7.5 Clinical conditions that require a clinical transfusion guideline

Examples are given of procedures where possible and thses are currently used in hospitals in countries participating in the project.

Table 7.2 Clinical situations for which there should be transfusion guidelines

Major Haemorrhage Procedure
Situation Use this space to note reference to local clinical transfusion guideline or relevant example

Blood ordering and supply in major haemorrhage


The management of major haemorrhage in


  • Gastrointestinal (variceal non-variceal) acute upper GI bleeds

  • Obstetrics

  • Trauma

Critical Illness (transfusion in the intensive therapy unit)




Preoperative assessment and optimisation


Predeposit autologus blood – collection and transfusion


Management of preoperative patients on drugs that affect haemostasis, such as

 

warfarin, heparin, clopidogrel

 


Peri-operative blood management and blood saving techniques/drugs




Inherited coagulation disorders




Acquired coagulation disorders


Disseminated intravascular coagulation


Thrombocytopenia and thrombocytopathy, TTP




Prenatal and neonatal transfusion


Haemolytic disease of the newborn: prevention and management


Neonatal: exchange, intrauterine and top-up transfusion




Chronic anaemia due to haematological disorders


Myelodysplasia


Haemoglobinopathies


Autoimmune haemolytic anaemia




Malignant haematological disorders: bone marrow failure




Transplantation of haemopoietic stem cells




Management of patients refusing blood transfusion