Adverse Reactions to Transfusion of Blood Products and Best Practices for Prevention.

Academic Article

Abstract

  • Transfusion, a common practice in critical care, is not without complication. Acute adverse reactions to transfusion occur within 24 hours and include acute hemolytic transfusion reaction, febrile nonhemolytic transfusion reaction, allergic and anaphylactic reactions, and transfusion-related acute lung injury, transfusion-related infection or sepsis, and transfusion-associated circulatory overload. Delayed transfusion adverse reactions develop 48 hours or more after transfusion and include erythrocyte and platelet alloimmunization, delayed hemolytic transfusion reactions, posttransfusion purpura, transfusion-related immunomodulation, transfusion-associated graft versus host disease, and, with long-term transfusion, iron overload. Clinical strategies may reduce the likelihood of reactions and improve patient outcomes.
  • Keywords

  • Adverse transfusion reactions, Blood components, Restrictive transfusion strategy, TACO, TRALI, Transfusion, Acute Lung Injury, Critical Care Nursing, Erythrocytes, Evidence-Based Medicine, Humans, Transfusion Reaction
  • Digital Object Identifier (doi)

    Author List

  • Frazier SK; Higgins J; Bugajski A; Jones AR; Brown MR
  • Start Page

  • 271
  • End Page

  • 290
  • Volume

  • 29
  • Issue

  • 3