Abstract

We should perform red cell blood transfusion therapy (RC-BTF) only after crossmatching to decrease the whole risks of this treatment, particularly ABO-incompatible transfusion. In a rapid catastrophic bleeding condition, however, we often have to do this treatment without crossmatching and without establishment of ABO blood type. Our BTF manual (2002) states that the ABO blood type is confirmed only after double examinations, usually the first examination in the routine examination at admission or first visit to the hospital and the second in the procedure of crossmatching. Most of our medical staff have been afraid that type O RC-BTF was unacceptable for patients and their families. The aim of this study is to establish safety in the procedure of immediate RC-BTF without crossmatching and to clarify how we explain this safety to medical staff, patients and their families.

Highlights

  • The aim of this study was to elucidate the impact of ICU-acquired infection on ICU and hospital mortality

  • The goal from this study is to evaluate weaning predictor indexes in patients during weaning from mechanical ventilation (MV)

  • This study aims to evaluate the effects of the threshold in such situations

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Summary

Introduction

The aim of this study was to elucidate the impact of ICU-acquired infection on ICU and hospital mortality. Methods A total of 48 community patients (36 men, 11 women, age 50.17 ± 17.974 years, APACHE II score 13.51 ± 6.153) who were expected to stay in the ICU for >5 days were included in this study. Specific examples of feedback are as follows: ‘good update of management plan reinforces need for taking into account concurrent medication when resuscitating patients’, ‘nice simple messages with good starting points for trying to deal with these complicated patients’, ‘useful data on risk of recurrence as this is a question often asked by patients’ This feedback was encouraging as it showed how the primary care professionals planned to change their practice to improve patient outcomes as a result of the learning. The course was considered excellent by 63% of the participants and good by 36%

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