Clinical transfusion practice update: haemovigilance, complications, patient blood management and national standards.
Sunelle Engelbrecht, Erica M Wood, Merrole F Cole-Sinclair
The Medical Journal of Australia | Published : 2013
Blood transfusion is not without risk. Although the risks of HIV and hepatitis transmission have diminished, haemovigilance programs highlight that other significant transfusion hazards remain. Sepsis from bacterial contamination is the most common residual infectious hazard in developed countries, and events due to clerical error are problematic. Unnecessary transfusions should be avoided. New national guidelines on patient blood management (PBM) emphasise holistic approaches, including strategies to reduce transfusion requirements. Perioperative PBM should incorporate preoperative haemoglobin and medication optimisation, intraoperative blood conservation, and consideration of restrictive p..View full abstract