The risk of a surgical wound infection was almost doubled when the patient had received a blood transfusion.Īfter controlling for the factors associated with an increased likelihood for receiving a blood transfusion, the actual transfusion was predictive of a slower and more eventful postoperative recovery with associated costs to both the patient and health services. The previous two decades have seen intense investigation into transfusion practices, and their impact on outcome in the ICU 24. The amount of transfused blood was predictive of in-hospital mortality, with an odds ratio of 1.4 for each unit of blood received. In a general intensive care unit (ICU) population, 2050 of patients are transfused blood products during their ICU stay. The procedure lasts at least an hour, and can last up. Check with your doctor to see how much time to set aside for the procedure. Landmarks in the history of blood transfusion. Blood transfusion was predictive of length of postoperative hospital stay and number of complications before discharge. Most nonemergency transfusions are done in an outpatient clinic. the head’, with the blood of a sheep on 23 November 1667, and he also survived a second transfusion on 12 December. Transfused patients were significantly older and sicker, more likely to be male, to have lower haemoglobin values and undergo longer and more emergency surgical procedures than those not receiving a transfusion. Receipt of intra-operative and postoperative blood transfusion was established and the difference in proportions between patients who did and did not receive donor blood tested for mortality, overall morbidity, individual complications, and number of adverse events. Propensity analysis was performed to neutralise the confounding effects of preoperative variables and identify the true effects of transfusions on surgical outcomes. These case studies occurred at least 20 years ago, when a large loss of blood during liver transplantation was normal. The national blood policy is essentially made up of sets of action plans which are geared towards the provision of safe, available and affordable blood donor units. This means a reduction in amount of blood used for transfusion and hence reduction in cost. The use of blood fractions for treatment of anaemias and clotting disorders is stressed. To test the hypothesis that blood transfusion alone was a significant risk factor for in-hospital morbidity in non-cardiac patients.Ĭonsecutive non-cardiac patients seen in our department from 2006 to early 2009 who underwent a major procedure under general or spinal anaesthesia were included. report on two cases of consciously mismatched transfusion during liver transplantation, because it was not possible to supply the O-recipients with blood group O red blood cells (RBC). Nigeria established a national blood transfusion policy through a published set of guidelines in December 2006 which gave birth to the National Blood Transfusion Service. The dangers of using whole blood and its disadvantages are pointed out and the place of crystalloid or colloid transfusion as an adjuvant or substitute is discussed.
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