41 202

Cited 0 times in

Analysis of Immediate-Spin Crossmatched Blood for Emergency Transfusions

Other Title
간이교차법만을 시행한 응급수혈 분석
Authors
김, 신원; 임, 영애
Citation
Taehan Imsang Pyŏngni Hakhoe chi, 20(6):598-603, 2000
Journal Title
Taehan Imsang Pyŏngni Hakhoe chi; Korean journal of clinical pathology; 대한임상병리학회지
ISSN
1015-6445
Abstract
Background : To evaluate the appropriateness for the requests for the emergency transfusions, we reviewed 3 year experiences in the use of the immediate-spin crossmatched blood (ISMB) for emergency transfusions in a tertiary hospital.

Methods : Low-isotonic salt solution was used for cell suspension and crossmatchings were con¬tinued including antiglobulin phase after issuing of the ISMB. The number of cases, the issuing time, sex, age, reasons for emergency transfusions and vital signs of the patients were retrospec¬tively reviewed. Only cases of massive transfusions and classes III and IV according to the Advanced Trauma Life Support (ATLS) classification were considered appropriate.

Results : 1. The total number of emergency transfusions was 614 and 0.53 cases per day. The average age of the patients was 44.7±17.8 and male to female ratio was 2:1. And 357 cases (58.2%) were performed during off hours when the hospital was not fully staffed. 2. Six hundred thirteen cases (99.8%) were transfused with compatible blood. However, one case (0.2%) was found to have anti-E antibody during the emergency transfusion. 3. Massive transfusion were per¬formed only in 32% of the total cases and the reasons for emergency transfusions in remaining cases were upper gastrointestinal bleeding (53%), trauma (19.2%) and for obstetrical problems (16.8%), 4. Of the total 519 cases reviewed, 392 cases (75.5%) were considered appropriately, and 127 cases (24.5%) were considered inappropriately selected for emergency transfusions.

Conclusions : One fourth of emergency transfusions were found to be inappropriate. We believe that the physicians and educational programs should carefully request the ISMB for emergency transfusions and that the use of ISMB is clearly indicated for emergency transfusion management.
Keywords
Immediate-spin crossmatched bloodEmergency transfusionCoombscrossmatching
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Laboratory Medicine
Files in This Item:
Full-Text Not Available.txtDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse