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transfusion reaction

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4.3 - Administration of Blood and Blood Products in Intensive Care
from Section 4 - Therapeutic Interventions and Organ Support
- By Ben Clevenger
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 467-472
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Summary

Key Learning Points
1. Right blood, right patient, right time and right place is the key message for safe blood administration.
2. Accidental transfusion of ABO-incompatible blood is classified as a ‘never event’.
3. Most errors could be prevented by a final bedside check when performed correctly.
4. Patient blood management has three pillars of focus to reduce unnecessary transfusions: recognition and treatment of anaemia, minimisation of bleeding and blood loss and optimisation of anaemia and transfusion thresholds.
5. Unnecessary delays in transfusion can lead to death and major morbidity.