С поля боя — в практику гражданской неотложной догоспитальной помощи: уроки современной войны. Сообщение II: трансфузия цельной крови
https://doi.org/10.24884/2072-6716-2023-24-3-35-42
Аннотация
Обзор литературы посвящен анализу опыта догоспитальных трансфузий цельной крови (ДГТЦК) раненым в вооруженных конфликтах XXI века (Ирак, Афганистан) и результатов внедрения этого опыта в практику гражданской неотложной догоспитальной помощи. Использовали источники, представленные в базах данных PubMed и Cochrane Library, а также открытую информацию из прочих интернет-ресурсов за период с 2001 по 2022 г. Установлено, что ДГТЦК при травматическом геморрагическом шоке (ТГШ) является безопасным и перспективным способом оказания помощи при массивной кровопотере. Для более объективной оценки эффективности ДГТЦК при ТГШ необходимо проведение проспективных многоцентровых исследований.
Об авторе
С. А. Усов
Новосибирский военный ордена Жукова институт имени генерала армии И. К. Яковлева войск национальной гвардии Российской Федерации
Россия
Россия
Усов Станислав Александрович — доктор медицинских наук, профессор кафедры обеспечения служебно-боевой деятельности войск
630112, г. Новосибирск, ул. Ключ-Камышенское плато, д.6/2
Список литературы
1. Deaton T.G., Auten J.D., Betzold R. et al. Fluid Resuscitation in Tactical Combat Casualty Care; TCCC Guidelines Change 21–01. 4 November 2021 // J. Spec Oper. Med. 2021. Vol. 21, No. 4. P. 126–137. doi: 10.55460/JYLU-4OZ8.
2. Guyette F.X., Sperry J.L., Peitzman A.B. et al. Prehospital Blood Product and Crystalloid Resuscitation in the Severely Injured Patient: A Secondary Analysis of the Prehospital Air Medical Plasma Trial // Ann. Surg. 2021. Vol. 273, No. 2. Р. 358–364. doi: 10.1097/SLA.0000000000003324.
3. Eastridge B.J., Holcomb J.B., Shackelford S. Outcomes of traumatic hemorrhagic shock and the epidemiology of preventable death from injury // Transfusion. 2019. Vol. 59, S. 2. Р. 1423–1428. doi: 10.1111/trf.15161.
4. Shackelford S.A., Gurney J.M., Taylor A.L. et al. Joint Trauma System Defense Committee on Trauma; Armed Services Blood Program. Joint Trauma System, Defense Committee on Trauma, and Armed Services Blood Program consensus statement on whole blood // Transfusion. 2021. Vol. 61, Suppl. 1. S333–S335. doi: 10.1111/trf.16454.
5. Cap A.P., Pidcoke H.F., Spinella P. et al. Damage Control Resuscitation // Mil. Med. 2018. Vol. 183, Suppl. 2. P. 36–43. doi: 10.1093/milmed/usy112.
6. Howard J.T., Kotwal R. S., Stern C.A. et al. Use of Combat Casualty Care Data to Assess the US Military Trauma System During the Afghanistan and Iraq Conflicts, 2001–2017 // JAMA Surg. 2019. Vol. 154, No. 7. P. 600–608. doi: 10.1001/jamasurg.2019.0151.
7. Braverman M.A., Smith A., Pokorny D. et al. Prehospital whole blood reduces early mortality in patients with hemorrhagic shock // Transfusion. 2021. Vol. 61, Suppl. 1. Р. 15–21. doi: 10.1111/trf.16528.
8. Jackson B., Murphy C., Fontaine M.J. Current state of whole blood transfusion for civilian trauma resuscitation // Transfusion. 2020. Vol. 60, Suppl. 3. Р. 45–52. doi: 10.1111/trf.15703.
9. Lantry J. H., Mason P., Logsdon M.G. et al. Hemorrhagic Resuscitation Guided by Viscoelastography in FarForward Combat and Austere Civilian Environments: Goal-Directed Whole-Blood and Blood-Component Therapy Far from the Trauma Center // J. Clin. Med. 2022. Vol. 11, No. 2. P. 356. doi: 10.3390/jcm11020356.
10. Voller J., Tobin J.M., Cap A.P. et al. Joint Trauma System Clinical Practice Guideline (JTS CPG): Prehospital Blood Transfusion // J. Spec. Oper. Med. 2021. Vol. 21, No. 4. P. 11–21. doi: 10.55460/P685-L7R7.
11. Howard J.T., Kotwal R. S., Santos-Lazada A.R. et al. Reexamination of a Battlefield Trauma Golden Hour Policy // J. Trauma Acute Care Surg. 2018. Vol. 84, No. 1. P. 11–18. doi: 10.1097/TA.0000000000001727.
