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BLOOD TRANSFUSION AND REACTION IN SURGICAL PATIENTS

BLOOD TRANSFUSION AND REACTION IN SURGICAL PATIENTS Abstract PERHAPS there is no more important consideration when a transfusion of blood is requested than to remember the possibility of a complication during or after transfusion. For instance, the benefit to be gained from the transfused blood might not be important enough to the patient's progress to justify taking the chance of a possible untoward reaction. Nearly thirty years ago Pemberton1 expressed the opinion that "the procedure is very often considered only a simple intravenous medication or a minor operation while in reality its potential dangers place it with major operations." Possibly realistic views such as this one have been insufficiently appreciated, for it is known that even today a number of untoward reactions and occasional fatalities occur in a certain percentage of all instances in which blood is transfused. In the last few years, and particularly during World War II, the thought, study and research expended on this References 1. Pemberton, J. deJ.: Practical Considerations of the Dangers Associated With Blood Transfusions , J. Iowa M. Soc. 10:170-173 ( (June) ) 1920. 2. Oehlecker, F.: Die Bluttranfusion , in Hirschfeld, H., and Hittmair, A.: Handbuch der allgemeinen Hämatologie , Berlin, Urban & Schwarzenberg, 1934, vol. 2, pt. 2, pp. 1513-1592. 3. Mathieson, D. R.: Personal communication to the authors. Bennett, W. A.: Personal communication to the authors. 4. Lucke, B.: Lower Nephron Nephrosis (Renal Lesions of Crush Syndrome, of Burns, Transfusions, and Other Conditions Affecting Lower Segments of Nephrons) , Mil. Surgeon 99:371-396 ( (Nov.) ) 1946. 5. Trueta, J.: Studies of the Renal Circulation , London, Oxford University Press, 1947. 6. Odel, H. M.; Ferris, D. O., and Power, M. H.: Clinical Considerations of the Problem of Extrarenal Excretion: Peritoneal Lavage , M. Clin. North America 32:989-1076 ( (July) ) 1948. 7. Crile, G. W.: Hemorrhage and Transfusion: An Experimental and Clinical Research , New York, D. Appleton & Company, 1909. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

BLOOD TRANSFUSION AND REACTION IN SURGICAL PATIENTS

Archives of Surgery , Volume 59 (3) – Sep 1, 1949

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1949.01240040791038
Publisher site
See Article on Publisher Site

Abstract

Abstract PERHAPS there is no more important consideration when a transfusion of blood is requested than to remember the possibility of a complication during or after transfusion. For instance, the benefit to be gained from the transfused blood might not be important enough to the patient's progress to justify taking the chance of a possible untoward reaction. Nearly thirty years ago Pemberton1 expressed the opinion that "the procedure is very often considered only a simple intravenous medication or a minor operation while in reality its potential dangers place it with major operations." Possibly realistic views such as this one have been insufficiently appreciated, for it is known that even today a number of untoward reactions and occasional fatalities occur in a certain percentage of all instances in which blood is transfused. In the last few years, and particularly during World War II, the thought, study and research expended on this References 1. Pemberton, J. deJ.: Practical Considerations of the Dangers Associated With Blood Transfusions , J. Iowa M. Soc. 10:170-173 ( (June) ) 1920. 2. Oehlecker, F.: Die Bluttranfusion , in Hirschfeld, H., and Hittmair, A.: Handbuch der allgemeinen Hämatologie , Berlin, Urban & Schwarzenberg, 1934, vol. 2, pt. 2, pp. 1513-1592. 3. Mathieson, D. R.: Personal communication to the authors. Bennett, W. A.: Personal communication to the authors. 4. Lucke, B.: Lower Nephron Nephrosis (Renal Lesions of Crush Syndrome, of Burns, Transfusions, and Other Conditions Affecting Lower Segments of Nephrons) , Mil. Surgeon 99:371-396 ( (Nov.) ) 1946. 5. Trueta, J.: Studies of the Renal Circulation , London, Oxford University Press, 1947. 6. Odel, H. M.; Ferris, D. O., and Power, M. H.: Clinical Considerations of the Problem of Extrarenal Excretion: Peritoneal Lavage , M. Clin. North America 32:989-1076 ( (July) ) 1948. 7. Crile, G. W.: Hemorrhage and Transfusion: An Experimental and Clinical Research , New York, D. Appleton & Company, 1909.

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1949

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