Transfusion practices in obstetrics and gynaecology in a tertiary care center

Singh, Shashi P.; Sinha, Parul; Yadav, Gunjan; Gupta, Uma; Tyagi, Priyanka

doi:10.18203/2320-1770.ijrcog20160593

Cited by 6 publications

(11 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Allogeneic platelet units from the blood bank are usually available in larger quantities, are safe, affordable and highly standardized in terms of platelet count, residual leukocyte and red blood cell content. In addition, the conditions for their preparation are mandated by international standards in the USA and Europe (the centrifugal forces used for their isolation, the temperature of centrifugation, techniques of separation and processing, and the composition of the preservative solution) ( 2 , 32 ).…”

Section: Discussionmentioning

confidence: 99%

Regeneration of Chronic Wounds with Allogeneic Platelet Gel versus Hydrogel Treatment: a Prospective Study

Semenič

Cirman

Rožman

et al. 2018

ACC

View full text Add to dashboard Cite

SUMMARY – The aim of the study was to evaluate the efficacy and safety of the new method of platelet-rich plasma activation in the form of platelet gel, used in the treatment of non-healing chronic lower leg ulcers. The study was prospectively randomized, double blind and placebo controlled. We treated 60 patients (42 males and 18 females, mean age 69.43 years, SD 14.74) with chronic lower leg ulcers of different etiologies. Thirty patients were treated with allogeneic platelet gel and 30 with hydrogel. Both groups were comparable for duration of ulcer and its size. Treatment was repeated once a week for three consecutive weeks and then the last examination was scheduled at 6 months of the first platelet gel application. The t-test was used to analyze independent samples. Healing of chronic wounds with platelet gel was statistically significantly more effective compared to the treatment with hydrogel (p<0.05). At 6 months of platelet gel application, the mean wound area in the experimental group decreased to 35.01% (SD 53.69) of the initial wound size. In the control group, the wound area decreased to 89.95% (SD 71.82) of the initial wound size (p=0.001). The circumference of the wounds diminished to 54.62% (SD 39.85) of the initial value in the experimental group, compared to 91.28% (SD 29.32) in the control group (p<0.001). Allogeneic platelet gel prepared by the new method used in this study was found to be a good treatment option for non-healing chronic wounds when other methods are ineffective.

show abstract

Section: Discussionmentioning

confidence: 99%

Regeneration of Chronic Wounds with Allogeneic Platelet Gel versus Hydrogel Treatment: a Prospective Study

Semenič

Cirman

Rožman

et al. 2018

ACC

View full text Add to dashboard Cite

show abstract

“…Appropriate blood component was a blood component transfused solely to treat a condition leading to significant morbidity and mortality that cannot be prevented or effectively managed by other means. 5…”

Section: Operational Definitionsmentioning

confidence: 99%

“…In intermediate-and high-resource countries, some reports indicate improvements in transfusion practices (mainly with respect to the hemoglobin thresholds at transfused patients). 3,5,14 These improvements are related to: the adoption of the restrictive strategy rather than the liberal strategy; 12 the personalization of the blood management (PBM); the mobilization of the means for training, the organization of mass voluntary blood donation campaigns and the organization of quality assessment. 15…”

Section: Transfusion Ratementioning

confidence: 99%

“…4 In addition, the transfusion and post-transfusion risk occurred requires the use of good transfusion practices. 5 Unfortunately, the act of transfusion is often marred by non-conformities confirmed by several studies carried out in SSA. These studies revealed nonconformities in relation to bedside compatibility tests (72.6%), 2,6 the concordance control of the blood group mentioned on the patient's file with the one mentioned on the blood product (15.5%) 1,2 and close monitoring of blood transfusion during the first ten minutes (88.3%).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Critical Assessment of Transfusional Practices in the Obstetrics and Gynecology Department At the University Hospital of Kinshasa

