By Joseph D. Sweeney
This instruction manual specializes in the basics of scientific transfusion. particular information at the administration of alternative scientific occasions is the target that allows you to facilitate medical determination making. This guide fills a void among the minimum info mostly textbooks of drugs, surgical procedure, anesthesiology, and so forth. and the extra distinct texts to be had within the box of blood banking and transfusion medication
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Additional info for Clinical Transfusion Medicine
In the past, most blood was transfused in a hospital setting. Hospital patients tend to be more easily identifiable, since they commonly have an identification band attached which contains identifying information. , for A-line insertions) or inaccessible. Different protocols for proper recipient identification should be in place for each location to ensure that the recipient is properly identified. Although identification of a recipient by one individual is acceptable, this is most commonly performed where possible by two individuals, one of whom is generally either a nurse or physician.
In the event of unexpected hemorrhage, a procedure should be in place in order that blood can be dispensed expeditiously. Agreement on a maximum surgical blood ordering system (Chapter 9) is important for all of these procedures. The practice of predeposit autologous blood (Chapter 3) increased sharply for both orthopedic and urologic elective surgical procedures throughout the 1980s, but has leveled or may be declining in the late 1990s. The elective nature of many of these procedures, the real or perceived need for allogeneic blood transfusion, and concern regarding disease transmission by blood transfusion was largely responsible for this increase.
It should be noted however, that predeposit blood is over collected for these procedures, in many instances. Overall, only about 50% of all such predeposit blood is transfused perioperatively, depending on the assessment of perioperative blood loss and the tolerance of the surgeon for postoperative normovolemic anemia (Chapter 26). Opinions differ with regard to the appropriate threshold hemoglobin or hematocrit at which autologous blood should be transfused in the postoperative normovolemic patient.
Clinical Transfusion Medicine by Joseph D. Sweeney