Mukhopadhyay, A., Yip, H. S., Prabhuswamy, D., Chan, Y. H., Phua, J., Lim, T. K., & Leong, P. (2010). The use of a blood conservation device to reduce red blood cell transfusion requirements: a before and after study. Critical Care, 10(1), 7. http://dx.doi.org/ 10.1186/cc8859
This paper critiques the above named research study, the step by step format used in this critique are guidelines adopted from the recourses available on the lecture note site on blackboard.
Purpose: In this study, Mukhopadhyay et al. (2010) acknowledge that there are studies that confirm the use of blood saving system correlating with preserved hemoglobin level; however, there are no other studies that show the significance of these tools in relation to the frequency …show more content…
Exclusion criteria was: any acute bleeding as primary source of admission to the ICU, hospital stay of less than 24 hours and the passing of the patient. There was a total of 106 patients selected for control group, however, after applying the exclusion criteria, there were 80 remaining in the control group without the VAMP. 231 patients for the interventions group, but after the exclusion criteria, 170 patients remained in the intervention group with the VAMP. Out of the 106 patients in the control group, 49 were male and 31 were female, and the intervention group had 101 males and 69 females. Their ages ranched from 61.6 years old in the control group to 60.5 years old in the intervention group. In addition, both groups had similar acute physiologic assessment and chronic health evaluation (APACHE II) score of 18.6 with standard deviation (SD) of 7 and 21.24 with SD of 7.8. There is a good sample number of patients chosen for both control and active group, and both groups had similar disease process and age ranches making this an unbiased …show more content…
Also, shown in this study was decrease in PRBC transfusion requirement by 48%, yet, previously performed parallel studies did not show similar correlation (Mukhopadhyay et al., 2010). Nonetheless, the reduced number of PRBC transfusion requirement maybe due to the implementation of transfusion restriction in their ICU. As cited in this article, with all the research available indicating the use of blood saving systems preserves hgb level, the device is not readily used (Mukhopadhyay et al., 2010). At the University of Washington Medical Center, we used the VAPM system to conserve blood for our critically ill surgical patients. The use of the device was easy and convenient. However, my current facility MICU at Valley Medical Center, we don’t use blood conserving device. In fact, few nurses have expressed the need for one. At our facility, we are still in the process of proofing the need for blood saving system like the VAMP. In fact, few nurses at my unit are resorting to using the three way stopcock with a syringe as a blood preserving method. The final finding of this research supports the need for VAMP at our facility. This author will review more literature and present to the ICU leadership
This paper critiques the above named research study, the step by step format used in this critique are guidelines adopted from the recourses available on the lecture note site on blackboard.
Purpose: In this study, Mukhopadhyay et al. (2010) acknowledge that there are studies that confirm the use of blood saving system correlating with preserved hemoglobin level; however, there are no other studies that show the significance of these tools in relation to the frequency …show more content…
Exclusion criteria was: any acute bleeding as primary source of admission to the ICU, hospital stay of less than 24 hours and the passing of the patient. There was a total of 106 patients selected for control group, however, after applying the exclusion criteria, there were 80 remaining in the control group without the VAMP. 231 patients for the interventions group, but after the exclusion criteria, 170 patients remained in the intervention group with the VAMP. Out of the 106 patients in the control group, 49 were male and 31 were female, and the intervention group had 101 males and 69 females. Their ages ranched from 61.6 years old in the control group to 60.5 years old in the intervention group. In addition, both groups had similar acute physiologic assessment and chronic health evaluation (APACHE II) score of 18.6 with standard deviation (SD) of 7 and 21.24 with SD of 7.8. There is a good sample number of patients chosen for both control and active group, and both groups had similar disease process and age ranches making this an unbiased …show more content…
Also, shown in this study was decrease in PRBC transfusion requirement by 48%, yet, previously performed parallel studies did not show similar correlation (Mukhopadhyay et al., 2010). Nonetheless, the reduced number of PRBC transfusion requirement maybe due to the implementation of transfusion restriction in their ICU. As cited in this article, with all the research available indicating the use of blood saving systems preserves hgb level, the device is not readily used (Mukhopadhyay et al., 2010). At the University of Washington Medical Center, we used the VAPM system to conserve blood for our critically ill surgical patients. The use of the device was easy and convenient. However, my current facility MICU at Valley Medical Center, we don’t use blood conserving device. In fact, few nurses have expressed the need for one. At our facility, we are still in the process of proofing the need for blood saving system like the VAMP. In fact, few nurses at my unit are resorting to using the three way stopcock with a syringe as a blood preserving method. The final finding of this research supports the need for VAMP at our facility. This author will review more literature and present to the ICU leadership