TY - JOUR. T1 - Early autologous fresh whole blood transfusion leads to less allogeneic transfusions and is safe. AU - Rhee, Peter. AU - Inaba, Kenji. AU - Pandit, Viraj. AU - Khalil, Mazhar. AU - Siboni, Stefano. AU - Vercruysse, Gary. AU - Kulvatunyou, Narong. AU - Tang, Andrew. AU - Asif, Anum. AU - OKeeffe, Terence. AU - Joseph, Bellal. PY - 2015/4/4. Y1 - 2015/4/4. N2 - BACKGROUND: The practice of transfusing ones own shed whole blood has obvious benefits such as reducing the need for allogeneic transfusions and decreasing the need for other fluids that are typically used for resuscitation in trauma. It is not widely adopted in the trauma setting because of the concern of worsening coagulopathy and the inflammatory process. The aim of this study was to assess outcomes in trauma patients receiving whole blood autotransfusion (AT) from hemothorax. METHODS: This is a multi-institutional retrospective study of all trauma patients who received autologous whole blood transfusion from hemothorax ...
TY - JOUR. T1 - Cancer incidence in blood transfusion recipients.. AU - Hjalgrim, Henrik. AU - Edgren, Gustaf. AU - Rostgaard, Klaus. AU - Reilly, Marie. AU - Tran, Trung Nam. AU - Titlestad, Kjell. AU - Shanwell, Agneta. AU - Jersild, Casper. AU - Adami, Johanna. AU - Wikman, Agneta. AU - Gridley, Gloria. AU - Wideroff, Louise. AU - Nyrén, Olof. AU - Melbye, Mads. PY - 2007/12/19. Y1 - 2007/12/19. N2 - BACKGROUND: Blood transfusions may influence the recipients cancer risks both through transmission of biologic agents and by modulation of the immune system. However, cancer occurrence in transfusion recipients remains poorly characterized. METHODS: We used computerized files from Scandinavian blood banks to identify a cohort of 888,843 cancer-free recipients transfused after 1968. The recipients were followed from first registered transfusion until the date of death, emigration, cancer diagnosis, or December 31, 2002, whichever came first. Relative risks were expressed as ratios of the ...
HIV THROUGH BLOOD TRANSFUSION. In the event that the insured contracted HIV as a result of blood transfusion, 10% on the Principal Sum Insured is payable. If you wish to apply for The Personal Sentinel coverage, just instruct us by e-mail providing the following details and we will be sending you the appropriate Application Form:-. ...
Blood transfusion is administered during many types of surgery, but its efficacy and safety are increasingly questioned. Evaluation of the efficacy of agents, such as desmopressin (DDAVP; 1-deamino-8-D-arginine-vasopressin), that may reduce perioperative blood loss is needed.To examine the evidence for the efficacy of DDAVP in reducing perioperative blood loss and the need for red cell transfusion in people who do not have inherited bleeding disorders.We searched for randomised controlled trials (RCTs) in the Cochrane Central Register of Controlled Trials (2017, issue 3) in the Cochrane Library, MEDLINE (from 1946), Embase (from 1974), the Cumulative Index to Nursing and Allied Health Literature (CINAHL) (from 1937), the Transfusion Evidence Library (from 1980), and ongoing trial databases (all searches to 3 April 2017).We included randomised controlled trials comparing DDAVP to placebo or an active comparator (e.g. tranexamic acid, aprotinin) before, during, or immediately after surgery or after
Transfusion of washed intra-operative cell salvage post-operatively in the PCICU can be performed safely without increased risk of bleeding or release of inflammatory mediators. This will reduce the need for allogeneic blood products as well as crystalloid and colloid infusions and thus decrease the length of ventilation and intensive care duration for these infants ...
by Vetscite. Blood transfusions are one of the most common procedures patients receive in the hospital but the more red blood cells they receive, the greater their risk of infection, says a new study led by the University of Michigan Heath System and VA Ann Arbor Healthcare System. Researchers analyzed 21 randomized controlled trials for the study that appears in Journal of the American Medical Association (JAMA). Elderly patients undergoing hip or knee surgeries were most susceptible, with a 30 percent lower risk of infection when fewer transfusions were used. Overall, for every 38 hospitalized patients considered for a red blood cell transfusion (RBC), one patient would be spared a serious infection if fewer transfusions were used. Transfusions are often used for anemia or during surgery to make up for blood loss. The authors evaluated all health care-associated infections that were reported after receiving donor blood in the randomized trials. These included serious infections such as ...
