Transfusion Handbook

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Contents

Contents

Introduction

General information

Purpose of the handbook

Terms for blood products

Clinical governance

New legislation

Guidance on basic standards for clinical transfusion

Important changes since the third edition

Blood products and transfusion procedures

Production and labelling of blood products and plasma derivatives

Summary information about blood products and haemostatic agents

Red cells

Platelets

Plasma cryoprecipitate and granulocytes

Labelling of blood components

Plasma derivatives

Drugs promoting haemostasis

Basics of red cell immunology and compatibility testing

ABO blood groups and antibodies

ABO-incompatible red cell transfusion

Diagnosis and management of severe acute transfusion reactions

RhD antigen and antibody

Other red cell antigen/antibody systems

Compatibility procedures

Pretransfusion and transfusion procedures

Procedures for ordering blood

Pretransfusion checks

Administration of blood components

Clinical transfusion: surgery and critical illness

Good blood management

Transfusion in major haemorrhage

Planned surgery

Preoperative management

Intra- and post-operative management

Major haemorrhage: surgery, trauma, obstetrics and gastrointestinal

Use of blood components in the patient who is bleeding

Management of a bleeding patient who has received fibrinolytics or platelet inhibitors

Cardiac surgery

Liver transplantation and resection

Critical illness

Gastrointestinal haemorrhage: haematemesis and melaena

Clinical transfusion in the medical setting

Anaemia

Red cell transfusion in anaemia

Haemoglobinopathies

Anaemia in chronic renal failure

Congenital haemostatic disorders

Bone marrow failure due to disease, cytotoxic therapy or irradiation

Immunological disorders - use of immunoglobulin

Therapeutic plasma exchange

Immunoglobulin for prevention of infection

Transfusion in antenatal obstetric and neonatal care

Obstetric haemorrhage

Haemolytic disease of the newborn

Transfusion of the newborn infant

Transfusion for neonates − principles

Equipment for paediatric transfusion

Exchange transfusion

Epoetin in neonates

Thrombocytopenia and platelet transfusion

Neonatal alloimmune thrombocytopenia

Use of fresh frozen plasma in neonates

Adverse effects of transfusion

Reporting

Acute complications of transfusion

Delayed complications of transfusion

Infections transmissible by transfusion

Number of adverse transfusion events and reactions

Informing patients

Information about donation by relatives or friends (directed donation)

Information for patients who do not accept transfusions

List of figures

List of tables

Authors and reviewers

Changes and updates to the Handbook of Transfusion Medicine, 4th edition published January 2007

References