12. Shackelford S. A., Del Junco D. J., Powell-Dunford N. et al. Association of Prehospital Blood Product Transfusion During Medical Evacuation of Combat Casualties in Afghanistan With Acute and 30-Day Survival // JAMA. 2017. Vol. 318, No. 16. P. 1581–1591. doi: 10.1001/jama.2017.15097.
13. O’Reilly D.J., Morrison J.J., Jansen J. O. et al. Prehospital blood transfusion in the en route management of severe combat trauma: a matched cohort study // J. Trauma Acute Care Surg. 2014. Vol. 77, No. 3 (Suppl. 2). Р. 114–120. doi: 10.1097/TA.0000000000000328.
14. Vanderspurt C.K., Spinella P.C., Cap A.P. et al. The use of whole blood in US military operations in Iraq, Syria, and Afghanistan since the introduction of low-titer Type O whole blood: feasibility, acceptability, challenges // Transfusion. 2019. Vol. 59, No. 3. P. 965–970. doi: 10.1111/trf.15086.
15. Mizobata Y. Damage control resuscitation: a practical approach for severely hemorrhagic patients and its effects on trauma surgery // J. Intensive Care. 2017. Vol. 5, No. 1. P. 4. doi: 10.1186/s40560-016-0197-5.
16. Cap A.P., Beckett A., Benov A. et al. Whole Blood Transfusion // Mil. Med. 2018. Vol. 183, Suppl. 2. P. 44–51. doi: 10.1093/milmed/usy120.
17. Salamea-Molina J.C., Himmler A. N., Valencia-Angel L.I., Ordoñez C.A., Parra M.W. et al. Whole blood for blood loss: hemostatic resuscitation in damage control // Colomb. Med. (Cali). 2020. Vol. 51, No. 4. e4044511. doi: 10.25100/cm.v51i4.4511.
18. Knight R.M., Moore C.H., Silverman M.B. Time to Update Army Medical Doctrine // Mil. Med. 2020. Vol. 185, No. 9–10. e1343–1346. doi: 10.1093/milmed/usaa059.
19. Corcostegui S.P., David M., Galant J. et al. Prehospital blood transfusion: Advances and interests in tactical medicine // Anaesth. Crit. Care Pain Med. 2021. Vol. 40, No. 4. P. 100911. doi: 10.1016/j.accpm.2021.100911.
20. Levin D., Zur M., Shinar E. et al. Low-Titer Group O Whole-Blood Resuscitation in the Prehospital Setting in Israel: Review of the First 2.5 Years’ Experience // Transfus. Med. Hemother. 2021. Vol. 48, No. 6. P. 342–349. doi: 10.1159/000519623.
21. Yazer M.H., Spinella P.C., Bank E.A. et al. THOR-AABB Working Party Recommendations for a Prehospital Blood Product Transfusion Program // Prehosp. Emerg. Care. 2021. P. 1–13. doi: 10.1080/10903127.2021.1995089.
22. Spinella P.C., Cap A.P. Whole blood: back to the future // Curr. Opin. Hematol. 2016. Vol. 23, No. 6.
23. McGinity A.C., Zhu C. S., Greebon L. et al. Prehospital low-titer cold-stored whole blood: Philosophy for ubiquitous utilization of O-positive product for emergency use in hemorrhage due to injury // J. Trauma Acute Care Surg. 2018. Vol. 84, No. 6 (Suppl. 1). Р. 115–119. doi: 10.1097/TA.0000000000001905.
24. Cardigan R., Latham T., Weaver A. et al. Estimating the risks of prehospital transfusion of D-positive whole blood to trauma patients who are bleeding in England // Vox Sang. 2022. Vol. 117, No. 5. P. 701–707. doi: 10.1111/vox.13249.
25. Yazer M.H., Spinella P.C. An international survey on the use of low titer group O whole blood for the resuscitation of civilian trauma patients in 2020 // Transfusion. 2020. Vol. 60, Suppl. 3. Р. 176–179. doi: 10.1111/trf.15601.
26. Troughton M., Young P.P. Conservation of Rh negative Low Titer O Whole Blood (LTOWB) and the need for a national conversation to define its use in trauma transfusion protocols // Transfusion. 2021. Vol. 61, No. 6. P. 1966–1971. doi: 10.1111/trf.16380.
27. Jones T.B., Moore V.L., Shishido A.A. Prehospital Whole Blood in SOF: Current Use and Future Directions // J. Spec. Oper. Med. 2019. Vol. 19, No. 4. P. 88–90. doi: 10.55460/Q12Y-6Y8I.