As French physicians frequently and currently deployed in Theater of Operations in Africa, we read with interest the article by Ariyo et al.1 reviewing the anesthesia care provided at Médecins Sans Frontières facilities between 2008 and 2014. Spinal anesthesia was the most common type of anesthetic technique (34,413 [45.56%]), with cesarean section being the most common type of procedure performed (26,091 [34.54%]). Wound surgeries represented another common procedure type included in this retrospective study (18,547 [24.55%]). In this context, perioperative deaths occurred in 72 (0.21%) cases of obstetrics/gynecology and urology surgery and in only seven (0.06%) cases of wound surgeries. Nevertheless, the authors did not provide any details regarding the causes of death or any details about the incidence of perioperative bleeding and perioperative blood management. Perioperative blood management refers to perioperative blood transfusion and adjuvant therapies.2 Perioperative blood transfusion ...
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Background: Despite the minimally invasive nature of trans-catheter aortic valve implantation (TAVI), the procedure is associated with several complications. We analyzed the individual impact of bleeding events, hemoglobin (Hb) drop, and Red Blood Cells (RBC) transfusions on prognosis.. Methods and results: Consecutive patients (n=597) undergoing trans-femoral TAVI were prospectively enrolled. Peri-procedural Hb levels, RBC transfusions and major/life threatening bleeding events were documented and analyzed. To study the relationship between Hb drop, RBC transfusions and long-term mortality, the entire cohort was divided into 4 groups according to Hb drop (less or ≥ than 3 g/dl), and receiving RBC transfusion (yes /no). In the entire cohort mean Hb level decreased following TAVI (11.8±1.4 to 9.5 ±1.3 g/dl; p,0.001). Major/ life threatening bleedings occurred in 66 (10.1%) patients, and 179 (30%) patients received RBC transfusions. Major/life threatening bleedings were not independently ...
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Conclusions There is a lack of current guidelines outlining when to give terminally ill cancer patients a blood transfusion, due to the fact that every patient needs to be individually assessed. Generally, attitudes towards blood transfusions were positive; most thought that suffering was an appropriate reason for a blood transfusion. The large majority did not think that blood transfusions should be withheld. Attitudes towards blood transfusions with palliative intent were slightly more positive in oncology compared to palliative care healthcare professionals.. ...
BACKGROUND: Open simple prostatectomy has long been associated with large blood losses; hence allogeneic blood transfusion in this procedure is a standard practice world over. A review of literature suggests significant association between perioperative blood loss accompanying open simple prostatectomy and certain patient factors. The shortage of blood and blood products in our blood transfusion centres as well as the alarming risks of transfusion reactions and disease dissemination demanded a review of these factors with the aim of reducing morbidity associated with peri-operative blood loss and blood transfusion. OBJECTIVES: To assess blood loss, determine blood transfusion rate, and define some of the factors associated with peri-operative blood loss and blood transfusion in open simple prostatectomy. DESIGN : A prospective cohort study. SETTINGS: The urology units of Kenyatta National Hospital, Kenya. RESULTS: Ninety five patients who underwent open simple prostatectomy for benign prostatic ...
