Use of plasma products with whole blood and packed RBCs

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Abstract
During the past 5 yr there was a sharp increase in use of packed [human] RBC [red blood cells] (PRBC) and plasma products, whereas whole blood (WB) transfusions have steadily decreased. To determine whether plasma and its derivatives were being used to reconstitute whole blood from PRBC, a retrospective evaluation of all transfusion epidodes in 10 representative regional hospitals during a 5 mo. period was performed. PRBC were transfused 2.5 times more frequently than WB. Plasma products were administered with PRBC less often than with WB; 14% of all PRBC vs. 24% of all WB units transfused. The likelihood of a patient receiving plasma correlated with total amount of blood transfused and frequency of transfusion. Only a small percentage of PRBC were given in conjunction with plasma as reconstituted WB.

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