By Joseph D. Sweeney
This guide specializes in the basics of scientific transfusion. particular assistance at the administration of alternative medical occasions is the target as a way to facilitate medical choice making. This instruction manual fills a void among the minimum details mostly textbooks of medication, surgical procedure, anesthesiology, and so forth. and the extra designated texts on hand within the box of blood banking and transfusion drugs
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Extra info for Clinical Transfusion Medicine
This is often treated (appropriately) with red cell replacement therapy. Empirical treatment with platelets, plasma, and/or cryoprecipitate can also occur. Separating this bleeding from surgical site bleeding can be difficult with potential for over transfusion of blood components, especially platelets. Overall, institutions vary in the percentage of patients who receive platelet transfusions, from less than 5% to greater than 80%. It is likely that some patients may benefit from these platelet transfusions.
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. This may not be possible, however, in all locations. Errors at this point are fortunately uncommon but can result in very severe reactions, occasionally with fatal outcome.
Erythropoietin, when given in this situation, requires routine use of supplementary elemental oral iron. Erythropoietin will increase red cell mass and thus, increase the number of predeposited autologous blood units which can be collected; also, the increase in red cell mass will reduce the extent of postoperative normovolemic anemia thus, potentially averting the transfusion of allogeneic cells. It remains to be shown however, that, while technically feasible, this expensive intervention will translate into a patient benefit, as measured in a cost-effective analysis, given the safety of the current blood supply and the expense associated with this form of treatment.