Some time ago my delightful 80+ year-old grandmother was diagnosed with a GI bleed that led to hospitalization and multiple transfusions. As I am the only nurse in the family, she made a point to tell me that she needed blood because her "hemoglobins were low.". I quickly determined that she had no idea what hemoglobin was but she was confident her transfusion therapy was necessary because her trusted family physician had told her that her "hemoglobins were low." During her admission, she signed without reading a general treatment consent that included a paragraph about blood transfusion. My grandmother was not told that there are risks associated with allogeneic transfusion nor was any alternative therapy offered. However, she believed that she was receiving appropriate medical care and she had no apparent adverse events with her hospitalization. Was my grandmother given adequate information to make an informed choice about her medical care? Did her physician and hospital meet minimum legal and ...
TY - GEN. T1 - Ensemble learning approaches to predicting complications of blood transfusion. AU - Murphree, Dennis. AU - Ngufor, Che. AU - Upadhyaya, Sudhindra. AU - Madde, Nagesh. AU - Clifford, Leanne. AU - Kor, Daryl J. AU - Pathak, Jyotishman. PY - 2015/11/4. Y1 - 2015/11/4. N2 - Of the 21 million blood components transfused in the United States during 2011, approximately 1 in 414 resulted in complication [1]. Two complications in particular, transfusion-related acute lung injury (TRALI) and transfusion-associated circulatory overload (TACO), are especially concerning. These two alone accounted for 62% of reported transfusion-related fatalities in 2013 [2]. We have previously developed a set of machine learning base models for predicting the likelihood of these adverse reactions, with a goal towards better informing the clinician prior to a transfusion decision. Here we describe recent work incorporating ensemble learning approaches to predicting TACO/TRALI. In particular we describe ...
Most physicians typically clamp and cut the umbilical cord immediately following delivery. Some physicians advocate for delaying the clamping of the babys umbilical cord, thereby increasing the flow of blood from the placenta to the child. The practice of delayed umbilical cord clamping has been shown to improve hematocrit levels, leading to an increased number of oxygen-carrying red blood cells throughout the body.. Hematocrit levels are an important factor during surgery and blood transfusions are often required to replace blood lost during complicated procedures. This is especially true in children with critical congenital heart disease.. "Babies born with critical congenital heart disease often require multiple blood transfusions during corrective heart surgery due to the complexity of the surgery and the babies small size," said Carl Backes, Jr., MD, Neonatology fellow at Nationwide Childrens Hospital. "However, data suggests that surgical outcomes are improved when fewer blood ...
Published: 18 Jan 2017 , Last Updated: 18 Jan 2017 08:49:11 Karen Humm (Lecturer in Emergency and Critical Care) has been awarded a grant by Pet Plan for the following project: "Is Cross Matching Beneficial Prior to the First Blood Transfusion in Cats?" As veterinary practice has advanced, there has been a steady increase in the need for blood transfusions to help cats with a variety of diseases. However, identifying suitable blood donors and obtaining blood from healthy cats in a timely manner is extremely challenging. In situations when a cat has had a previous blood transfusion, it is recommended that prior to any subsequent transfusion a crossmatch screening test is performed. This is how we check that donor blood and patient blood are compatible. If no reaction is seen in this test, the donor is considered suitable and this should decrease the risk of the recipient having a reaction to the blood. A recent study of cats reported that administration of crossmatch compatible blood transfusions ...
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BACKGROUND: In sub-Saharan Africa, the prevalence of malaria parasitemia in blood donors varies from 0.6% to 50%. Although the burden of TTM in malaria-endemic countries is unknown, it is recommended that all donated blood is screened for malaria parasites. This study aimed to establish the incidence of TTM and identify a suitable screening test. METHODS: Pregnant women, children, and immunocompromised malaria-negative transfusion recipients in a teaching hospital in Ghana were recruited over the course of 1 year. Parasites detected in recipients within 14 days of the transfusion were genotyped and compared to parasites in the transfused blood. The presence of genotypically identical parasites in the recipient and the transfused blood confirmed transfusion-transmitted malaria. Four malaria screening tests were compared to assess their usefulness in the context of African blood banks. RESULTS: Of the 50 patients who received transfusions that were positive for Plasmodium falciparum by polymerase ...
