At the Freeman Hospital in Newcastle, the role of transfusion nurses was introduced and one of their roles was to investigate reports of adverse reactions to blood transfusions. Read more about At the Freeman Hospital in Newcastle, the role of transfusion nurses was introduced and one of their roles was to investigate reports of adverse reactions to blood transfusions.
Audits on blood use often resulted in a fall in blood component usage. Read more about Audits on blood use often resulted in a fall in blood component usage.
Uptake on autologous blood transfusion was not high as the practice was of very limited benefit to the patient, and it was discontinued in the 1990s. Read more about Uptake on autologous blood transfusion was not high as the practice was of very limited benefit to the patient, and it was discontinued in the 1990s.
Patients who had given autologous blood pre-operatively were found to be more likely to require per-operative transfusion because they arrived at surgery more anaemic than if they had not donated blood. Read more about Patients who had given autologous blood pre-operatively were found to be more likely to require per-operative transfusion because they arrived at surgery more anaemic than if they had not donated blood.
Tranexamic acid started to be used regularly in several areas of surgery. Read more about Tranexamic acid started to be used regularly in several areas of surgery.
At Newcastle, new doctors had teaching on the mechanics of transfusion at induction, and a further session on the appropriate use of blood as part of their mandatory training during their period of stay. Copies of the transfusion guidelines and handbooks were were widely circulated. Read more about At Newcastle, new doctors had teaching on the mechanics of transfusion at induction, and a further session on the appropriate use of blood as part of their mandatory training during their period of stay. Copies of the transfusion guidelines and handbooks were were widely circulated.
Dr Jonathan Wallis was of the view that the administration of single and two-unit transfusions could be appropriate outside paediatrics in the case of very small adults, adults with an unstable cardiac state where volume overload is a concern, and where haemoglobin levels ought to be raised by only 1g/dl. Read more about Dr Jonathan Wallis was of the view that the administration of single and two-unit transfusions could be appropriate outside paediatrics in the case of very small adults, adults with an unstable cardiac state where volume overload is a concern, and where haemoglobin levels ought to be raised by only 1g/dl.
Although viral infection was a serious concern to clinicians, other risks of blood transfusion were more prevalent and in terms of early mortality, more pressing. Read more about Although viral infection was a serious concern to clinicians, other risks of blood transfusion were more prevalent and in terms of early mortality, more pressing.
In Relation between maternal haemoglobin concentration and birth weight in different ethnic groups it was noted that during pregnancy, plasma volume expands faster than red cell volume and the concentration of red cells falls. Read more about In Relation between maternal haemoglobin concentration and birth weight in different ethnic groups it was noted that during pregnancy, plasma volume expands faster than red cell volume and the concentration of red cells falls.
Dr David Paintin produced research that demonstrated plasma volume expanded faster than red cell volume during pregnancy, and that the concentration of red cells fell. Read more about Dr David Paintin produced research that demonstrated plasma volume expanded faster than red cell volume during pregnancy, and that the concentration of red cells fell.