Evaluation of Bedside Transfusion Practice: Benefits Vs Risks

  • R. S. Eisenstaedt
Part of the Developments in Hematology and Immunology book series (DIHI, volume 31)


Decisions about blood transfusion are made analogously to those of other medical intervention: benefits are compared to risks; safer alternatives to homologous blood, such as autologous blood or drugs as desmopressin or aprotinin that might reduce the risk of avoiding transfusion are assessed, as well. Such decisions may be analyzed on a global level by public health officials or outcomes assessment experts examining regional or national trends, mean number of transfusions per population, or rates of reported complications [1–4]. Transfusion decisions may also be reviewed by hospital committees studying variation in component use among physicians or the trigger at which different doctors are apt to transfuse patients [5, 6]. But most often transfusion decisions are made and ultimately assessed by doctors at the bedside, working with the short-term data at hand in their effort to interpret benefits and risks of blood administration. In this chapter, that bedside perspective of transfusion decision making will be examined and the biases that might distort the logic reviewed.


Oxygen Delivery Fresh Freeze Plasma Platelet Transfusion Transfusion Practice Homologous Blood 
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© Kluwer Academic Publishers 1996

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  • R. S. Eisenstaedt

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