Objective: To evaluate semen parameters and measure serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), and testosterone (T) concentrations before and 7 days after packed red cell transfusion (PCTx) in adults with sickle cell disease (SCD). Methods: This prospective study investigated 18 young adults with transfusion-dependent SCD, aged 20.7 +/- 2.88 years, with full pubertal development (Tanner's stage 5) (euogonadal), and capacity to ejaculate. Their serum ferritin levels were 1488 +/- 557ng/ml. Basal serum concentrations of FSH, LH, T and IGF-I were evaluated before and 7 days after packed red cell transfusion (PCTx). We studied the effect of PCTx on semen parameters and the endocrine functions in these 18 patients with SCD. Results: Following PCTx, a significant increase of Hb from 8.5 +/- 1.17 g/dl to 10.5 +/- 0.4 g/dl was associated with increased testosterone (12.3 +/- 1.24 nmol/L to 14.23 +/- 1.22nmol/L and gonadotropin concentrations. Total sperm count increased
Abstract:. BACKGROUND AND OBJECTIVE: This audit was conducted as a part of a quality assurance activity to assess the frequency of receiving completely filled out blood transfusion reaction forms which were accompanied by the required samples. Once this information is known, we will elevate the bar each year to achieve 100% compliance. The sub-aim was to evaluate the frequency of the reported transfusion reactions.. MATERIALS AND METHODS: The study was conducted from 1st April 2010 to 30th April 2011. The information was evaluated and the frequency of receiving completely filled blood transfusion reaction forms was assessed. The variables identified were the type of transfusion reaction, the blood component transfused, the health care personnel filling the form, and whether there was legible handwriting and a completely filled form. Transfusion reactions were reported as a percentage of the total number of units transfused.. RESULTS: During the study period, 17,880 packed red cells, 13,200 ...
This program will review the creation and benefits of Blood School, an eight-hour introductory course on transfusion safety for nurses. Recognizing that primary blood transfusion education was too procedure-centric, this course was developed as a supplement to provide education on the core foundations of transfusion medicine. Blood School uses a combination of didactic and active learning approaches, in order for the participants to feel more knowledgeable, comfortable, and safer with all transfusion-related processes. In doing so, it empowers them to be better advocates for patients, take action whenever they recognize negative situations related to blood transfusions, and help ensure that the right patient gets the right blood component for the right reason in the safest way. ...
Often transfusions are prescribed when simple and safe alternative treatments might be equally effective. As a result such a transfusion may not be necessary. An unnecessary transfusion exposes patients to the risk of infections such as HIV and hepatitis and adverse transfusion reactions.. ...
There have been previous studies with similar hypotheses and methodology. Engoren et al. 12 studied 1,915 subjects undergoing first-time isolated coronary artery bypass at St. Vincent Mercy Medical Center, Toledo, Ohio. In a Cox regression model, they demonstrated that age, New York Heart Association functional class IV, chronic obstructive pulmonary disease, peripheral vascular disease, and perioperative blood transfusion were predictors of mortality occurring between 1 and 5 yr after surgery. Detailed information about the number of units transfused was not available; therefore, quantification of transfusion was done in a limited manner, subjects were grouped according to transfusions given during the intraoperative period, postoperative period, or both. Koch et al. 13 studied 10,289 subjects undergoing isolated coronary artery surgery at the Cleveland Clinic, follow-up was 10 yr, and transfusion was quantified by the number of units of red cells transfused to subjects in the perioperative ...
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When we proceeded to go for transfusion on August 9, the doctors asked us to obtain the HIV test done. The result was positive, Sheikh told the paper. The doctors, blood bank staff and medical center superintendent said, It provides happened, what you can do? Sheikh sold his motorbike and television to pay for his daughters monthly blood transfusions and medicines.. 23 Indian kids get HIV from blood vessels transfusions AHMADABAD, India - At least 23 children suffering from a rare genetic disorder that will require regular blood transfusions possess tested positive for HIV after receiving tainted blood, officials said Monday. The children, who have problems with thalassemia and so are from poor households, all received free bloodstream transfusions at a government-run medical center in the Junagadh district of Gujarat state in western India between January and August, hospital mind G.T.. One in four people in Asia will be 60 or older by the year 2050, rising from one in 10 this year 2013, ...
