CHEST 2023 On Demand Pass-Behind the CHEST Transfusion in the ICU Guideline: Unmasking the Rhythm of Transfusion in the ICU, Decoding the Enigma of Red Cells and Platelets!

Behind the CHEST Transfusion in the ICU Guideline: Unmasking the Rhythm of Transfusion in the ICU, Decoding the Enigma of Red Cells and Platelets!

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Video Transcription

Video Summary

The video transcript begins with an introduction from John Iaccarino, the Director of Guidelines for CHEST, explaining that the talk will focus on the GRADE methodology used in guidelines and providing a framework for making recommendations. The video then moves into a discussion of platelet transfusion in the ICU, with Kevin O'Neill presenting a case and the evidence on whether to transfuse platelets before a central line is placed. The evidence suggests that prophylactic platelet transfusion is not necessary and may even increase bleeding risk. Next, Angel Coz presents the evidence on red blood cell transfusions in the ICU, showing that a restrictive approach is just as effective as a liberal approach and has potential benefits in terms of reduced adverse events. Lastly, there is discussion on transfusing packed red blood cells in a patient with active bleeding, with the evidence suggesting that a restrictive approach is appropriate. The audience is then asked to vote on the recommendations for each case, with the majority of viewers supporting the restrictive approach in all three scenarios. The talk concludes by stating that the guidelines on these topics will be published in the future and thanking the audience for their participation.

Meta Tag

Category Critical Care

Session ID 2802

Speaker Angel Coz Yataco

Speaker Jonathan Iaccarino

Speaker Kevin ONeil

Track Critical Care

Keywords

John Iaccarino

Director of Guidelines for CHEST

GRADE methodology

platelet transfusion

ICU

prophylactic platelet transfusion

bleeding risk

red blood cell transfusions

restrictive approach