Hemodynamics, fluids & transfusion

Small-volume tubes to reduce anemia and transfusion (STRATUS): a pilot study

Can J AnaesthPublished Prospective mixed-methods pilot study

Authors' conclusion

Small-volume tubes can be implemented with acceptability to end-users and without barriers. They did not result in an increased frequency of inadequate samples.

Study context

Population
All patients admitted to one intensive care unit (ICU)
Participants
204 vs 165
Exposure
Small-volume vs standard-volume blood sampling tubes
  • Small-volumen = 204
  • Standard-volumen = 165reference
Outcome
Feasibility: successful switch to small-volume tubes; adherence to tube size; sufficient volume for testing; user acceptance; barriers and facilitators to implementation; 95% transfusion collection
Methodological detailsbefore-after design, single-centre, focus groups
  • Before-after design
  • Single-centre
  • Focus groups

Main finding

As reported in the abstract

Feasibility
Compliance on random audits
100%
Transfusion data collection
100%

Observational data: associations, not effects.

Further findings

Estimated blood loss due to laboratory testing per patient per day in ICU

Original publication

Small-volume tubes to reduce anemia and transfusion (STRATUS): a pilot study. Can J Anaesth. Published 28 July 2023. doi:10.1007/s12630-023-02548-6

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