I have anemia and needed a blood transfusion and attempted my first transfusion last week. After about a tablespoon of blood went into my IV, my vision grayed out and I dont remember what happened next. I was told I had chills, diaphoresis, decreased level of consciousness, eyes rolling back in head and woke up so to speak, vomiting. What happened to me? They said I had no fever but had a severe transfusion reaction. I received Benadryl and Solu-Medrol and a bag of fluid after that. They had stopped the blood when I came to and said my blood pressure had dropped to 70/40 and my pulse had dropped. My family doctor was called and diagnosed it as a vasovagal reaction. Can a severe blood transfusion reaction be called a vasovagal reaction? They said there was no hemolyzation of the blood. What exactly happened? How often does this happen? They gave me another unit with the premedication and filter, and it seemed to work okay that time. What do I need to understand about what happened ...
In one of the largest randomized controlled trials (RCTs) on GDT, the incidence of blood transfusions was double (22 vs 11%) in the GDT group patients, who received nearly twice the amount of colloids compared to the control group, even though the same transfusion threshold (Hb , 8 g/dl) was used for both groups [11]. The most feasible explanation for this clinically relevant and statistically significant difference (p = 0.04 based on a chi square test), which was not calculated nor discussed in the article [11], is that more patients in the GDT group reached Hb levels below the transfusion threshold due to hemodilution, prompting physicians to order blood transfusions. Other RCTs have also reported that patients in the GDT group, who received significantly more colloid boluses, received significantly more blood transfusions [12, 13] and had significantly higher blood loss [13] compared to the standard therapy group. In another study, the administration of more colloids led to lower Hb and DO2 ...
In our perpetually evolving pursuit to optimize the risk-benefit profile of perioperative interventions, the decision to administer allogeneic blood products is fraught with extraordinarily conflicting goals. This infographic summarizes the results of a retrospective analysis that examines the relationship between perioperative blood transfusion and infectious complications. Superficial and deep incisional infections appear not to be influenced whereas organ space infections and septic shock are associated with the administration of blood products.. CI indicates confidence interval; NSQIP, National Surgical Quality Improvement Program; OR, odds ratio; RBC, red blood cell. ...
About 100 patients aged several months to 50 years are treated in the Pediatric Hematology Unit, most of those patients receive blood transfusions monthly. The adverse reactions were routinely recorded during each transfusion. All the patients were also screened annually for the incidence of blood transmitted infections principally HIV and Hepatitis C. All those records will be systematically screened and all the immediate or late adverse reactions and complications related to blood transfusions will be summarized.. A second goal of this study will be to control the staff strictness related to the ministry of health protocol dealing to blood transfusions. ...
♦ Treatment of anaemia has changed substantially since the early 1990s♦ Although massive transfusion may be necessary, trauma surgeons have modified their practice to provide aggressive control of haemorrhage, prevent hypothermia and acidosis, optimize haemodynamic management in intensive care units, and rationalize transfusion support in severely injured patients. The result has been an improvement in the outcomes of these patients♦ Given the importance of early intervention in the care of the injured, understanding the physiology and true indications for early massive transfusion in trauma care has the potential to save many lives.
Question - Leukemia, on blood transfusions, swelling in the legs, myelodysplasia . Ask a Doctor about diagnosis, treatment and medication for Arthritis, Ask an Oncologist
i admit to not being very well informed about the watchtowers view on blood transfusions. i have a couple of questions that i hope someone here is able to answer.. i understand that the watchtower now considers it to be okay to receive blood fractions.. my first question is: are all fractions considered to be permissible? and if not, specifically which fractions are not permissible?.
