Blood Transfusion


Complications, risks, and consequences

Estimated frequency

Most significant/serious complications

Fever (mild, moderate, high)a

5–20 %

Myocardial problems (cardiac failure, infarction)a

1–5 %

Renal failurea

1–5 %

Jaundicea

1–5 %

Immunological cross priminga (immunization; cellular activation or tolerance induction)

1–5 %

Rare significant/serious problems

Infection (bacterial, fungal, viral, other)

 Cellulitis

0.1–1 %

 Systemic

<0.1 %

Disseminated intravascular coagulationa

<0.1 %

Incompatibility with other fluidsa

0.1–1 %

Intravascular hemolysisa

0.1–1 %

White blood cell incompatibilitya

0.1–1 %

Air embolisma

<0.1 %

Multisystem organ failurea

0.1–1 %

Deatha

<0.1 %

Less serious complications

Extravasation

0.1–1 %

Skin rash

5–20 %


aDependent on the situation, underlying pathology, anatomy, comorbidities, surgical technique, and preferences




Table 2.2
Noninfectious risks and complications of transfusion

































Risk

Estimated frequency

Earlier complications: immediate to hours

Fever nonhemolytic, non-septic transfusion reaction

0.1–1 %

Volume circulatory overloada

1–5 %

Hemolysis

<0.1 %

Transfusion acute pulmonary injury

< 0.1 %

Allergic reaction – mild, moderate

1–5 %

Allergic reaction – severe anaphylaxis

<0.1 %

Extravasation of transfusatea

0.1–1 %

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Feb 26, 2017 | Posted by in CARDIOLOGY | Comments Off on Blood Transfusion

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