Blood Transfusion Alternatives in the Adult Non-critical Perioperatiνe Patient
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Allogeneic blood transfusion therapy is currently being re-evaluated due to its increased risk of adverse effects. The purpose of this study was to develop, educate, and distribute an educational intervention regarding blood transfusion alternatives, tranexamic acid and human serum albumin. Benners’ theory “From Novice to Expert,” focuses on the incremental improvement of performance skills based on experience and education. A consent and questionnaire were distributed to 100 anesthesia providers via email and in paper format. An educational intervention followed. Fifteen providers participated in the questionnaire, while 30 took part in the educational intervention. Data was collected and analyzed using SPSS v24. Independent samples t-tests were used to compare usage of packed red blood cells, tranexamic acid, and human serum albumin for the months of August and October, before and after the educational intervention, respectively. The results did not demonstrate a statistically significant difference in the use of HSA (t(2059)= -.28, p= .777) and PRBCs (t(2059)= -.27, p= .790) pre- and posteducation. However, TXA pre- and post-education usage showed a statistically significant difference (t(1726.68)= -2.86, p= .007). This result may not have been attributable to the educational intervention.