Trigger Factors in Transfusion Medicine: Proceedings of the Twentieth International Symposium on Blood Transfusion, Groningen 1995, organized by the Red Cross Blood Bank Noord-Nederland PDF
Preview Trigger Factors in Transfusion Medicine: Proceedings of the Twentieth International Symposium on Blood Transfusion, Groningen 1995, organized by the Red Cross Blood Bank Noord-Nederland
TRIGGER FACTORS IN TRANSFUSION MEDICINE DEVELOPMENTS IN HEMATOLOGY AND IMMUNOLOGY Volume 31 The titles published in this series are listed at the end of this volume. Trigger Factors in Transfusion Medicine Proceedings of the Twentieth International Symposium on Blood Transfusion, Groningen 1995, organized by the Red Cross Blood Bank Noord-Nederland edited by C. Th. SMIT SmINGA and P. C. DAS Red Cross Blood Bank Noord-Nederland, The Netherlands and E.L.SNYDER Yale New Haven Hospital Blood Bank, New Haven, CT, U.S.A . ... " KLUWER ACADEMIC PUBLISHERS DORDRECHT / BOSTON / LONDON A C.I.P. Catalogue record for this book is available from the Library of Congress. ISBN-13: 978-1-4612-8550-2 e-ISBN-13: 978-1-4613-1287-1 DOl: 10.1007/978-1-4613-1287-1 Published by Kluwer Academic Publishers, P.O. Box 17, 3300 AA Dordrecht, The Netherlands. Kluwer Academic Publishers incorporates the publishing programmes of D. Reidel, Martinus Nijhoff, Dr W. Junk and MTP Press. Sold and distributed in the U.S.A. and Canada by Kluwer Academic Publishers, 101 Philip Drive, Norwell, MA 02061, U.S.A. In all other countries, sold and distributed by Kluwer Academic Publishers Group, P.O. Box 322, 3300 AH Dordrecht, The Netherlands. Printed on acid-free paper All Rights Reserved © 1996 Kluwer Academic Publishers Softcover reprint of the hardcover 1s t edition 1996 No part of the material protected by this copyright notice may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from the copyright owner. Baxter Acknowledgement This publication has been made possible through the support of Baxter, which is gratefully acknowledged. VII CONTENTS Moderators and Speakers ...................... ................................................ ...... IX Foreword ........ ....... ............ ................... ....... .......... ......... ........ .... ..... ..... ........ XI I. Demand and Supply Customer-oriented Quality Systems in Transfusion ...... ............ .......... ........ 3 D.E. Nevalainen Communication Mechanisms Between the Bedside and the Blood Bank.. 13 A.W.M. Koopman-Van Gernert Informed Consent for Transfusion Recipients: How much is enough? ...... 17 P.V. Holland Factors That Influence the Demand for Transfusion .................................. 25 D.B.L. McClelland The Process of Clinical Decision making in Blood Transfusion ................ 35 L.T. Goodnough Discussion ......... .......... ....... ....... .............. ........ .... .......... ....... ....... .......... ........ 47 II. Product Qualities and Characteristics Factors defining the clinical needs for supportive haemotherapy .. ............. 57 J.Th.M. de Wolf Factors Effecting the Clinical Efficacy of Blood Transfusion .. ............ ...... 65 W.G. Murphy The Clinical Relevance and Biological Effects of Leukocytes Present in 73 Cellular Blood Components ....................................................................... .. M. Blajchman Platelets: What Qualities and Characteristics Do Justify the Need for 83 Transfusion? ................................................................................................. . S. Murphy VIII The Clinical Relevance of Clotting Factor Characteristics ......................... 91 C.A. Ludlam Discussion ........... ........................ ................................................ .................. 103 III. Transfusion Policies and Clinical Pratice Fears, Facts and Formulas About Blood Transfusion: On the Perception, 113 Acceptance and Communication of Risks ................................................. . C.A.]. Vlek Surgical Criteria for Blood Transfusion: How Far Should We Go? .......... 133 H.I. ten Duis Transfusion Policies and Clinical Practice in a Tertiary Academic 143 Medical Centre: The Role of Protocols and Documentation ..................... . M. Petrides and E.L. Snyder Choice of Transfusing Single Donor Apheresis vs Random Pooled 161 Platelets - Its Costs ..................................................................................... . A. Westerterp-Maas Ethical Aspects of the Transfusion of Blood .............................................. 169 C.R. Macpherson What Triggers the Initiative of Developments in Transfusion Medicine: 177 Advances in Ex Vivo Haematopoietic Cell Therapy and Next Generation Transfusion Products ................................................................................... . D.E. van Epps Discussion .... ....... ............ ............................. ........................................... ...... 