How to reposition the benefice-risk balance to safely transfuse patients in non-vital situations?

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Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
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Published on: March 14, 2017

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O Garraud1

  • 1EA3064, Faculty of Medicine, University of Lyon, 42023 Saint-Étienne, France; Palliative Care Unit, the Ruffec Hospital, 16700 Ruffec, France; Institut National de la Transfusion Sanguine, 75015 Paris, France.

Transfusion Clinique Et Biologique : Journal De La Societe Francaise De Transfusion Sanguine
|July 1, 2019
PubMed

It appears that the vast majority of review articles on transfusion deal with complications rather than benefits of this supportive therapy. However, deduced from reports compiled by hemovigilance systems, the majority of transfusion procedures do not lead to complications; rather, the majority of prescriptions of blood components generate measurable benefits in the transfused patient. This short review attempts to analyze the causes for such a discrepancy between benefits and complications in the literature and in the everyday life in wards and introduces the role of Patient Blood Management in this understanding.

Keywords:
BenefitsBénéficesComplicationsManagement du sangPatient blood managementQualityQualitéTransfusion

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