This document outlines 62 topics related to transfusion medicine for discussion. The topics include preparation and use of blood components, donor selection criteria, hospital transfusion committees, measures to minimize allogeneic blood transfusions, leukodepletion, massive transfusion protocols, reasons for incorrect blood transfusions and ways to minimize errors, providing ideally matched blood for multiply transfused patients, blood bank accreditation processes, designing a blood bank, voluntary blood donation programs, pre-transfusion testing methods like electronic cross-matching, bacterial contamination of blood components and prevention strategies, quality management systems in transfusion services, transfusion guidelines in neonates and children, platelet refractoriness, computerization in blood banks, hemovigilig
This document outlines 62 topics related to transfusion medicine for discussion. The topics include preparation and use of blood components, donor selection criteria, hospital transfusion committees, measures to minimize allogeneic blood transfusions, leukodepletion, massive transfusion protocols, reasons for incorrect blood transfusions and ways to minimize errors, providing ideally matched blood for multiply transfused patients, blood bank accreditation processes, designing a blood bank, voluntary blood donation programs, pre-transfusion testing methods like electronic cross-matching, bacterial contamination of blood components and prevention strategies, quality management systems in transfusion services, transfusion guidelines in neonates and children, platelet refractoriness, computerization in blood banks, hemovigilig
This document outlines 62 topics related to transfusion medicine for discussion. The topics include preparation and use of blood components, donor selection criteria, hospital transfusion committees, measures to minimize allogeneic blood transfusions, leukodepletion, massive transfusion protocols, reasons for incorrect blood transfusions and ways to minimize errors, providing ideally matched blood for multiply transfused patients, blood bank accreditation processes, designing a blood bank, voluntary blood donation programs, pre-transfusion testing methods like electronic cross-matching, bacterial contamination of blood components and prevention strategies, quality management systems in transfusion services, transfusion guidelines in neonates and children, platelet refractoriness, computerization in blood banks, hemovigilig
1. Describe in detail the preparation and utilization of blood components.
2. Describe in detail the donor selection criteria 3. Discuss Hospital transfusion committee. 4. Discuss various measures that can be taken to minimize the use of allogeneic blood transfusion for elective cardiac surgery. 5. Discuss the role of leukodepletion in blood banking and transfusion medicine practice. 6. Massive transfusion protocol 7. Discuss the reason for incorrect blood transfusion? What measures can be taken to minimize such events? 8. Describe the new concepts of providing ideally matched Blood for multiply transfused Thalassemics to prevent Alloimmunisation 9. Discuss about Accreditation of Blood Banks. List in brief logarithmic approach. What are the Quality Control requirements for accreditation in respect of Blood and Blood components. 10. Design the setting of a Blood Bank for a 500 bedded multispeciality hospital. 11. What are the measures which should be undertaken to ensure a successful & sustained Voluntary Blood Donor Programme in India. Techniques and strategies to enhance voluntary blood donation. 12. What are the factors that contribute to pre-transfusion testing? What is electronic cross- matching and how is it different from conventional crossmatch? 13. Describe various bacteria that can contaminate blood and its components. Discuss the strategies for prevention of bacterial contamination in blood supply. Add a note on the rapid platelet bacterial contamination detection technologies 14. The various aspects required to set up a good quality management system in a transfusion service. 15. Discuss the appropriate investigations and suggested management in a 56 year old male, who has undergone urgent coronary bypass graft surgery following a failed coronary arterial stent procedure and has uncontrollable haemorrhage post bypass? He has received streptokinase and the antiplatelet agents Abciximab (IIb IIIa inhibitor) and clopidogrel over the preceding 6 hours. 16. A 22 year old medical student has been donating blood once a year for the past 3 years. No problems were encountered for the first two donations. However, on the third donation, the donated unit was found to be anti-HIV reactive. a) As the person in charge of the Blood Transfusion Center, how would you manage the situation? b) What actions can be taken to prevent the re- occurrence of this situation