193 IV. Evaluation and Feed-Back of Transfusion Policies Evaluation of Bedside Transfusion Practice: Benefits vs Risks .... ....... ...... 199 R.S. Eisenstaedt The Clinical Consultative Role of the Blood Bank in Transfusion 213 Medicine ....................................................................................................... . C.Th. Smit Sibinga Audits in Transfusion Medicine: A Trigger Mechanism to Optimise 219 Clinical Practice ........................................................................................... . Ch.H. Wallas Legislative and Regulative Impact on Transfusion Medicine Practices ..... 235 K. Sazama Discussion 245 Index ............................................................................................................. 253 IX MODERATORS AND SPEAKERS Moderators E.L. Snyder, chairman - Yale New Haven Hospital Blood Bank, New Haven, cr, USA P.e. Das - Red Cross Blood Bank Noord Nederland, Groningen, NL L.T. Goodnough - Washington University School of Medicine, St. Louis, MO, USA W. Murphy - Royal College of Physicians, Edinburgh, UK C.Th. Smit Sibinga - Red Cross Blood Bank Noord Nederland, Groningen, NL H.J.C. de Wit - Red Cross Blood Bank Noord Nederland, Groningen, NL I.Th.M. de Wolf - Academic Hospital Groningen, Groningen, NL Speakers M. Blajchman - McMaster University, Hamilton, Ontario, C H.J. ten Duis - Academic Hospital Groningen, Groningen, NL R.S. Eisenstaedt - Temple University, Philadelphia, PA, USA D. van Epps - Baxter Healthcare Corporation, Round Lake, IL, USA P.V. Holland - Sacramento Medical Foundation Blood Center, Sacramento, CA, USA A.W.M.M. Koopman- - Academic Medical Centre, Amsterdam, NL van Gernert x C.A. Ludlam - Royal Infirmary of Edinburgh, Edinburgh, UK c.R. Macpherson - U.C. Medical Center, Cincinnati, OH, USA D.B.L. McClelland - Edinburgh & South East Scotland Blood Transfusion Service, Edinburgh, UK S. Murphy - American Red Cross Blood Services, Philadelphia, P A, USA D.E. Nevalainen - Abbott Quality Institute, Abbott Park, IL, USA K. Sazama - Medical College Hospitals, Philadelphia, P A, USA CAl Vlek - University of Groningen, Department of Psychology, Groningen, NL Ch.H. Wallas - American Red Cross Headquarters, Charlotte, NC, USA A. van der Wiel - General Christian Hospital Eernland, Amersfoort, NL Prepared Discussants A. Westerterp-Maas - Red Cross Blood Bank Noord Nederland, Groningen, NL XI FOREWORD It is an honour and a pleasure to welcome you all at this 20th annual International Symposium on Blood Transfusion in the Netherlands. This year you celebrate its 20th anniversary and I congratulate the Staff of the Blood Bank Noord Nederland and especially Dr. Smit Sibinga for this great achievement. As most of you know, the name of the person of Dr. Smit Sibinga is unbreakably con nected with the annual symposium in Groningen which he has organized each year from the very start, 20 years ago. The reputation of any symposium depends heavily on the quality of the lectures. I think it is not possible to organize 20 symposia in a row if the topics lack actual relevance and the speakers are not of excellent reputation. Dr. Smit Sibinga has proven to have a keen eye for selecting interesting themes and eminent speakers. Although a lot of different topics have been dealt with in the past 20 years, which each attracted the attention of a different group in the field of blood transfusion, it is not surprising that after a tradition of 20 years several speakers but also a lot of attendees are not for the first time in Groningen to participate in this event. It gives the symposium a unique atmosphere of intimacy. It is not hard to admit that most of the newer developments in transfusion medicine take place outside the Netherlands. Knowing that and in order to keep our position among the nations with the safest blood supply, we have to focus our view on the international field. Therefore, the Groningen symposium is of national importance. It not only established the extraordinary reputation of the Blood Bank in Groningen, but it also creates an international forum where the latest developments in Transfusion Medicine are exchanged. For yet another reason this 20th symposium is a memorable one. Earlier this year the Red Cross Blood Bank Groningen-Drenthe, the organizer of the sympo sium over the last 19 years, merged with its neighbour, the Blood Bank Friesland to form the new Blood Bank Noord Nederland. It has a total of about 90.000 donations per year and is now one of the largest Blood Banks in the Netherlands. I am sure that the medical knowledge of Dr. Smit Sibinga combined with the pharmaceutical knowledge of Mr. De Wit guarantee a winning team and a strong Blood Bank in the north of our country. This strong Blood Bank should co-operate in a cordial way with the other Dutch Blood Banks and with the Central Labora tory in Amsterdam. On the necessity of this co-operation I shall come back later.
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