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Transfusion Medicine, An Issue of Hematology/Oncology Clinics of North America, E-Book

Transfusion Medicine, An Issue of Hematology/Oncology Clinics of North America, E-Book

Jeanne E. Hendrickson | Christopher A. Tormey

(2016)

Additional Information

Book Details

Abstract

Blood transfusions are an important part of hematologic care. This issue of Hematology/Oncology Clinics will focus on transfusion medicine and will include articles on: RBC Transfusions: Conclusions from Clinical Trials and the Establishment of Evidence-based Guidelines for Adults, Platelet Transfusions: Conclusions from Clinical Trials and the Establishment of Evidence- and/or Experience-based Guidelines for Adults, Use and Overuse of Plasma Products: Establishment of Evidence- and/or Experience-based Guidelines for Plasma Transfusion in Adults, Stem Cell Mobilization/Collection: Coordination Between Hem/Onc, Transplant, and Transfusion Services, Management of Patients with Sickle Cell Disease Using Transfusion Therapy: Guidelines and Complications, and many more exciting articles.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Transfusion Medicine\r i
Copyright\r ii
Contributors iii
CONSULTING EDITORS iii
EDITORS iii
AUTHORS iii
Contents vii
Preface: Transfusion Medicine\r vii
Red Blood Cell Transfusion Strategies in Adult and Pediatric Patients with Malignancy\r vii
Platelet Transfusions in Patients with Hypoproliferative Thrombocytopenia:\rConclusions from Clinical Trials and Current Controversies\r vii
Assessing the Rationale and Effectiveness of Frozen Plasma Transfusions: An Evidence-based Review\r vii
Autologous Stem Cell Mobilization and Collection\r viii
Management of Patients with Sickle Cell Disease Using Transfusion Therapy: Guidelines and Complications\r viii
Pathogen Inactivation Technologies: The Advent of Pathogen-Reduced Blood Components to Reduce Blood Safety Risk\r viii
Transfusion Reactions\r viii
Red Blood Cell Antibodies in Hematology/Oncology Patients: Interpretation of\rImmunohematologic Tests and Clinical Significance of Detected Antibodies\r ix
Modifications to Blood Components: When to Use them and What is the Evidence?\r ix
Management of the Platelet Refractory Patient\r ix
Management of Thrombotic Microangiopathic Hemolytic Anemias with\rTherapeutic Plasma Exchange: When It Works and When It Does Not\r x
Transfusion Considerations in Pediatric Hematology and Oncology Patients\r x
HEMATOLOGY/ONCOLOGY\rCLINICS OF NORTH AMERICA\r xi
FORTHCOMING ISSUES xi
August 2016 xi
October 2016 xi
December 2016 xi
RECENT ISSUES xi
April 2016 xi
February 2016 xi
December 2015 xi
Preface: Transfusion Medicine\r xiii
Red Blood Cell Transfusion Strategies in Adult and Pediatric Patients with Malignancy 529
Key points 529
INTRODUCTION 529
GOALS AND RISKS OF RED BLOOD CELL TRANSFUSION 530
RISKS FROM ANEMIA 531
CLINICAL TRIALS 531
Intensive Care Unit and Sepsis 532
Bleeding 532
Postoperative Patients 533
Cardiovascular Events 534
TRANSFUSION ALTERNATIVES: ERYTHROPOIESIS-STIMULATING AGENTS 535
CLINICAL GUIDELINES 536
FUTURE STUDIES 537
SUMMARY 537
REFERENCES 537
Platelet Transfusions in Patients with Hypoproliferative Thrombocytopenia 541
Key points 541
INTRODUCTION 542
METHODS 542
MAIN FINDINGS FOR REVIEW 542
RECENT TRIALS 543
DISEASE AND TREATMENT CATEGORY 543
PLATELET DOSE 552
PLATELET TRANSFUSION THRESHOLD 552
LIMITATIONS IN THE INTERPRETATION OF PLATELET TRANSFUSION TRIALS 553
RISK FACTORS FOR BLEEDING ASIDE FROM PLATELET COUNT 554
HEMATOLOGIC DISEASE LINKED WITH BLEEDING 555
