By Joseph Sweeney Yvonne Rizk
This instruction manual specializes in the basics in scientific transfusion. Technical element is deliberately passed over with the intention to permit the reader to understand crucial info in the shortest time. particular tips at the administration of other medical occasions is the target so as to facilitate medical desision making. This booklet fills a void among the minimum details regularly textbooks of medication, surgical procedure, Anesthesiology, and so on. and the extra unique texts on hand within the box of Blood Banking and Transfusion drugs. the price of this booklet is the facility to know salient gains concerning present concerns and scientific choice making. history informaiton is minimum and given in simple terms whilst its omission may obsucre knowing. while extra aspect is required, reference texts or different resources of data are steered.
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1. Important steps in blood administration 1. Ensure proper recipient identification, ABO compatibility and Rhesus suitability of the product. 2. Inspection of the blood bag for product appearance and any leaks. 3. Ensure that the administration set has an in-line filter. 4. 9% saline. 5. If a mechanical pump is used routinely, information regarding lack of hemolysis is appropriate. 6. If blood warmers are used, these should be quality controlled at least semi-annually, or more often, depending on use.
2. Importance of differentiating transfusion practices from transfusion styles Transfusion Practices Transfusion Styles 1. Develop/evolve within the framework of empiric clinical experience Develop/evolve within the framework of empiric clinical experience or tradition, sometimes anecdotal 2. Determined by individual physician or group experience Institutionally determined by culture or attitude 3. Often amenable to change by logic, hard data and education Resistant to change. Short term changes revert to old styles.
Blood from the cardiac bypass pump may be given directly intravenously. However, it is a more common practice in the United States to process this blood through the salvage machine with the red cells being returned suspended in saline. Alternatively the contents of the pump and reservoir may be ultrafiltrated; this produces a product rich in colloids with a lower total volume. An important consideration for overall transfusion in cardiac surgery is agreement regarding thresholds at which decisions are made with regard to transfusion.