Transfusion practice in the non-bleeding critically ill : an international online survey-the TRACE survey

摘要: Over the last decade, multiple large randomized controlled trials have studied alternative transfusion strategies in critically ill patients, demonstrating safety of restrictive strategies. Due to lack international guidelines specific for intensive care unit (ICU), we hypothesized that a heterogeneity practice this patient population exists. The aims study were describe current practices and identify knowledge gaps. An online, anonymous, worldwide survey among ICU physicians was performed evaluating red blood cell, platelet plasma practices. Furthermore, presence hospital- or ICU-specific guideline asked. Only completed surveys analysed. Nine hundred forty-seven respondents filled which 725 could be Hospital protocol available their reported by 53% respondents. 29% used an guideline. haemoglobin (Hb) threshold general 7 g/dL (7–7). highest variation patients on extracorporeal membrane oxygenation with brain injury (8 g/dL (7.0–9.0)). Platelets transfused at median count 20 × 109 cells/L IQR (10–25) asymptomatic but higher prior invasive procedures (p   3, 43% 57% would consider without any upcoming planned procedure, respectively. Finally, doctors base specialty anaesthesiology more liberally compared internal medicine physicians. Red cell is restrictive, while different subpopulations, Hb thresholds are applied. heterogeneous, local lacking majority ICUs.