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Transfusion Medicine: A Clinical Guide


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Katherine Schexneider
Naval Medical Center Portsmouth

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ISBN: 978-1-57059-703-9
Pub date: 2008-05-13
160 pages
3 figures
84 tables


About this book

Transfusion Medicine: A Clinical Guide is a concise, patient-focused handbook that guides physicians in the art of blood transfusion. The book begins with a clear explanation of the simple task of ordering blood, something many physicians have never learned. The next four chapters describe evidence-based transfusion for the common patient types across the specialties. Following this are four chapters devoted to special patient groups, including obstetric, pediatric, and neonatal, each with a thorough discussion of the management of frequently encountered problems. The book concludes with a synopsis of transfusion reactions, emphasizing the role of the physician at the bedside. This handbook balances bullet-form text boxes with prose paragraphs to provide the physician with real-world advice for real patients, and also full treatment of underlying medical principles for real understanding of real patient issues.

Table of contents

1. How to Order Blood

2. The Anemic Patient

2.1 Anemia without Ongoing Blood Loss
2.2 Anemia with Ongoing Blood Loss
2.3 The Patient with Antibodies
2.4 The Sickle Cell Anemia Patient and Autoimmune Hemolytic Anemia
2.5 The Surgical Patient

3. The Coagulopathic Patient

3.1 Factor Deficiencies
3.2 The Warfarin Patient
3.3 The Liver Failure Patient and Chronic DIC
3.4 The Surgical Patient
3.5 The Patient Requiring Minor Procedures

4. The Thrombocytopenic Patient and Qualitative Disorders of Platelet Function

4.1 Simple Thrombocytopenia
4.2 Immune Thrombocytopenic Purpura
4.3 Thrombotic Thrombocyotpenic Purpura
4.4 The Uremic Patient
4.5 The Patient on Anti-Platelet Agents

5. The Complex Patient

5.1 Massive Transfusion
5.2 DIC
5.3 The Septic and Critically Ill Patients

6. The Obstetric Patient—Special Situations

6.1 Postpartum Hemorrhage
6.2 Severe Postpartum Hemorrhage and Evolving Disseminated Intravascular Coagulation
6.3 Hemolysis, Elevated Liver Enzymes and Low Platelets
6.4 Maternal Immune Thrombocytopenic Purpura

7. The Pediatric Patient—Special Situations

7.1 The Pediatric Oncology Patient
7.2 The Critically Ill Child
7.3 Thalassemia and Chronic Transfusions
7.4 The Pediatric Surgical Patient

8. The Neonatal Patient—Special Situations

8.1 Hemolytic Disease of the Newborn
8.2 NAIT
8.3 Dedicated Units
8.4 Neonatal Coagulopathy

9. Other Special Patients

9.1 Autologous Donors
9.2 Directed Donors
9.3 Jehovah’s Witnesses and Other Religious Considerations

10. Transfusion Reactions