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Related Concept Videos

Blood Transfusion and Agglutination02:45

Blood Transfusion and Agglutination

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Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
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Blood Transfusion01:15

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Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
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Bone Marrow Sampling and Transplants01:22

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Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
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Blood Typing01:10

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Understanding an individual's blood group is a critical component of transfusion medicine. It ensures compatibility in blood transfusions, organ transplants, and even during pregnancy. Determining these blood groups involves the ABO and Rh blood typing systems, utilizing specific antigens and corresponding anti-sera to identify an individual's blood type.
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Rh Blood Group01:19

Rh Blood Group

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The Rhesus (Rh) antigen is crucial in determining blood groups and ensuring compatibility during blood transfusions.
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The ABO Blood Group01:12

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The ABO blood group system is a critical element of transfusion medicine, essential for determining blood compatibility in transfusions and organ transplants. It is based on specific antigens, or agglutinogens, present on the surface of red blood cells (RBCs) and corresponding antibodies, or agglutinins, in the blood plasma.
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Antigens are substances that can trigger an immune response, leading to the production of antibodies. In the ABO blood group system,...
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Updated: Apr 20, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
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Changing blood transfusion policy and practice.

Catherine Stupnyckyj1, Sheryl Smolarek, Colleen Reeves

  • 1Catherine Stupnyckyj and Sheryl Smolarek are clinical nurse leaders at the Barbara Ann Karmanos Cancer Institute, Detroit, where Colleen Reeves is a clinical nurse, Judith McKeith is a clinical nurse manager, and Morris Magnan is a clinical nurse specialist. Contact author: Morris Magnan, magnanm@karmanos.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|November 26, 2014
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Summary

A small catheter (smaller than 20-gauge) can safely transfuse blood in adults, challenging the traditional practice. This evidence-based project led to a policy change, improving patient care during blood transfusions.

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Area of Science:

  • Nursing Practice
  • Evidence-Based Medicine
  • Patient Safety

Background:

  • Traditionally, a 20-gauge or larger catheter is recommended for adult blood transfusions, but supporting evidence is lacking.
  • Oncology nurses initiated an evidence-based practice project to investigate this standard practice.

Observation:

  • A literature search was conducted to evaluate the evidence for catheter size in blood transfusions.
  • Consultation with the American Association of Blood Banks and Infusion Nurses Society standards was performed.

Findings:

  • A catheter smaller than 20-gauge can be safely used for adult blood transfusions.
  • The evidence does not support the mandatory use of larger-gauge catheters for transfusion.

Implications:

  • The findings support a change in institutional policy regarding catheter size for blood transfusions.
  • This evidence-based practice change can enhance patient comfort and potentially reduce healthcare costs.
  • Promotes a culture of inquiry and evidence-based practice within nursing.