36430 Transfusion, blood or blood components

Name of the Procedure:

Transfusion, Blood or Blood Components
Common Name(s): Blood Transfusion, Blood Component Therapy
Technical/Medical Terms: Hemotherapy

Summary

A blood transfusion is a medical procedure where a patient receives donated blood or specific blood components via an intravenous (IV) line. This procedure replenishes blood lost due to injury, surgery, or medical conditions that affect blood production.

Purpose

Medical Condition or Problem Addressed:

• Severe blood loss (e.g., from trauma or surgery)
• Anemia or low red blood cell count
• Blood disorders (e.g., hemophilia, sickle cell disease)
• Cancer treatments affecting blood cell production

Goals or Expected Outcomes:

• Restore adequate blood volume and red blood cell count
• Improve oxygen delivery to tissues
• Correct clotting deficiencies
• Stabilize vital signs and improve overall health

Indications

Symptoms or Conditions Warranting the Procedure:

• Significant blood loss or hemorrhage
• Severe anemia or low hemoglobin levels
• Blood clotting disorders
• Thalassemia, leukemia, and other blood-related conditions

Patient Criteria:

• Low hemoglobin/hematocrit levels
• Active bleeding not controllable by other means
• Specific diagnosis confirmed by healthcare providers

Preparation

Pre-Procedure Instructions:

• Blood type testing and crossmatching
• Inform the doctor of any allergies or reactions to previous transfusions
• Fast if instructed
• Continue prescribed medicines unless otherwise directed

Diagnostic Tests or Assessments:

• Complete blood count (CBC)
• Blood grouping and antibody screening
• Baseline vital signs

Procedure Description

Step-by-Step Explanation:

1. Patient assessment and explanation of the procedure.
2. Placement of an IV line in the patient's vein.
3. Selection and preparation of the appropriate blood or blood component units.
4. Blood or component unit verification by dual personnel check.
5. Blood transfusion begins slowly, with patient monitored for hyperacute reactions.
6. Continuous monitoring of vital signs and patient comfort.
7. Adjust transfusion rate as per guidelines, typically over 1-4 hours.
8. Post-transfusion monitoring for delayed reactions.

Tools and Equipment Used:

• Blood bag and tubing set
• Intravenous catheter
• Infusion pump (optional)

Anesthesia or Sedation:

• Typically not required unless in combination with surgery

Duration

• Usually takes 1 to 4 hours per unit of blood or blood components depending on the volume and patient's condition.

Setting

• Performed in hospitals, outpatient clinics, or specialized transfusion centers.

Personnel

• Nurses, transfusion medicine specialists, hematologists, and attending physicians.

Risks and Complications

Common Risks:

• Mild allergic reactions like hives or itching
• Fever
• Minor swelling or bruising at the IV site

Rare Risks:

• Bloodborne infections
• Severe allergic reactions (anaphylaxis)
• Transfusion-related acute lung injury (TRALI)
• Iron overload from repeated transfusions

Management of Complications:

• Immediate discontinuation of transfusion and supportive care
• Administration of antihistamines, antipyretics, or steroids if needed

Benefits

• Rapid restoration of healthy blood cell levels
• Immediate symptomatic relief from anemia
• Enhanced physical capacity and reduction in fatigue
• Potential life-saving intervention for severe blood loss or clotting disorders

Recovery

Post-Procedure Care:

• Monitor for delayed transfusion reactions for 24 hours
• Rest and hydration
• Ongoing assessment of blood counts

Expected Recovery Time:

• Varies, typically immediate symptomatic improvement
• Further recovery depends on underlying condition

Follow-up:

• Regular blood tests to monitor effectiveness
• Follow-up appointments with healthcare provider

Alternatives

Other Treatment Options:

• Iron supplementation (oral or IV)
• Erythropoiesis-stimulating agents (ESAs)
• Synthetic blood substitutes in development

Pros and Cons of Alternatives:

• Iron supplementation: slower effect, useful in non-emergency anemia
• ESAs: effective for chronic anemia but less immediate
• Blood substitutes: experimental, limited availability

Patient Experience

During the Procedure:

• Initial pinprick for IV insertion
• Possible sensation of coldness or tingling as transfusion starts
• Generally comfortable with close monitoring

After the Procedure:

• Mild fatigue or slight discomfort at IV site
• Immediate or gradual improvement in symptoms
• Pain management is rarely needed but can be addressed if necessary