Praiseldy Langi Sasongko

60 Chapter 2 Historical RBC trends Trend/Theme Drivers/Factors Definition Example quote Future RBC demand will increase This code describes future expectations of how RBC will increase or continue increasing due to the factors listed below. I think because when the patients are getting older, you have more people with diseases and I think you need more [blood]. You have an increased demand Effect of red cells on hemostasis This sub-code describes how better understanding of the effects of RBCs on hemostasis (and switching from colloids to RBCs earlier) may warrant increased RBC demand. So we actually wrote a review that’s just been published in the Journal of Thrombosis and Hemostasis. And we conclude from that that we probably should switch from giving crystalloids and colloids to transfusions of red blood cells much earlier than we are doing right now. More and more is being published about the positive effects of red blood cells on hemostasis as well. So the least we should do is look better into the effects of red cells on hemostasis, and probably switch earlier to red blood cells instead of this clear fluid. For ICU patients This sub-code describes how ICU patients may need more RBC products, thus warranting increased RBC demand. I have the idea that we cannot go lower. We cannot give less blood. So this is really the ‘bottom’ for intensive care patients, and as we now are going to identify the patients who should not. So for the total group of patients it is better to not give [blood] but for subgroups it is better to give blood...I think it will increase.

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