JPAC Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee

Welcome to the North East RTC

We aim to make your local RTC web pages the first place you look online for transfusion related information.

Follow the links above the map to find details of audits, forthcoming events, regional contacts, presentations from past training days and other educational resources, local policies, business papers and information about working groups.

If you have material you would like published here please contact Janice Robertson the North East RTC website representative.

News

North East Regional Transfusion Committee Sponsorship for  Academic Activity and conference attendance related to transfusion medicine

I’m pleased to announce that we predict a financial surplus associated with this years Regional Transfusion Committee conference. We are hoping to use the funds to sponsor local clinicians, scientists, or any NHS/NHSBT personnel in the furtherment of blood transfusion on a regional or national basis.

Previously the committee was able to re-invest profits into local projects such as the Blood on Board Patients Day, a poster presented at the World Congress Of The International Haematology Society, and conference fees.Preference will be given to academic activity (e.g. posters), presentations, and training days, or for raising the profile of transfusion medicine in the North East.  

If you would like to apply for sponsorship please contact please contact Janice Robertson 0191 2026604 for consideration of your proposal by the Regional Transfusion Team.

Finally, please note that there is a dead line of 01/02/18, which will allow us to process your application prior to the new financial year. We hope to be in  a position to offer sponsorship on a recurring basis if  finances allow.

Dr Allistair Dodds
Chair North East Regional Transfusion Committee.

AAGBI Guidelines: The use of Blood Components and their Alternatives July 2016

https://www.aagbi.org/sites/default/files/anae_13489_web_0.pdf

The Association of Anaesthetists of Great Britain and Ireland (AAGBI) have recently published their updated guidelines, which obviously reflect a combination of anaesthetic practice and the care of the critically ill. The guidelines have been adapted to reflect last year’s publication of the NICE guidelines and there is a great deal of consensus. The entire document can be accessed by the hyperlink above, which provides the invaluable background information, upon which the guidelines where developed, and for those with an interest in transfusion medicine is of equal value to the guidelines reproduced below, the themes of which are very familiar.

 

Recommendations

1. All patients should have their haemoglobin concentration (Hb)

measured before listing for major elective surgery.

2. Patients who are anaemic by the World Health Organization definition

(Hb men < 130 g.l1, women < 120 g.l1) should be investigated

before elective surgery and treated appropriately, and elective

non-urgent surgery other than caesarean section should be delayed.

3. Where blood transfusion is anticipated, this and alternatives to

transfusion should be discussed with the patient before surgery, and

this should be documented.

4. Red blood cells should be transfused one unit at a time, and the

patient’s Hb should be checked before each unit transfused, unless

there is ongoing bleeding or a large deficit that needs correcting.

5. The use of intra-operative cell salvage and tranexamic acid administration

should be considered in all non-obstetric patients where blood

loss > 500 ml is possible and in traumatic and obstetric major haemorrhage.

6. Blood components should be prescribed for small children by volume

rather than number of units.

7. Every institution should have a massive transfusion protocol which is

regularly audited and reviewed.

8. Group O red cells for transfusion should be readily available in the

clinical area, in case haemorrhage is life-threatening. Group-specific

red cells should be available within a very short time

(15–20 min) of the laboratory receiving correctly-labelled samples

and being informed of the emergency requirement for blood.

9. During major haemorrhage due to trauma and obstetrics, consideration

should be given to transfusing red cells and FFP in preference

to other intravenous fluid.

10. Patients who continue to actively bleed should be monitored by pointof-

care and/or regular laboratory tests for coagulation, fibrinogen and

platelet counts or function, and a guide for transfusion should be FFP if

INR > 1.5, cryoprecipitate if fibrinogen < 1.5 g.l1 and platelets if platelet

count < 75 9 109.l1.

 

© 2016 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland

Anaesthesia 2016 Klein et al. | AAGBI blood transfusion guidelines 2016

Perhaps the most thought provoking ideas relate to the availability of  O Rh negative Red cells in clinical areas dealing with emergency care rather than laboratories, and the possibility of more widespread adoption of point of care testing. I recommend HTT’s consider the needs of their own Trust in combination with their anaesthetic and ITU representatives.

We expect the Salvo Trial to report soon, it is possible that recommendation 5 will need adaptation to fit, if cell salvage in the obstetric population is felt to be beneficial to a greater number of parturients.

I commend you all to read this excellent document, even if not an anaesthetist, as familiarity with anaesthetic and critical care practice will facilitate communication between teams.

Dr Allistair Dodds

FRCA FFPMRCA

Chair NE Regional Transfusion Committee.

The NHS Blood and Transplant Patient Blood Management team, in collaboration with the National Blood Transfusion Committee, have launched a Blood Component App which is based on relevant national transfusion guidelines for Adults, Infants & Children and Neonates. The App is currently available to download on Apple https://appsto.re/gb/c0zZib.i and Android phones https://goo.gl/1mYjs8, the download for Windows phone is coming soon. 

 

Online Resource  An excellent learning package is available at: www.learnbloodtransfusion.org.uk

This is free to NHS staff after registration, and includes modules on issues like Consent as well as the practical aspects of taking samples and administering products.

 

North East RTC meeting dates

7th March 2018 13:30 - 16:00

6th June 2018 13:30 - 16:00 

7th November 2018 13:30 - 16:00 

Lecture Theatre, NHSBT, Newcastle

Buffet lunch from 13:00

 

Accessing data from the National Comparative Audit of Blood Transfusion website

During a discussion at the last North East RTC meeting, it became clear that some members were struggling to access their sites results for NCA audits.  This simple guide should help:

1.      Access the following website in your browser bar: https://www.nhsbtaudits.co.uk/
2.      Log in by Trust from the dropdown menu OR by Hospital site (scroll down the page).
3.      Enter the 4 digit access code available from your HTT/HTG or via David Dalton whose contact details are on the same page of the website.
4.      Trust and Hospital logins direct you to different pages, the data you require will be on the page matching your registration details when you signed up to the audit, if in doubt look at both (the access code is the same).
5.      You can now browse your sites current and historical data, there are mini slide shows to look at and use too.