Blood Conservation Devices in Critical Care: A Narrative Review
This review summarises the current evidence base and confirms that blood conservation devices do reduce the volume of iatrogenic blood loss.
Blood Conservation: What Is Current Blood Draw Practice?
Creating a culture of low-volume blood drawing may help to reduce blood transfusions.
Optimal Endovascular Methods for Placement of Bicaval Dual-Lumen Cannulae for Venovenous Extracorporeal Membrane Oxygenation
We present our endovascular technique for Avalon bicaval cannula placement with fluoroscopic guidance to prevent inadvertent intracardiac placement.
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
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.
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.
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.
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.
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).
Comparison of Hemolysis Between CentriMag and RotaFlow Rotary Blood Pumps During Extracorporeal Membrane Oxygenation
The purpose of this investigation was to compare the hemolysis levels for patients on extracorporeal membrane oxygenation (ECMO) incorporating two different rotary blood pumps (CentriMag [CMAG] and RotaFlow [RF]) in identical circuits otherwise.