Facial Plast Surg 2020; 36(06): 681-683
DOI: 10.1055/s-0040-1721111
Original Article

Taking an Idea from Inception to Innovation: Evolution in Restrictive Transfusion Criteria

Mark K. Wax
1   Department of Otolaryngology, Oregon Health & Science University, Portland, Oregon
› Author Affiliations

Abstract

Innovation in surgical care is a complex procedure. When you reflect on how your practice has changed, whether it be 5 years or over decades, it can be enlightening to not only see the change but also conceptualize how it came about. Examining one's practice as part of Pittsburgh Sleep Quality Index or as a result of reading the literature, attending a meeting, or some other educational activity can lead one to question if there is a better method available. In this manuscript, I will describe how outside influences initiated a paradigm shift that ultimately benefited patient care, the system, and my practice. The methodology has been used over the course of my career to influence and modulate practice patterns.



Publication History

Article published online:
24 December 2020

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  • References

  • 1 NIH consensus statement available on perioperative red cell transfusion. Am J Public Health 1988; 78 (12) 1588
  • 2 Desyatnikova S, Winslow C, Cohen JI, Wax MK. Effect of anemia on the fasciocutaneous flap survival in a rat model. Laryngoscope 2001; 111 (4, Pt 1): 572-575
  • 3 Gatti JE, LaRossa D, Neff SR, Silverman DG. Altered skin flap survival and fluorescein kinetics with hemodilution. Surgery 1982; 92 (02) 200-205
  • 4 Earle AS, Fratianne RB, Nunez FD. The relationship of hematocrit levels to skin flap survival in the dog. Plast Reconstr Surg 1974; 54 (03) 341-344
  • 5 Hébert PC, Wells G, Blajchman MA. et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion requirements in critical care investigators, Canadian Critical Care Trials Group. N Engl J Med 1999; 340 (06) 409-417
  • 6 Hill GE, Frawley WH, Griffith KE, Forestner JE, Minei JP. Allogeneic blood transfusion increases the risk of postoperative bacterial infection: a meta-analysis. J Trauma 2003; 54 (05) 908-914
  • 7 Hébert PC, Yetisir E, Martin C. et al; Transfusion Requirements in Critical Care Investigators for the Canadian Critical Care Trials Group. Is a low transfusion threshold safe in critically ill patients with cardiovascular diseases?. Crit Care Med 2001; 29 (02) 227-234
  • 8 Taniguchi Y, Okura M. Prognostic significance of perioperative blood transfusion in oral cavity squamous cell carcinoma. Head Neck 2003; 25 (11) 931-936
  • 9 Szakmany T, Dodd M, Dempsey GA. et al. The influence of allogenic blood transfusion in patients having free-flap primary surgery for oral and oropharyngeal squamous cell carcinoma. Br J Cancer 2006; 94 (05) 647-653
  • 10 Fenner M, Vairaktaris E, Nkenke E, Weisbach V, Neukam FW, Radespiel-Tröger M. Prognostic impact of blood transfusion in patients undergoing primary surgery and free-flap reconstruction for oral squamous cell carcinoma. Cancer 2009; 115 (07) 1481-1488
  • 11 Rossmiller SR, Cannady SB, Ghanem TA, Wax MK. Transfusion criteria in free flap surgery. Head Neck Surg 2010; 142 (03) 359-364