ANTIFIBRINOLYTICS 556
SUMMARY 556
REFERENCES 557
Assessing the Rationale and Effectiveness of Frozen Plasma Transfusions 561
Key points 561
FROZEN PLASMA PRODUCTS 562
RATIONALE FOR FROZEN PLASMA USE 562
INDICATIONS FOR FROZEN PLASMA TRANSFUSIONS 564
Prophylactic Frozen Plasma Transfusions for Nonbleeding Patients, and Before Invasive Procedures 564
Cardiac Surgery 565
Liver Disease 565
Warfarin Reversal 566
Trauma/Massive Bleeding 567
Thrombotic Thrombocytopenic Purpura 567
DOSE OF FROZEN PLASMA 567
SUMMARY 568
REFERENCES 568
Autologous Stem Cell Mobilization and Collection 573
Key points 573
INTRODUCTION 573
DISCOVERY OF THE HEMATOPOIETIC STEM CELL NICHE AND CLINICAL TRANSLATION 574
CLINICAL HEMATOPOIETIC STEM/PROGENITOR CELL MOBILIZATION 574
Chemotherapy Mobilization 574
Colony-Stimulating Factors 575
Granulocyte-colony stimulating factor (filgrastim) 576
Modified filgrastim 576
Biosimilar granulocyte-colony stimulating factor 577
Granulocyte-macrophage colony-stimulating factor (sargramostim) 577
Small Molecule Chemokine Analogs and Monoclonal Antibodies 578
Plerixafor 578
Stem cell factor (ancestim) 578
Recombinant very late antigen-4 (VLA-4) antagonist 579
CLINICAL APPROACHES IN COLLECTING MOBILIZED HEMATOPOIETIC STEM/PROGENITOR CELLS 579
Predicting Successful Collection 579
White blood cells 579
Peripheral blood CD34 count 580
Hematopoietic progenitor cell count 581
Donor-specific factors 581
Increased Collection Efficiency with On-Demand or Preemptive Plerixafor 581
Optimized Leukapheresis Procedures 582
Large volume leukapheresis 582
Peripheral blood collection platforms 582
LOGISTICAL CONSIDERATIONS DURING STEM CELL COLLECTION 583
Prerequisites to Receiving Leukapheresis 583
Venous line placement 583
Preprocedural hematocrit and platelet counts 583
Adverse Events and Complications of Apheresis 583
SUMMARY 584
REFERENCES 584
Management of Patients with Sickle Cell Disease Using Transfusion Therapy 591
Key points 591
INTRODUCTION 591
METHODS OF TRANSFUSION THERAPY 592
INDICATIONS 593
Acute Splenic Sequestration 593
Transient Aplastic Crisis 593
Acute Chest Syndrome 594
Acute Sickle Hepatopathy 594
Multisystem Organ Failure 595
Preoperative Transfusion Management 595
Neurologic Complications 595
CONTROVERSIAL INDICATIONS 597
Pulmonary Hypertension 597
Pregnancy in Sickle Cell Disease 597
Leg Ulcers 598
Vasoocclusive Crisis 598
Priapism 599
PREVENTION OF COMPLICATIONS 599
Alloimmunization 599
Monitoring and Treatment of Iron Overload 602
SUMMARY 603
REFERENCES 603
Pathogen Inactivation Technologies 609
Key points 609
SAFETY OF BLOOD PRODUCTS 609
CURRENT STATUS OF PATHOGEN INACTIVATION TECHNOLOGIES 610
Pathogen Inactivation Technologies for Plasma 611
Solvent/detergent method 611
Methylene blue 611
Amotosalen/UV and riboflavin/UV 611
Pathogen Inactivation Technologies for Red Blood Cells 612
Pathogen Inactivation Technologies for Platelets 612
Pathogen Inactivation Technologies for Whole Blood 613
EFFECT OF PATHOGEN INACTIVATION TECHNOLOGIES ON PATHOGENS 613
EFFECT OF PATHOGEN INACTIVATION TECHNOLOGIES ON THE QUALITY OF BLOOD PRODUCTS 613
FUTURE DIRECTIONS 614
REFERENCES 615
Transfusion Reactions 619
Key points 619
HEMOLYTIC TRANSFUSION REACTIONS 619
DELAYED HEMOLYTIC REACTIONS 622
FEBRILE NONHEMOLYTIC TRANSFUSION REACTIONS 623
ALLERGIC TRANSFUSION REACTIONS 624
HYPOTENSIVE TRANSFUSION REACTION 625
INFECTIOUS COMPLICATIONS OF TRANSFUSION 625
TRANSFUSION-RELATED ACUTE LUNG INJURY 627
TRANSFUSION-ASSOCIATED CIRCULATORY OVERLOAD 627
TRANSFUSION-ASSOCIATED GRAFT-VERSUS-HOST DISEASE 628
