Trigger Factors in Transfusion Medicine

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C.Th. Smit Sibinga, P.C. Das, E.L. Snyder
Springer Science & Business Media, 1996 M10 31 - 260 pages
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Transfusion medicine is an excellent way for the healthy community to help the sick. However, service providers and patients have much to gain from the establishment of guidelines concerning when and how it is used. An important first step would be to introduce informed consent for transfusion recipients. Discussions with blood banks and assessment of clinical demand would also be necessary, taking into account the needs of patients and physicians, and the availability of products. Unfortunately, the efficacy and safety of transfusion products can be difficult to ascertain. Furthermore, although major advances have been made in safety, the risks of giving and receiving blood are still seen as high. It is vital to learn what underlies that perception and how to counter it. The policies and protocols used to establish surgical criteria for blood transfusions should be explored. Finally, clinical audits can help evaluate the risk:benefit ratio of transfusion; they may be carried out by hospital transfusion committees but are likely to be more successful with the support of national and international legislative and regulatory bodies. The implementation of appropriate initiatives now will improve the outlook for the future of transfusion medicine, perhaps with ex-vivo expanded haemopoietic cell therapy as the next milestone. All these key points and controversies are explored in this book, which paints a broad picture of the current status and future trends in transfusion medicine.

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Communication Mechanisms Between the Bedside and the Blood Bank
The Process of Clinical Decision making in Blood Transfusion
Factors Effecting the Clinical Efficacy of Blood Transfusion
What Qualities and Characteristics Do Justify the Need for
The Clinical Relevance of Clotting Factor Characteristics
Acceptance and Communication of Risks
How Far Should We Go?
The Role of Protocols and Documentation
The Clinical Consultative Role of the Blood Bank in Transfusion
Clinical Practice

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