Early and increased amounts of plasma have been associated with improved survival after penetrating and blunt injury. However, no studies involving burn patients demonstrate the effects of intraoperative plasma administration on postoperative resuscitation requirements.
This study examined perioperative transfusion ratios [plasma:RBC (P:R)] and the role of early, aggressive plasma administration in a contemporary burn center. Avoiding the transfusion of plasma until a full volume of red cells has been replaced is not the only recommendation that has been challenged. There are multiple papers from both military and civilian medical centers that deem the 1:3 plasma to RBC transfusion ratio inadequate. One retrospective study of patients in a combat support hospital found that a transfusion ratio of plasma to RBCs of around 1:1 led to an increased rate of survival. While burn patients may not have initial hemorrhage (though many of our military patients do have other injuries that cause immediate hemorrhage), all patients who require large scale excision and skin grafting may become candidates for blood transfusions. Considering that our average estimated blood loss for this study was nearly 1.5 L, it is not surprising that nearly all of our massively burned patients eventually require transfusion.The impact factor of journal provides quantitative assessment tool for grading, evaluating, sorting and comparing journals of similar kind. It reflects the average number of citations to recent articles published in science and social science journals in a particular year or period, and is frequently used as a proxy for the relative importance of a journal within its field. It is first devised by Eugene Garfield, the founder of the Institute for Scientific Information.
The impact factor of journal provides quantitative assessment tool for grading, evaluating, sorting and comparing journals of similar kind. It reflects the average number of citations to recent articles published in science and social science journals in a particular year or period, and is frequently used as a proxy for the relative importance of a journal within its field. It is first devised by Eugene Garfield, the founder of the Institute for Scientific Information. The impact factor of a journal is evaluated by dividing the number of current year citations to the source items published in that journal during the previous two years.
Last date updated on April, 2024