INTRODUCTION This study evaluated the cardiovascular responses to blood transfusion in children with anemic heart failure using mostly clinical parameters. MATERIALS AND METHODS Consecutive patients with anemic heart failure presenting to a childrens emergency room and requiring blood transfusion were assessed for heart rate (HR), respiratory rate (RR), systolic blood pressure (SBP), liver size, and oxygen saturation (O 2 sat) pre-transfusion, 1-2 h into transfusion (intra-transfusion), immediate post-transfusion, and at late post-transfusion (24 h later). RESULTS A total of 75 patients were recruited of which 46 (61.3%) were males. Their mean age was 43.8 ± 40.3 months while their mean PCV at presentation was 15.0 ± 4.5%. There was a significant mean net reduction of 10 beat per minute (bpm) between the pre (139.7 ± 25.2 bpm) and intra-transfusion (129.6 ± 22.0 bpm) HR, P = 0.0004. The mean net reduction of 4 cycles/ min between the pre and intra-transfusion RR was also significant, P = 0.0033
DI-fusion, le Dépôt institutionnel numérique de lULB, est loutil de référencementde la production scientifique de lULB.Linterface de recherche DI-fusion permet de consulter les publications des chercheurs de lULB et les thèses qui y ont été défendues.
This clinic offers Pre-operative Blood Conservation Strategies for Adults.. The Blood Conservation Coordinator is located on the 3rd Floor in the Ambulatory Care area of the Carlo Fidani Building. Adults requiring surgery who are interested in avoiding blood transfusion may make an appointment directly by calling (905) 813-1100 ext. 5540. You must be having surgery at Credit Valley, or have a family doctor affiliated with Credit Valley Hospital. Alternatively, your doctor can also make the referral for you.. Many blood transfusions associated with elective surgery can be avoided through advanced planning and preparation, if there is sufficient time before surgery. Once you know that you are having surgery in the future, it may be important to ask your doctor for a blood test to determine your hemoglobin level. Generally, the higher your iron or hemoglobin level the less chance of requiring a blood transfusion during your surgical hospital stay. Not all surgeries result in a transfusion risk, so ...
A five-year-old girl in China contracted HIV through a blood transfusion, state media reported, the latest case to shine a light on an issue that has long bedevilled the country.
To study the effect of transfusion on recurrence of squamous cell carcinoma of the head and neck, we analyzed the records of 143 patients with stage 11 through N squamous cell carcinoma of the supraglottic larynx or hypopharynx for whom follow-up to recurrence or 5 years after surgical therapy was available. Variables studied were age, gender,...
VISSER, Adele et al. Blood product utilisation during massive transfusions: audit and review of the literature. SA orthop. j. [online]. 2011, vol.10, n.4, pp.25-29. ISSN 2309-8309.. Acute exsanguination is the leading cause of mortality in trauma patients.1-3 Massive blood loss potentially results in the development of the lethal triad, comprising hypothermia, acidosis and coagulopathy.4 Without prompt intervention, including the appropriate administration of blood and blood products, the majority of these patients will demise within 6 hours.2,4,5 Utilisation of blood and blood products in this setting is considered a lifesaving intervention. A massive transfusion can be defined as the 1) the infusion of five units or more of packed red cell concentrate (RCC) within 4 hours;6 2) infusion of more than ten units RCC within the first 24 hours;7-15 or 3) infusion of six or more units RCC within 12 hours.16-18 Irrespective of the formal definition, it has become evident that patients requiring six ...
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TY - JOUR. T1 - Results of a protocol of transfusion threshold and surgical technique on transfusion requirements in burn patients. AU - OMara, Michael S.. AU - Hayetian, Fernando. AU - Slater, Harvey. AU - Goldfarb, I. William. AU - Tolchin, Eric. AU - Caushaj, Philip F.. PY - 2005/8/1. Y1 - 2005/8/1. N2 - Introduction: Blood loss and high rates of transfusion in burn centers remains an area of ongoing concern. Blood use brings the risk of infection, adverse reaction, and immunosuppression. Methods: A protocol to reduce blood loss and blood use was implemented. Analysis included 3-year periods before and after institution of the protocol. All patients were transfused for a hemoglobin below 8.0 gm/dL. Results: Operations per admission did not change during the two time periods (0.78 in each). Overall units transfused per operation decreased from 1.56 ± 0.06 to 1.25 ± 0.14 units after instituting the protocol (p , 0.05). Also, units transfused per admission decreased from 1.21 ± 0.15 to 0.96 ...
