By Joseph Sweeney Yvonne Rizk
This guide specializes in the basics in scientific transfusion. Technical element is deliberately passed over so as to permit the reader to understand crucial info in the shortest time. particular assistance at the administration of other scientific events is the target in an effort to facilitate medical desision making. This ebook fills a void among the minimum info normally textbooks of drugs, surgical procedure, Anesthesiology, and so forth. and the extra unique texts to be had within the box of Blood Banking and Transfusion medication. the worth of this booklet is the power to understand salient good points concerning present matters and medical determination making. historical past informaiton is minimum and given basically while its omission may obsucre figuring out. while extra element is required, reference texts or different assets of knowledge are recommended.
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Extra resources for Clinical Transfusion Medicine (Vademecum), 1st Edition
10 48 Clinical Transfusion Medicine Blood Transfusion in Surgery III: Orthopedic and Urologic Surgery 11 Although the nature of procedures performed in orthopedic and urologic surgery differ, they have in common the potential to be often associated with blood loss, and hence the need for allogeneic transfusion. In addition, procedures in urologic and orthopedic surgery are often elective, and many such patients express interest in predeposit autologous blood donation. 1. First, the potential to over-crossmatch allogeneic blood is prominent in both types of surgery.
It is rarely necessary to transfuse red cells using a blood warmer when the duration of the transfusion is in excess of 1 hour, the only possible exception being recipients with cold agglutinins. Platelets are stored at room temperature, and other products such as plasma and cryoprecipitate are thawed at 37°C. However, blood warmers are used in the operating room, or in patients with cold agglutinins, or in massive trauma when blood needs to be transfused rapidly, (50-100 ml/min). Particular attention needs to be paid to the quality control of these blood warmers, at least on a quarterly basis, if in frequent use, particularly that excessive temperatures do not occur.
In some institutions, it is practice to routinely transfuse a unit of blood over a period of 4 hours. This is, of course, acceptable, but it is not required, and may be inconvenient. For other blood products, such as plasma or cryoprecipitate, the rate of infusion should be set to meet the desired clinical objective and be consistent with the patient’s tolerance for increased intravascular volume. Platelet transfusions are often administered more rapidly, over a period of 15-30 minutes. Such rapid platelet transfusions can occasionally result in the occurrence of febrile or urticarial reactions in the patient.