Blood Conservation: What Is Current Blood Draw Practice?
Creating a culture of low-volume blood drawing may help to reduce blood transfusions.
Impella to Unload the Left Ventricle during Peripheral Extracorporeal Membrane Oxygenation
We present our experience of the Impella 2.5 as an adjunct for left ventricular unloading during peripheral VA ECMO support
Preoperative Statin Therapy is Associated with Lower Requirement of Renal Replacement Therapy in Patients undergoing Cardiac Surgery: A Meta-Analysis of Observational Studies
Patients undergoing CABG might derive benefit from preoperative statin therapy in terms of reducing the need for postoperative renal replacement therapy and mortality.
Thrombelastography (TEG®): Practical Considerations on Its Clinical Use in Trauma Resuscitation
Thrombelastography has characteristics of an ideal coagulation test for use in early trauma resuscitation.
Introduction of Cell Salvage to a Large Obstetric Unit: The First Six Months
We introduced red-cell salvage to our obstetric unit following a two-month period of training and education.
Peripartum Use of Cell salvage: A University Practice Audit and Literature Review
The rising rate of obstetrical hemorrhage attributed to the repeated cesarean sections and invasive placental disorders, requiring blood transfusion has emphasized the need for alternatives to allogeneic blood donation.
Taking Our Medicine — Improving Adherence in the Accountability Era
The Affordable Care Act aims to shift reimbursement from fee for service toward rewarding of improved quality, outcomes, and efficiency. Payment and delivery-system models such as patient-centered medical homes (PCMHs), accountable care organizations (ACOs), and bundled payments encourage greater care coordination by holding providers accountable for total costs and outcomes in their patient populations.
The Affordable Care Act: The Ethical Call for Value-Based Leadership to Transform Quality
This article addresses the need for value-based leadership to transform the culture of health care organizations in order to be successful in navigating uncharted waters under the unprecedented challenges for change in the delivery of quality health care.
Cellsaver Use in Obstetrics
This study is a review of our experience of using the cell saver in obstetrics. The main aim was to determine its role in decreasing the need for homologous blood transfusion.
Encouraging Value-Based Insurance Designs in State Health Insurance Exchanges
One of the main goals of the Affordable Care Act (ACA) is to control the costs of US healthcare. Channeling patients toward more effective services is one of many approaches being used to control costs while improving health outcomes. This paper reviews value-based insurance design (VBID) concepts and discusses options for states to encourage these designs in the new health insurance exchanges (HIEs).
Controversy Over the Use of Intraoperative Blood Salvage Autotransfusion During Liver Transplantation for Hepatocellular Carcinoma Patients
Intraoperative blood salvage autotransfusion (IBSA) is used in various surgical procedures. However, because of the risk of reinfusion of salvaged blood contaminated by tumor cells, the use of IBSA in hepatocellular carcinoma (HCC) patients undergoing liver transplantation (LT) is controversial.
Impact of ABO Compatibility on Outcomes after Heart Transplantation in a National Cohort During the Past Decade
To our knowledge, this is the first large cohort study investigating the impact of ABO-compatible versus identical blood type matching on post heart transplantation survival.