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Review
, 58 (5), 543-51

Adverse Events Related to Blood Transfusion

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Review

Adverse Events Related to Blood Transfusion

Sandeep Sahu et al. Indian J Anaesth.

Abstract

The acute blood transfusion reactions are responsible for causing most serious adverse events. Awareness about various clinical features of acute and delayed transfusion reactions with an ability to assess the serious reactions on time can lead to a better prognosis. Evidence-based medicine has changed today's scenario of clinical practice to decrease adverse transfusion reactions. New evidence-based algorithms of transfusion and improved haemovigilance lead to avoidance of unnecessary transfusions perioperatively. The recognition of adverse events under anaesthesia is always challenging. The unnecessary blood transfusions can be avoided with better blood conservation techniques during surgery and with anaesthesia techniques that reduce blood loss. Better and newer blood screening methods have decreased the infectious complications to almost negligible levels. With universal leukoreduction of red blood cells (RBCs), selection of potential donors such as use of male donors only plasma and restriction of RBC storage, most of the non-infectious complications can be avoided.

Keywords: Adverse events; anaesthesia; blood transfusion; complications; non-infectious.

Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Differential diagnosis of adverse transfusion reactions based on clinical presentation (s/s, signs and symptoms). It is common to find overlapping symptoms in most patients. *Severe Hypotension can progress into shock

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