28. Barkana Y., Stein M., Maor R. et al. Prehospital blood transfusion in prolonged evacuation // J. Trauma. 1999. Vol. 46, No. 1. P. 176–180. doi: 10.1097/00005373-199901000-00030.
29. Fisher A.D., Miles E.A., Broussard M.A. et al. Low titer group O whole blood resuscitation: Military experience from the point of injury // J. Trauma Acute Care Surg. 2020. Vol. 89, No. 4. P. 834–841. doi: 10.1097/ TA.0000000000002863.
30. Chen J., Benov A., Nadler R. et al. Pre-hospital blood transfusion during aeromedical evacuation of trauma patients in Israel: the IDF CSAR experience // Mil. Med. 2017. Vol. 182, Suppl. 1. P. 47–52. doi: 10.7205/ MILMED-D-16-00081.
31. Butler F. K. Tactical Combat Casualty Care: Top Lessons for Civilian EMS Systems from 14 Years of War // J. Spec. Oper. Med. 2016. Vol. 16, No. 2. P. 120–137.
32. Bjerkvig C. K., Strandenes G., Hervig T. et al. Prehospital Whole Blood Transfusion Programs in Norway // Transfus. Med. Hemother. 2021. Vol. 48, No. 6. P. 324–331. doi: 10.1159/000519676.
33. Rehn M., Weaver A., Brohi K. et al. Effect of Prehospital Red Blood Cell Transfusion on Mortality and Time of Death in Civilian Trauma Patients // Shock. 2019. Vol. 51, No. 3. P. 284–288. doi: 10.1097/ SHK.0000000000001166.
34. Shand S., Curtis K., Dinh M., Burns B. Prehospital Blood Transfusion in New South Wales, Australia: A Retrospective Cohort Study // Prehosp. Emerg. Care. 2021. Vol. 25, No. 3. P. 404–411. doi: 10.1080/1090312 7.2020.1769781.
35. Walsh M., Moore E.E., Moore H.B. et al. Whole Blood, Fixed Ratio, or Goal-Directed Blood Component Therapy for the Initial Resuscitation of Severely Hemorrhaging Trauma Patients: A Narrative Review // J. Clin. Med. 2021. Vol. 10, No. 2. P. 320. doi: 10.3390/jcm10020320.
36. Thies K.C., Truhlář A., Keene D. et al. Pre-hospital blood transfusion — an ESA survey of European practice // Scand. J. Trauma Resusc. Emerg. Med. 2020. Vol. 28, No. 1. P. 79. doi: 10.1186/s13049-020-00774-1.
37. Shand S., Curtis K., Dinh M., Burns B. What is the impact of prehospital blood product administration for patients with catastrophic haemorrhage: an integrative review // Injury. 2019. Vol. 50, No. 2. P. 226–234. doi: 10.1016/j.injury.2018.11.049.
38. Hashmi Z.G., Chehab M. Nathens A.B. et al. Whole truths but half the blood: Addressing the gap between the evidence and practice of pre-hospital and in-hospital blood product use for trauma resuscitation // Transfusion. 2021. Vol. 61, Suppl. 1. S348–353. doi: 10.1111/trf.16515.
39. Tactical Combat Casualty Care (TCCC) Guidelines for Medical Personnel 15 December 2021 // J. Spec. Oper. Med. 2022. Vol. 22, No. 1. P. 11–17. doi: 10.55460/ETZI-SI9T.
40. Tartaglione M., Carenzo L., Gamberini L. et al. SPITFIRE Study Collaborators. Multicentre observational study on practice of prehospital management of hypotensive trauma patients: the SPITFIRE study protocol // BMJ Open. 2022. Vol. 12, No. 5. e062097. doi: 10.1136/bmjopen-2022-062097.
41. Постановление Правительства РФ от 22 июня 2019 г. № 797 «Об утверждении Правил заготовки, хранения, транспортировки и клинического использования донорской крови и ее компонентов и о признании утратившими силу некоторых актов Правительства Российской Федерации». https://base.garant.ru/72284110/? (дата обращения: 2022–06–29).
Рецензия
Для цитирования:
Усов С.А. С поля боя — в практику гражданской неотложной догоспитальной помощи: уроки современной войны. Сообщение II: трансфузия цельной крови. Скорая медицинская помощь. 2023;24(3):35-42. https://doi.org/10.24884/2072-6716-2023-24-3-35-42
For citation:
Usov S.A. From battlefield to civilian emergency pre-hospital care practice: lessons of modern warfare. Part II: prehospital whole blood transfusion. EMERGENCY MEDICAL CARE. 2023;24(3):35-42. (In Russ.) https://doi.org/10.24884/2072-6716-2023-24-3-35-42
Просмотров:
191
Послать статью по эл. почте 