Who proposes a transfusion trigger for packed red blood cell concentrates (RBC) in your country? The medical association? Specific medical specialities like anaesthesiologists, surgeons, transfusion medicine specialists, etc.? What is the scientific basis (e.g. publications, clinical study results, etc.) for this trigger? Is it mandatory to follow this recommendation? Who controls this? Is there any penalty for not adhering to the proposed trigger?
In Austria there are no general recommendations. There are some statements from the Society of Anaesthesiology.
Thanks a lot! It is quite difficult to find a scientific satisfactory answer to this question since the studies published are scarce. Only during the last 3-4 years, more results are beeing published here.
In Australia,we have started to follow/implement the new guidelines published recently which include some recommendations where sufficient evidence was available and practice points in abscence of enough evidence. You could find the details in
http://www.blood.gov.au/patient-blood-management#guidelines
Dear Romi,
Thanks a lot.
This is helpful. You are quite advanced "down under" also in PBM - congratulations!
Best,
Markus