... of blood components are often necessary for the patient to complete the planned cancer treatment.. Blood transfusions are appropriate for low hemoglobin (Hb) and thrombocyte transfusions for low thrombocytes (trc) which also poses a risk for serious bleeding.. ...
The practice of transfusing blood started at the bedside but over the last few decades blood transfusion has become more and more a laboratory directed…
Learn about alternatives to blood transfusion on June 24 and June 26. A new nonprofit is bringing seminars on alternatives to blood transfusions to the Peninsula. The group, Hampton Roads Health
The blood transfusion guide contains a compendium of measures designed to ensure the safety, efficacy and quality of blood components and is particularly intended for all those working in blood transfusion services.
Inspectors of National Health Service (NHS) Quality Improvement Scotland, which monitors Scottish health services, found that many health boards are not meeting the standards set in place for blood transfusions, reports The Herald. Although many NHS boards had adequate amounts of staff members specifically trained on performing blood transfusions, many hospitals did not have a system in place to ensure that only trained individuals were participating in the transfusion process, according to the Herald. Inspectors advised that hospitals ensure only trained individuals perform transfusions, as well as implementing tighter measures to identify the patient and blood correctly before the transfusion. Twelve UK patients received the wrong type of blood last year, according to the Herald. For more information, click here.
Definition of Blood transfusion reaction with photos and pictures, translations, sample usage, and additional links for more information.
HealthDay News) -- Red blood cell transfusions from young or female donors may lead to lower survival rates for recipients, according to a new Canadian study.. These results are intriguing and suggest that if you require a transfusion, your clinical outcome may be affected by the blood donors age and sex, said the studys senior author, Dr. Dean Fergusson. Hes director of the clinical epidemiology program at the Ottawa Hospital in Canada.. However, it is important to remember that our study was observational in nature, which means it cannot be considered definitive evidence, Fergusson said.. The researchers looked at blood transfusions at Ottawa Hospital between 2006 and 2013. The researchers linked more than 30,000 blood recipients with almost 81,000 donors.. The recipients health was followed for an average of just over two years.. Getting red blood cells from a woman instead of a man was linked with an 8 percent greater risk of death from any cause per unit of blood transfused, the ...
Patients undergoing general surgery operations from 2014 to 2016 were less likely to receive a blood transfusion compared with patients undergoing operations from 2011 to 2013. This reduction was demonstrated in two of the three hospitals that were included in the study, and both institutions have had specific efforts designed to reduce the need for blood transfusion in the medical and surgical populations. One of the hospitals implemented a program within the last 10 years designed to reduce the transfusion threshold throughout the medical system.10 The program involved the establishment of a 70 g/L hemoglobin transfusion threshold, education of providers and hospital staff and review and feedback of transfusion orders outside the accepted threshold. Over the four study years 2009-2012, RBC transfusions trended down despite discharges and case-mix index trending up, suggesting that the intervention may have been instrumental in reducing the transfusions within the institutions. The time periods ...
by Richard A. Nimer. Although there are references in scripture to the sacredness of blood, the Church does not hold that any scripture or revelation prohibits giving or receiving blood or blood products, such as gamma globulin, the antihemophilic factor, and antibodies through transfusion or injection, and it is therefore not opposed to its members engaging in such practices. In fact, individual wards sometimes have blood drives to increase a supply on hand when a ward member might need a transfusion. The Church, however, leaves the decision of whether to be a donor or a recipient of a blood transfusion or blood products to the individual member or family concerned.. The Church recognizes that the use of blood transfusions and blood products often saves lives by replacing blood serum volume, red and white cells, platelets, and other substances that may have been lost or damaged by disease, accident, or surgical operation. It is also aware that many operative procedures, such as open-heart ...
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