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Papers by Blood bank
Background: Screening of alloantibodies in patients is not yet done in district hospitals of Rwan... more Background: Screening of alloantibodies in patients is not yet done in district hospitals of Rwanda. The practice is to transfuse ABO/D compatible blood following an immediate spin crossmatch (IS-XM) or indirect antiglobulin test crossmatch (IAT-XM). Objectives: To assess the risk of red blood cell (RBC) alloimmunisation associated with the use of IS-XM compared to the IAT-XM in patients receiving blood transfusions in district hospitals in Rwanda. Design: A cross-sectional comparative descriptive study. Setting: Four Rwandan district hospitals. Kirehe and Nyanza hospitals used IS-XM while Muhima and Ruhengeri hospitals used IAT-XM. Subjects: Blood samples were obtained from 187 patients (101 with IS-XM and 86 with
and FFP.2 Alter-natively, plasma, RBCs, and platelets may be obtained by apheresis. On average, 3... more and FFP.2 Alter-natively, plasma, RBCs, and platelets may be obtained by apheresis. On average, 3 million to 4 million patients receive Evidence-based recommendations for the use of WBC-reduced cellular blood components
Hip and knee replacement patients prefer pen-and-paper questionnaires
AIM: To investigate retrospectively the clinical and endoscopic features of bleeding Dieulafoy’s ... more AIM: To investigate retrospectively the clinical and endoscopic features of bleeding Dieulafoy’s lesions and to assess the short- and long-term effectiveness of endoscopic treatment. METHODS: Twenty-three patients who had gastrointestinal bleeding from Dieulafoy’s lesions underwent endoscopic therapy. Demographic data, mode of presentation, risk factors for gastrointestinal bleeding, blood transfusion requirements, endoscopic findings, details of endoscopic therapy, recurrence of bleeding, and mortality rates were collected and analyzed retrospectively. RESULTS: Hemostasis was attempted by dextrose 50% plus epinephrine in 10 patients, hemoclipping in 8 patients,
Indian Journal of Pathology and Oncology, 2020
Purpose: Systematic analysis of pre-donation deferral reasons guides the transfusion society to u... more Purpose: Systematic analysis of pre-donation deferral reasons guides the transfusion society to undertake necessary steps towards the retention and re-entry of the temporary deferrals. Aim of our centre’s study is to find out the causes for deferral in detail and to reduce the pre-donation deferrals to an extent that give appreciable results. Materials and Methods: One year donor details from January 2019 to December 2019, collected from the properly maintained registers, grouped and studied with respect to age, gender and reason for deferral. Results: Deferred donors were 184 out of 2083 registered volunteers. The number of males deferred were higher (139/184; 75.54%) than females (45/184; 24.46%), but the deferral rate was higher in females (45/109; 41.28%). Temporary deferral (84.23%) accounted more than 4/5 of the total deferrals. Conclusion: As our study, most of the studies in literature indicate higher percentage of donor deferrals due to temporary causes. Suitable temporary ...
National journal of integrated research in medicine, 2015
Improvement of a blood supply chain is a complex process. Blood is a perishable product with unce... more Improvement of a blood supply chain is a complex process. Blood is a perishable product with uncertainties in both supply and demand and blood stock management is therefore a judicius balance between shortage and wastage. Sufficient blood supply is critical to the healthcare industry and the general population. The challenge lies in the stochastic nature of donated and transfused blood units that have a short life span and follow extremely strict quality demands. This study was based on the Icelandic blood bank and its operations. It is a small blood bank on a global scale, with one centralised processing and distribution center. Discrete event simulation was used to determine which policy should be used in order to improve the blood supply chain and reduce shortage and wastage levels. For an improved understanding of the blood supply chain, multiple linear regression analysis was used to explore if and how blood supply could be affected. An understanding of the supply increases the...
The Journal of Pediatrics, 1981
Journal of Applied Animal Welfare Science, 2006
Drug Design, Development and Therapy, 2010
Oncology & Hematology Review (US), 2007
Patients may have differing perceptions about blood transfusions based on their backgrounds, valu... more Patients may have differing perceptions about blood transfusions based on their backgrounds, values, education levels, or cultural or religious beliefs, which may or may not be accurate. Unfortunately, despite the fact that transfusions are associated with a number of infectious and noninfectious risks, and in spite of the fact that there are ethical, accreditation, and regulatory requirements to provide information regarding transfusion risks, benefits, and alternatives to patients, transfusion consent remains inconsistently obtained. This can partly be attributed to the fact that clinicians may take on a paternalistic approach to transfusion decisions as well as to the fact that many clinicians have knowledge gaps in transfusion medicine that prevent them from obtaining transfusion consent adequately. As a result, unlike the case with other medical and surgical therapies, most patients are not included in the making of informed decisions regarding the need for transfusion versus alternative therapies, leading to many situations in which the transfusions provide little benefit to them. Recently however, a number of organizations, such as the American Association of Blood Banks and The Joint Commission in the US, have promoted multidisciplinary, evidence-based treatment strategies that aim to minimize the need for blood transfusion, the so-called patient blood management (PBM) protocols. PBM strategies are expected to improve blood utilization through optimization of patients who may need blood transfusions via measures such as preoperative anemia management, intraoperative cell salvage, and improved transfusion guidelines. PBM strategies also focus on enhanced requirements for transfusion education and shared decision making, including informed consent and, thus, promote a patient-centered approach as defined by the Institute of Medicine.
