Pretransfusion Testing and Transfusion of Uncrossmatched Erythrocytes

Boisen, Michael L.; Collins, Ryan; Yazer, Mark H.; Waters, Jonathan H.

doi:10.1097/aln.0000000000000414

Cited by 41 publications

(31 citation statements)

References 21 publications

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“…This process makes prompt transfusion in the early trauma stage very difficult. To solve this issue, some have suggested transfusing universal donor blood (O in ABO typing and Rh [-]) in early trauma, during the full screening for transfusion [ 22 ]. Many studies have shown that the mortality did not increase significantly using this approach [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Preventable trauma death rate in Daegu, South Korea

et al. 2015

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ObjectiveThis study investigated the preventable death rate in Daegu, South Korea, and assessed affecting factors and preventable factors in order to improve the treatment of regional trauma patients.MethodsAll traumatic deaths between January 2012 and December 2012 in 5 hospitals in Daegu were analyzed by panel review, which were classified into preventable and non-preventable deaths. We determined the factors affecting trauma deaths and the preventable factors during trauma care.ResultsThere were overall 358 traumatic deaths during the study period. Two hundred thirty four patients were selected for the final analysis after excluding cases of death on arrival, delayed death, and unknown causes. The number of preventable death was 59 (25.2%), which was significantly associated with mode of arrival, presence of head injury, date, and time of injury. A multivariate analysis revealed that preventable death was more likely when patients were secondly transferred from another hospital, visited hospital during non-office hour, and did not have head injuries. The panel discovered 145 preventable factors, which showed that majority of factors occurred in emergency departments (49.0%), and were related with system process (76.6%).ConclusionThe preventable trauma death rate in Daegu was high, and mostly process-related.

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Section: Discussionmentioning

confidence: 99%

Preventable trauma death rate in Daegu, South Korea

et al. 2015

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“…The emergency provision of uncross‐matched group O RBC units is a common practice at trauma centres as the perceived risk of a clinically significant adverse reaction is relatively low and outweighed by the potential benefits of immediate RBC transfusion to a patient at high risk of fatal haemorrhage (Murthi et al, ; Boisen et al, ). This is particularly the case given that young males are most often trauma victims (Norton & Kobusingye, ) and less likely than females to harbour RBC‐reactive alloantibodies (Barnes, ) that could be harmful when an incompatible RBC unit is given before completing serological testing.…”

mentioning

confidence: 99%

Acute haemolysis, DIC and renal failure after transfusion of uncross‐matched blood during trauma resuscitation: illustrative case and literature review

Fiorellino

Elahie

Warkentin

2018

Transfusion Medicine

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“…14 It involves proper requisition, compatibility testing and pre-release checks 15 that includes ABO typing, Rh typing, antibody screening, antibody identification and crossmatch. 16 Pre-transfusion testing and procurement of proper blood and/or its component can be hindered by an incomplete request form. 17 Request forms are very important to convey proper message from a physician to the blood bank, laboratory or radiological services.…”

Section: Discussionmentioning

confidence: 99%

Haemovigilance: Role and importance of blood request forms in routine hospital practice.

Ghazanfer

Aziz

Mahmood

et al. 2020

TPMJ

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Objectives: To assess the extent of Blood Request Forms (BRFs) usage in routine blood banking, at a major Hospital in Lahore. Study Design: Cross-sectional Descriptive study. Setting: Shaikh Zayed Medical Complex Blood Bank, Lahore. Period: 6 months (Sept 2016 to March 2017). Material & Methods: A total of 1052 BRFs dispatched from in-patient of Shaikh Zayed Medical Complex, Lahore were selected. Patient’s MR number, date, demographic information, diagnosis, ward, history of transfusions, type of blood transfused, phlebotomist’s name etc., were analyzed. They were assessed and the results were produced in tabulated form as well as in graph. Results: Among the 1052 BRFs, “MR number” was filled in 99.4% (n=1046) forms, while 0.6% (n=6) were not filled. The column of “Date” was filled in 97% (n=1020) forms, while it was left blank in 3% (n=32) forms. Similarly, the column of “Age” was filled in 97.7% (n=1028) forms, whereas it was left empty in 2.3% (n=24) forms. Demographic information like “Patient’s Name” and “Gender” were filled in 100% forms. “Ward” was filled in 97.1% (n=1022) forms, while 2.9% (n=30) were unfilled. As far as “H/O previous transfusion(s)” column is concerned, 40.9% (n=430) forms were filled and 59.1% (n=622) were left unfilled. “H/O previous transfusion reaction(s)” column had almost the similar number with 37.6% (n=396) filled and 62.4% (n=656) left empty. The column of “Diagnosis” was filled in 22.4% (n=236) and was found unfilled in 77.6% (n=816). Moreover, the column of “Which type of component transfused” was filled in 96% (n=1010), while 4% (n=42) were unfilled. The column of “Amount of blood needed” was filled in 96.4% (n=1014) forms, while 3.6% (n=38) forms were unfilled. “When is the blood needed” column had only 29.3% (n=308) filled forms, whereas 70.7% (n=744) forms did not mention when the blood was needed. One of the most important columns is “Patient’s blood group”, which was filled in only 53.4% (n=562) forms, while 46.6% (n=490) forms were left empty. The column of “Name of phlebotomist” was filled in only 13.9% (n=146), while 86.1% (n=906) of the forms were found unfilled in this column. In total, our study revealed that among 1052 BRFs, only 6.8% (n=72) werecompletely filled, while 93.2% (n=980) were incompletely filled. Conclusion: Lack of awareness in BRF filling should be properly addressed to enhance efficiency and to reduce pre-analytical errors in healthcare setups. It is of utmost need that the clinicians and nurses should be made aware that BRFs play a pivotal role in smooth and error-free functioning of the healthcare setups.

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Pretransfusion Testing and Transfusion of Uncrossmatched Erythrocytes

Abstract: Pretransfusion testing is reviewed for the anesthesiologist, with an emphasis on the electronic crossmatch and transfusion of uncrossmatched erythrocytes when testing is incomplete.

Cited by 41 publications

References 21 publications

Preventable trauma death rate in Daegu, South Korea

Preventable trauma death rate in Daegu, South Korea

Acute haemolysis, DIC and renal failure after transfusion of uncross‐matched blood during trauma resuscitation: illustrative case and literature review

Haemovigilance: Role and importance of blood request forms in routine hospital practice.

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