Blood Transfusion Practices in Military Medicine.

Autor: Shankar A; Classified Specialist (Anaesthesiology), Command Hospital (AF) Bangalore., Akulwar AV; Classified Specialist (Surgery), MH Devlali., Singh Y; Classified Specialist (Medicine and Endocrinology), Command Hospital (EC), Kolkata., Sirohi YS; Classified Specialist (Medicine and Neurology), Command Hospital (EC), Kolkata., Chari V; Ex-Senior Advisor (Anaesthesiology), 158 Base Hospital, C/o 99 APO.
Jazyk: angličtina
Zdroj: Medical journal, Armed Forces India [Med J Armed Forces India] 2009 Jan; Vol. 65 (1), pp. 30-2. Date of Electronic Publication: 2011 Jul 21.
DOI: 10.1016/S0377-1237(09)80050-6
Abstrakt: Background: This observational study was conducted in a small, 45 bed border static hospital, located in a field area, where no blood bank facilities were available. The present study was conducted to elucidate the blood transfusion practices of this hospital.
Methods: A retrospective analysis of all blood transfusions performed in this hospital between Dec 2004 and Dec 2006 was carried out. The data collection included blood group patterns, common indications, haemoglobin levels and complications of blood transfusion. Inferences were based on available data and relevant statistical analysis.
Result: A total of 246 blood transfusions were administered to 79 recipients during the study period. Only one patient had an Rh negative blood group. The most frequently transfused blood group was A Rh positive. Majority of transfusions were administered to surgical cases and the commonest indication was gunshot wounds with haemorrhagic shock. The mean haemoglobin at admission was 8.93 g/dl. The mean number of blood transfusions per patient was 3.13. No haemolytic or other transfusion reactions occurred in any of the transfusions.
Conclusion: This study demonstrates that blood transfusions can be safely administered in field conditions despite constraints of not having a blood bank.
Databáze: MEDLINE
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