Background: Screening of alloantibodies in patients is not yet done in district hospitals of Rwan... more Background: Screening of alloantibodies in patients is not yet done in district hospitals of Rwanda. The practice is to transfuse ABO/D compatible blood following an immediate spin crossmatch (IS-XM) or indirect antiglobulin test crossmatch (IAT-XM). Objectives: To assess the risk of red blood cell (RBC) alloimmunisation associated with the use of IS-XM compared to the IAT-XM in patients receiving blood transfusions in district hospitals in Rwanda. Design: A cross-sectional comparative descriptive study. Setting: Four Rwandan district hospitals. Kirehe and Nyanza hospitals used IS-XM while Muhima and Ruhengeri hospitals used IAT-XM. Subjects: Blood samples were obtained from 187 patients (101 with IS-XM and 86 with
and FFP.2 Alter-natively, plasma, RBCs, and platelets may be obtained by apheresis. On average, 3... more and FFP.2 Alter-natively, plasma, RBCs, and platelets may be obtained by apheresis. On average, 3 million to 4 million patients receive Evidence-based recommendations for the use of WBC-reduced cellular blood components
Hip and knee replacement patients prefer pen-and-paper questionnaires
AIM: To investigate retrospectively the clinical and endoscopic features of bleeding Dieulafoy’s ... more AIM: To investigate retrospectively the clinical and endoscopic features of bleeding Dieulafoy’s lesions and to assess the short- and long-term effectiveness of endoscopic treatment. METHODS: Twenty-three patients who had gastrointestinal bleeding from Dieulafoy’s lesions underwent endoscopic therapy. Demographic data, mode of presentation, risk factors for gastrointestinal bleeding, blood transfusion requirements, endoscopic findings, details of endoscopic therapy, recurrence of bleeding, and mortality rates were collected and analyzed retrospectively. RESULTS: Hemostasis was attempted by dextrose 50% plus epinephrine in 10 patients, hemoclipping in 8 patients,
Indian Journal of Pathology and Oncology, 2020
Purpose: Systematic analysis of pre-donation deferral reasons guides the transfusion society to u... more Purpose: Systematic analysis of pre-donation deferral reasons guides the transfusion society to undertake necessary steps towards the retention and re-entry of the temporary deferrals. Aim of our centre’s study is to find out the causes for deferral in detail and to reduce the pre-donation deferrals to an extent that give appreciable results. Materials and Methods: One year donor details from January 2019 to December 2019, collected from the properly maintained registers, grouped and studied with respect to age, gender and reason for deferral. Results: Deferred donors were 184 out of 2083 registered volunteers. The number of males deferred were higher (139/184; 75.54%) than females (45/184; 24.46%), but the deferral rate was higher in females (45/109; 41.28%). Temporary deferral (84.23%) accounted more than 4/5 of the total deferrals. Conclusion: As our study, most of the studies in literature indicate higher percentage of donor deferrals due to temporary causes. Suitable temporary ...
National journal of integrated research in medicine, 2015
Improvement of a blood supply chain is a complex process. Blood is a perishable product with unce... more Improvement of a blood supply chain is a complex process. Blood is a perishable product with uncertainties in both supply and demand and blood stock management is therefore a judicius balance between shortage and wastage. Sufficient blood supply is critical to the healthcare industry and the general population. The challenge lies in the stochastic nature of donated and transfused blood units that have a short life span and follow extremely strict quality demands. This study was based on the Icelandic blood bank and its operations. It is a small blood bank on a global scale, with one centralised processing and distribution center. Discrete event simulation was used to determine which policy should be used in order to improve the blood supply chain and reduce shortage and wastage levels. For an improved understanding of the blood supply chain, multiple linear regression analysis was used to explore if and how blood supply could be affected. An understanding of the supply increases the...
The Journal of Pediatrics, 1981
Journal of Applied Animal Welfare Science, 2006
Drug Design, Development and Therapy, 2010
Oncology & Hematology Review (US), 2007
Patients may have differing perceptions about blood transfusions based on their backgrounds, valu... more Patients may have differing perceptions about blood transfusions based on their backgrounds, values, education levels, or cultural or religious beliefs, which may or may not be accurate. Unfortunately, despite the fact that transfusions are associated with a number of infectious and noninfectious risks, and in spite of the fact that there are ethical, accreditation, and regulatory requirements to provide information regarding transfusion risks, benefits, and alternatives to patients, transfusion consent remains inconsistently obtained. This can partly be attributed to the fact that clinicians may take on a paternalistic approach to transfusion decisions as well as to the fact that many clinicians have knowledge gaps in transfusion medicine that prevent them from obtaining transfusion consent adequately. As a result, unlike the case with other medical and surgical therapies, most patients are not included in the making of informed decisions regarding the need for transfusion versus alternative therapies, leading to many situations in which the transfusions provide little benefit to them. Recently however, a number of organizations, such as the American Association of Blood Banks and The Joint Commission in the US, have promoted multidisciplinary, evidence-based treatment strategies that aim to minimize the need for blood transfusion, the so-called patient blood management (PBM) protocols. PBM strategies are expected to improve blood utilization through optimization of patients who may need blood transfusions via measures such as preoperative anemia management, intraoperative cell salvage, and improved transfusion guidelines. PBM strategies also focus on enhanced requirements for transfusion education and shared decision making, including informed consent and, thus, promote a patient-centered approach as defined by the Institute of Medicine.