Ngoy¹,

Nkanga²,

Baina³

et al. 2023

JBM

View full text Add to dashboard Cite

Gynecology and obstetrics are among the specialties where blood transfusion is most practiced. This situation requires the use of good transfusion practices. The objective of this study was to assess the quality of transfusion practice in the Gynecology and Obstetrics Department of the University Hospital of Kinshasa (UHK). Methods: This is a prospective, evaluative and descriptive study performed at the Department of Gyneco-Obstetrics of the University Hospital of Kinshasa from February 25 to June 25, 2020; which dealt with patients who received at least one blood transfusion. Results: About 498 patients, 54 patients were transfused and their average age was 36.4 years, with the extremes of 14 and 60 years, the transfusion rate was 10.8%. Most of patients (n=36: 2/3) were transfused during weekend days, sachets were used as delivery materials of blood product in 57.4% of cases (n = 31). Among the prescribers of blood products, 70.4% were nurses. All transfusions were carried out in type-specific and cross-matched Rh. All the transfused patients were not aware of the disadvantages of transfusion. Compatibility tests at the patient's bedside were not performed in 61.1% of cases and the concordance control between the patient and the blood component to be transfused was not performed in 70.4% of cases. Close monitoring of blood transfusion in the first ten minutes was not performed in 59.3% of cases. Conclusion: Transfusion encounters real practical problems in the gyneco-obstetrical environment of countries with limited resources. However, an assessment and multidisciplinary collaboration would be necessary to improve transfusion practice in medical field.

show abstract

“…2 Now, blood transfusions are used to treat numerous conditions which medications cannot cure: blood loss due to major surgery, trauma, childbirth, severe burns, gastrointestinal (GI) bleeds, bone marrow disorders causing anemia, inherited anemias, and autoimmune hemolytic anemia. 3,4 Specific types of cancers, such as those in the bone marrow and GI tract, as well as chemotherapy and radiation cancer treatments, can cause low blood cell counts .5 Blood transfusions are used to treat these symptoms. 5 Though blood transfusions create positive outcomes for patients with diagnoses listed above, the procedure has great risks associated with sterilization, correct blood type, reactions, and post-transfusion ailments.…”

Section: Introductionmentioning

confidence: 99%

Blood Transfusion Errors Within a Health System: A Review of Root Cause Analyses

Lancaster¹,

Rhodus

Duke³

et al. 2021

PatientSaf

View full text Add to dashboard Cite

Introduction: Blood transfusions are lifesaving treatments which require critical attention to processes and details. If processes are not followed, grievous errors can lead to sentinel events. A review of investigations completed due to reported events will show the error trends associated with systems used throughout the blood transfusion process. Methods: This study employed root cause analyses (RCAs) within the Veterans Health Administration (VHA) to review the events leading to blood transfusion errors. Data was pulled from the RCA databases within the VA National Center for Patient Safety. The time frame was October 2014 to August 2019. A total of 53 RCAs and aggregated reviews were included in the study. These were reviewed for common themes and gaps present within processes. Results: The most common events fell within the categories of incorrect or delayed blood orders, incorrect or lack of patient identification, and wrong blood given. The RCA for each event was reviewed and studied. The RCAs had a crossover of multiple causes; lack of a formal process, communication barriers, and technology barriers were the most frequent. Conclusion: These RCAs express great variation between VHA facilities, such as process created, number of staff reports, and number of RCAs completed. Lack of standard practices nationwide, training barriers, and technology barriers may explain the variation of transfusion errors throughout the VHA. This study brings to light questions about standardization of transfusion protocols. Future study regarding such standardization is necessary to determine its plausibility.

show abstract

Transfusion practices in obstetrics and gynaecology in a tertiary care center

Cited by 6 publications

References 6 publications

Regeneration of Chronic Wounds with Allogeneic Platelet Gel versus Hydrogel Treatment: a Prospective Study

Regeneration of Chronic Wounds with Allogeneic Platelet Gel versus Hydrogel Treatment: a Prospective Study

Critical Assessment of Transfusional Practices in the Obstetrics and Gynecology Department At the University Hospital of Kinshasa

Blood Transfusion Errors Within a Health System: A Review of Root Cause Analyses

Contact Info

Product

Resources

About