1. Passenger lymphocyte syndrome
2. Discuss the process to improve the efficiency and Quality assurance of component laboratories. 3. Critically analysed factors affecting quality of cryoprecipitate cryo-preservation of peripheral blood stem cells.Cryoprecipitate preparation and its applicability. 4. Platelet concentrate preparation and applicability 5. Blood transfusion practices in Neonates , Discuss Transfusion support in a Neonate undergoing corrective surgery for a congenital heart disease. . Exchange transfusion. Management of neonatal alloimmune thrombocytopenic purpura. 6. Intrauterine transfusions. Diagnosis and management of a baby with Rh related Haemolytic disease of the fetus and newborn Evidence based transfusion guidelines for platelets in neonatal Paper 3 and older children Most suitable blood component to be used in Preterm neonate, delivered at 32 week of gestation requiring top-up red cell transfusion. 7. Platelet refractoriness 8. Diagnosis of platelet function defects. 9. Computerization in Blood Banks 10. Hemovigilance 11. QC of irradiated components 12. Statergies of blood donor motivation 13. National plasma policy 14. Discuss guidelines for Stem Cell research in India. 15. Ethical issues in transfusion medicine 16. Audit in transfusion practice and its utility 17. Informed consent in Transfusion Medicine 18. National blood policy 19. Blood Donor Counselling. 20. Blood donor notification. 21. Discuss strategies for Blood Donor motivation. 22. “Directed Donation should be discouraged”. Comment on this statement with reasons. 23. Describe stealth RBC’s 24. Discuss the various Viral Inactivation methods used for Blood Products Role of Riboflavin and Ultraviolet pathogen inactivation in platelets,pathogen reduction technique 25. GMP in blood component laboratory. 26. Transfusion support in ABO mismatched bone marrow transplantation 27. Discuss indications and quality control issues of irradiated blood products. 28. Appropriate uses of intravenous immunoglobulin. 29. Plasma concentration, biological half life and hemostasis levels of various coagulation factors 30. Plasma products for management of hemophilia A 31. Coagulation derangement in chronic liver disease and its management 32. Thromboelastography 33. Acute normo-volemic hemodilution 34. Indicators of quality in a blood transfusion practice 35. Draw a process flow of your component laboratory and discuss 36. importance of process flow mapping 37. Blood Bank Information Systems 38. Use of washed cells in transfusion practice. 39. A patient has a road traffic accident and is transfused 13 units of blood within 7 hours. Discuss the transfusion related problems you anticipate, their laboratory evaluation and management. 40. Merits and demerits of directed blood donations 41. Cold chain maintenance and its importance 42. Methods of HLA typing 43. Red cell salvage 44. Management of inadvertent D positive transfusion 45. Duffy group and its interaction with HIV and Malaria Paper 3 46. Leapfrog technique in autologous deposits.,autologous donation 47. “Uncrossmatched” red cell units. 48. Most suitable blood component to be used in 32-year old man with relapsed acute myeloid leukemia on FLAG-IDA (fludarabine, cytosine arabinoside, G-CSF, idarubicin) chemotherapy regime requiring platelet and red cell support. 49. Most suitable blood component to be used in 25-year old woman with thrombotic thrombocytopenic purpura (TTP) requiring intensive therapeutic plasma exchange. 50. Advice a 35-year-old Bengali labourer who comes to donate blood? He could not fill in the donation form and you are unable to counsel him because of language barrier. 51. Advice a 32-year-old regular blood donor has donated whole blood five weeks ago and wants to donate platelets on this occasion. 52. Transfusion-related acute lung injury (TRALI). , Transfusion reactions of immune etiology. 53. Post transfusion purpura 54. Red cell additive solutions. 55. Therapeutic phlebotomy. 56. Liberal vs restrictive strategy in transfusion practice. 57. Use of filters in transfusion medicine. 58. Methods of NAT testing of blood donors 59. Solid phase adherence assay – applications in transfusion medicine. 60. Cohn process of plasma fractionation and the fractions that are source of various therapeutic proteins 61. Estimation of survival of transfused radio labelled red cells 62. Extracorporeal Membrane Oxygenation (ECMO). 63. Photopheresis 64. Rare blood group registry.
Platelet Transfusion - A Clinical Practice Guideline From The AABBPlatelet Transfusion - A Clinical Practice Guideline From The AABB Annals of Internal Medicine