Intensivist and Nursing Challenges in Implementing Laboratory-Guided Blood Transfusion Protocols in the ICU

Abstract

Aim: To explore the challenges faced by intensivists and nurses in implementing laboratory-guided blood transfusion protocols in the ICU and propose strategies to enhance compliance and patient outcomes.
Laboratory-guided blood transfusion protocols are evidence-based frameworks designed to optimize transfusion practices, improve patient safety, and minimize complications. Despite their benefits, implementation in ICUs is hindered by clinical variability, delays in laboratory results, communication barriers, and resource constraints. Intensivists and nurses face additional challenges balancing protocol adherence with individualized care in dynamic, high-acuity settings. Addressing these challenges requires point-of-care testing, improved communication, interdisciplinary training, and ongoing education to ensure efficient and safe transfusion practices.