By W. G. van Aken (auth.), C. Th. Smit Sibinga, P. C. Das, J. C. Fratantoni (eds.)
Currently blood is a risky factor. the security of blood and the quantification of transfusion dangers were dominant topics that experience motivated the improvement of different methods during this swiftly constructing zone. In scientific drugs traditional blood and its elements are utilized in supportive remedies depending on the alternative of obvious uncritical set off elements. A compounding issue is intensity of potential medical trials for facts. Such trials in serious care components will be of huge price, not just in recording antagonistic results and under-transfusion, but additionally indicating the worth of choice research and cost-effectiveness in transfusion perform. replacement techniques contain using cytokines, development components, humanised monoclonal antibodies, recombinant plasma elements, and buffy coat derived ordinary human interferons. those are being more and more applied within the hospital. recommendations for oxygen shipping are being constructed and fibrinogen lined microcapsules are being investigated for thrombocytopenia. In surgical sufferers, quite a few crystalloid and colloid mixtures are explored as quantity replacements. to prevent allogeneic transfusions, necessary blood saving tools contain a variety of ideas, comparable to autologous deposits, normovolemic haemodilution and numerous brokers together with aprotinin, tranecamic acid, desmopressin and erythropoietin, yet their use in sanatorium indicates substantial diversifications. That umbilical wire blood can be a major resource of allogeneic stem cells in comparable and unrelated transplantation is illustrated by way of the expanding variety of twine blood banks in Europe and somewhere else. destiny blood assets are inclined to face a number of demanding situations: fast demanding situations relate to elevated regulatory and political oversights; intermediate strategies would supply a few advancements in public well-being and alleviate public worry yet not likely handle the industrial demanding situations thrust upon the remedy process.
As we procedure the yr 2000, the main issues approximately transfusion drugs stay its logistics, protection and effectiveness. This subject matter is gifted within the lawsuits of the twenty second foreign Symposium on Blood Transfusion, constructed in 21 updated issues, gathered and mentioned in 4 sections.
This booklet may be of well timed worth to scholars, pros and all others or concerned with the sphere of transfusion drugs, no matter if medical or related.
Read Online or Download Alternative Approaches to Human Blood Resources in Clinical Practice: Proceedings of the Twenty-Second International Symposium on Blood Transfusion, Groningen 1997, organized by the Red Cross Blood Bank Noord Nederland PDF
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Additional info for Alternative Approaches to Human Blood Resources in Clinical Practice: Proceedings of the Twenty-Second International Symposium on Blood Transfusion, Groningen 1997, organized by the Red Cross Blood Bank Noord Nederland
46. Hardy JF, Desroches J, Belisle S, Perrault J, Carrier M, Robitaille D. Low-dose aprotinin infusion is not clinically useful to reduce bleeding and transfusion of homologous blood products in high-risk cardiac surgical patients. Can J Anaesth 1993;40:625-31. 47. Bailey CR, Wielogorski AK. Randomised placebo controlled double blind study of two low dose aprotinin regimens in cardiac surgery. Br Heart 1 1994; 71 :349-53. 48. Tabuchi N, Huet RC, Sturk A, Eijsman L, Wildevuur CR. Aprotinin preserves haemostasis in aspirin-treated patients undergoing cardiopulmonary bypass.
70. Goodnough LT, Rudnick S, Price TH, et al. Increased preoperative collection of autol0gous blood with recombinant human erythropoietin therapy. N Engl J Med 1989;321: 1163-68 71. Bormann B von, Weidler B, Friedrich M, von Andrian-Werburg H. Recombinant erythropoietin in autologous blood donation. Anaesthesist 1991 ;40:386-90 72. Mercuriali F, Zanella A, Barosi G, et al. Vse of erythropoietin to increase the volume of autologous blood donated by orthopedic patients. Transfusion; 1993;33:55-60 73.
Acute Normovolemic Haemodilution Sixteen randomized trials of acute norrnovolemic haemodilution (ANH), reported in 15 publications [97-111], described the proportion of patients exposed to at least one unit of allogeneic blood. A total of 615 patients were enrolled, and the median sample size of the trials was 30 (range 20-103]. 62). When surgical procedures were considered individually, ANH was effective in reducing the likelihood of exposure to at least one unit of allogeneic blood in cardiac and miscellaneous procedures but not in orthopaedic surgery (Figure 5).
Alternative Approaches to Human Blood Resources in Clinical Practice: Proceedings of the Twenty-Second International Symposium on Blood Transfusion, Groningen 1997, organized by the Red Cross Blood Bank Noord Nederland by W. G. van Aken (auth.), C. Th. Smit Sibinga, P. C. Das, J. C. Fratantoni (eds.)