Transfusion Medicine: Practical Issues

摘要: The name change from “blood bank” to “transfusion medicine” has been implemented in many institutions (especially those that are hospital-based) reflect the broadening scope of activities now included repertoire such entities. Twenty-five years ago, blood banks recruited donors, collected and separated their into a handful components, performed few simple tests on patients as ABO/Rh typing, red cell crossmatching, Coombs (antiglobulin) testing. Collected also was tested for hepatitis B surface antigen evidence syphilis exposure. Currently, departments transfusion medicine collect other products much broader spectrum fractionate it more test each donation broad range potentially transmissible agents, perform direct services therapeutic apheresis, intraoperative salvage, histocompatibility testing matching bone marrow, stem cells, solid organ transplants. In addition, establishments already involved manipulation populations, some beginning extend manipulations include gene transfection therapy. To avail these one’s patients, behooves clinician investigate “repertoire” his or her hospital’ s department and, if does not blood, provided by institution’ chief supplier.