Rational Clinical Use of Blood and Blood products – A summary

D Ghartimagar

doi:10.3126/jpn.v7i1.16949

Abstract

Blood transfusion is an essential therapeutic intervention. The main role of the blood centre is to provide safe and timely blood and blood component(s) to the patients that will improve the physiological status of the patient. Various blood components can be harvested from a single donation of whole blood. The blood centre ensures that there is an adequate inventory of all blood types and blood components to meet the needs of the patients. The blood centre does donor selection, blood collection, component preparation, screening for transfusion – transmitted infections and blood processing. Serologically compatible blood and components are provided to the patients after meticulous pre-transfusion testing as per the standard protocol. Rational use of blood and blood products means right product is used with the right dose on right time for the right reason.

Highlights

Blood transfusion is an essential therapeutic intervention
The appropriate use of blood and blood products means the transfusion of safe blood products only to treat a condition leading to significant morbidity or mortality that cannot be prevented or managed effectively by other means
If medication were added to the blood component it would be difficult to investigate the cause of the transfusion reaction if there is any

Summary

INTRODUCTION

Blood transfusion is an essential therapeutic intervention. We all may need blood in an emergency, and some of us need regular transfusions. 3. Blood donated by family/replacement donors carries a higher risk of transfusion-transmissible infections than blood donated by voluntary non-remunerated donors. 4. Blood should not be transfused unless it has been obtained from appropriately selected donors, has been screened for transfusion transmissible infections and tested for compatibility between the donor’s red cells and the antibodies in the patient’s plasma.[2]. If blood is stored above +6 °C, bacteria that may have inadvertently entered the unit during collection may grow to such an extent that transfusion of the contaminated blood could be fatal. The lower limit of +2 °C is very important This is because red cells are very sensitive to freezing. The dextrose and adenine help the red cells to maintain ATP during storage, and the citrate is the anticoagulant which stops the blood from clotting.[2]. Compare the blood bag number with the number listed on compatibility report.[4,6]

Identification of the Patient:

Concurrent fluids along with red cell transfusion:

Transfusion process:

Findings

CONCLUSION