adjust hematocrit red cell concentrates prior (a practice increasing donor exposure), only 29% The usual indication small-volume transfusions severely ill was maintain desired level, whereas stable infants, given treat symptomatic anemia, rather than predetermined hematocrit. As found 1985, neonatal variable. However, improvements have occurred since 1985 suggest further research educational efforts may serve promote even better therapy.