POSTTRANSFUSION PURPURA 629
AIR EMBOLI 629
NATIONAL HEALTHCARE SAFETY NETWORK 629
SUMMARY 630
REFERENCES 630
Red Blood Cell Antibodies in Hematology/Oncology Patients 635
Key points 635
INTRODUCTION 635
BASIC TESTS OF COMPATIBILITY IN THE BLOOD BANK 636
Principle of Hemagglutination and Testing Platforms in the Blood Bank 636
ABO and Rh(D) Blood Group Phenotyping 636
COMPLEX TESTS OF COMPATIBILITY AND/OR ANTIBODY IDENTIFICATION IN THE BLOOD BANK 637
Indirect Antiglobulin Test 637
Identification of Red Blood Cell Antibodies by Panel Testing 637
Direct Antiglobulin Test 637
Red Blood Cell Elution 641
Cold Autoantibody Screen, Thermal Amplitude, and Titers 641
Donath-Landsteiner Test 643
Summary for Complex Tests of Compatibility and/or Antibody Identification 643
RED BLOOD CELL ALLOIMMUNIZATION IN HEMATOLOGY/ONCOLOGY DISORDERS AND ITS CLINICAL SIGNIFICANCE 643
Alloimmunization in Hematologic or Oncologic Disorders (Nonhemoglobinopathies) 643
Myelodysplastic syndromes, acute myeloid leukemia, and aplastic anemia 643
Acute lymphocytic leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma 644
Bone marrow/hematopoietic progenitor cell transplant 644
Solid tumors and general patients with cancer 644
Alloimmunization in Hemoglobinopathies 645
Sickle cell disease 645
Thalassemia 646
RED BLOOD CELL ALLOANTIBODY MITIGATION STRATEGIES 646
SUMMARY 647
REFERENCES 648
Modifications to Blood Components 653
Key points 653
TOPIC OVERVIEW INTRODUCTION 653
LEUKOREDUCTION 653
Leukoreduction Summary 655
Benefits 655
Drawbacks 655
IRRADIATION 655
Irradiation Summary 657
Benefits 657
Drawbacks 657
VOLUME REDUCTION 658
Volume Reduction Summary 658
Benefits 658
Drawbacks 658
SPLITTING 658
Splitting Summary 659
Benefits 659
Drawbacks 659
WASHING 659
Washing Summary 660
Benefits 660
Drawbacks 660
SUMMARY 660
REFERENCES 660
Management of the Platelet Refractory Patient 665
Key points 665
INTRODUCTION 665
DEFINITION OF PLATELET REFRACTORINESS 666
CAUSE 667
TRANSFUSION SERVICE FACTORS 669
INCIDENCE 670
LABORATORY DIAGNOSIS OF IMMUNE-MEDIATED PLATELET REFRACTORINESS 670
MANAGEMENT 670
HUMAN LEUKOCYTE ANTIGEN MATCHING 670
CROSSMATCHING 671
ANTIBODY SPECIFICITY PREDICTION 674
SUMMARY OF RECOMMENDATIONS 674
REFERENCES 675
Management of Thrombotic Microangiopathic Hemolytic Anemias with Therapeutic Plasma Exchange 679
Key points 679
INTRODUCTION 680
THROMBOTIC MICROANGIOPATHIES) 680
INFECTION-ASSOCIATED THROMBOTIC THROMBOCYTOPENIC PURPURA 681
Human immunodeficiency virus-associated Thrombotic Thrombocytopenic Purpura 681
INFECTION-ASSOCIATED HEMOLYTIC UREMIC SYNDROME 684
Typical Hemolytic Uremic Syndrome, Diarrhea-associated Hemolytic Uremic Syndrome, or Shiga Toxin–associated Hemolytic Uremi ... 684
Streptococcus pneumoniae–associated hemolytic uremic syndrome 685
Atypical Hemolytic Uremic Syndrome (Complement Regulatory Pathway-associated Hemolytic Uremic Syndrome or Complement-mediat ... 686
HEMATOPOIETIC STEM CELL TRANSPLANT-ASSOCIATED THROMBOTIC MICROANGIOPATHIES 686
RENAL TRANSPLANT-ASSOCIATED THROMBOTIC MICROANGIOPATHIES 687
MALIGNANCY-ASSOCIATED THROMBOTIC MICROANGIOPATHIES 688
DRUG-ASSOCIATED THROMBOTIC MICROANGIOPATHIES (DRUG-MEDIATED THROMBOTIC MICROANGIOPATHIES IMMUNE REACTION OR DRUG-MEDIATED T ... 689
SUMMARY 691
REFERENCES 691
Transfusion Considerations in Pediatric Hematology and Oncology Patients 695
Key points 695
INTRODUCTION 696
EPIDEMIOLOGY OF TRANSFUSIONS IN PEDIATRIC PATIENTS 696
RED BLOOD CELL TRANSFUSIONS 696
PLATELET TRANSFUSIONS 700
PLASMA TRANSFUSIONS 701
GRANULOCYTE TRANSFUSIONS 702
REFERENCES 704
Index 711