Related Experiment Video
Updated: Feb 6, 2026

Microfluidic Flow Chambers Using Reconstituted Blood to Model Hemostasis and Platelet Transfusion In Vitro
Published on: March 19, 2016
[Analysis of Relationship between Coagulation Function and Blood Transfusion in Patients with Emergency Rescue]
Xin-Fang Zhu1, Yu-Bo Wu1, Li-Hui Yang1
1Department of Blood Transfusion, The Affiliated Huashan Hospital of Fudan University, Shanghai 200041, China.
Preoperative coagulation function impacts blood product transfusion volumes during surgery. Emergency O type blood and ABO-matched transfusions are equally safe and effective for rescue.
Area of Science:
- Transfusion Medicine
- Surgical Hemostasis
- Coagulation Physiology
Background:
- Assessing preoperative coagulation status is crucial for managing intraoperative blood loss.
- Emergency transfusion protocols require careful consideration of blood product volumes and patient coagulation.
- Understanding the relationship between transfusion volume and coagulation parameters is vital for patient safety.
Purpose of the Study:
- To investigate the impact of preoperative coagulation function on blood product transfusion volumes during emergency rescue transfusions.
- To analyze the relationship between the volume of blood products transfused and changes in coagulation function.
- To evaluate the safety and efficacy of emergency O type blood and ABO-matched blood transfusions.
Main Methods:
- Retrospective analysis of 218 surgical cases with >1600 ml transfusion from Aug 2015 to Dec 2016.
- Patients categorized into normal (Group A) and abnormal (Group B) coagulation groups, plus emergency O type transfusion group (Group C).
- Analysis of transfusion volumes (RBC, VIFP, FFP, C, P) and coagulation parameters (PT, APTT, FIB, INR), alongside post-transfusion Hb, IBiL, DAT, and antibody screening.
Main Results:
- Group C showed significantly higher transfusion volumes of RBC, FFP, C, and Platelets compared to Groups A and B.
- Coagulation parameters (PT, APTT, FIB, INR) in Groups B and C differed significantly and correlated with transfusion volumes.
- Post-transfusion hemoglobin levels remained stable, and no new irregular antibodies were detected, indicating transfusion safety.
Conclusions:
- Preoperative coagulation function is a key determinant of intraoperative blood product transfusion requirements.
- Emergency O type blood transfusions offer comparable efficacy and safety to ABO-matched transfusions.
- Coagulation status evaluation serves as a basis for managing bleeding and guiding transfusion strategies.
More Related Videos
09:58Mapping the Structure-Function Relationships of Disordered Oncogenic Transcription Factors Using Transcriptomic Analysis
Published on: June 27, 2020
09:38A Microfluidic Flow Chamber Model for Platelet Transfusion and Hemostasis Measures Platelet Deposition and Fibrin Formation in Real-time
Published on: February 14, 2017
Related Concept Videos
Blood Transfusion
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion and Agglutination
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...
Coagulation
Coagulation
During the coagulation phase, clotting factors, or procoagulants, play a vital role in initiating and progressing the coagulation cascade. This cascade is a series of reactions...
Relationship Formation
Emerging Adulthood