TY - CHAP M1 - Book, Section TI - Chapter 83. Blood and Blood Component Therapy A1 - Welsby, Ian J. A1 - Hathaway, Jessica A. A2 - Longnecker, David E. A2 - Brown, David L. A2 - Newman, Mark F. A2 - Zapol, Warren M. PY - 2012 T2 - Anesthesiology, 2e AB - ABO compatibility remains the major safety consideration for blood transfusion. Clerical errors of patient identification and sample labeling remain the primary cause of mistransfusion of ABO-incompatible units.Prestorage leukoreduction of cellular blood products has greatly reduced, but not eliminated, the incidence of febrile reactions, transfusion-related immunosuppression, and cytomegalovirus transmission, and has led to improved outcomes in surgical patients compared to the use of nonleukoreduced products.Redirecting blood from female donors away from transfusable plasma products appears to have reduced the incidence of TRALI mediated by leucocyte reactive antibodies. However, some plasma from female donors remains in platelet and red blood cell products.International travel and associated exposure to pathogens not addressed by existing screening mechanisms will increasingly limit suitable blood donors. These and other pressures on the blood supply make imperative strategies all the more important for blood conservation and promotion of bloodless surgical techniques. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/16 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=56654919 ER -