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Transfusion-Associated Circulatory Overload: Evidence-Based Strategies to Prevent, Identify, and Manage a Serious Adverse Event

机译:输血相关的循环系统超负荷:预防,识别和管理严重不良事件的循证策略

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Transfusion-associated circulatory overload (TACO) is a potentially life-threatening complication of blood transfusion and is associated with increased morbidity, length of stay (hospital and intensive care unit), and hospital costs. Bedside nurses play a key role in the prevention, identification, and reporting of this complication. A common misperception is that the most frequently encountered serious adverse event during transfusion is a hemolytic reaction in a patient who receives ABO-incompatible blood. In fact, the incidence of TACO-related fatalities is higher than fatalities caused by ABO-related hemolytic reactions. Surveillance and evidence-based strategies such as clinical decision support systems have the potential to reduce the incidence of TACO and mitigate its effects. Practical suggestions for conducting bedside transfusion surveillance and future directions for improving transfusion care are presented.
机译:与输血有关的循环系统超负荷(TACO)是潜在的威胁生命的输血并发症,并与发病率,住院时间(医院和重症监护病房)的增加以及医院的费用增加有关。床边护士在预防,鉴定和报告这种并发症方面起着关键作用。常见的误解是输血过程中最常遇到的严重不良事件是接受ABO不相容血液的患者发生的溶血反应。实际上,TACO相关死亡的发生率高于ABO相关溶血反应引起的死亡。监视和基于证据的策略(例如临床决策支持系统)具有减少TACO发生率并减轻其影响的潜力。提出了进行床边输血监测的实用建议以及改善输血护理的未来方向。

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