Author/Editor		Potočnik, Marjeta
Title		Novejši pogledi na nadomeščanje krvi v porodništvu pri akutni krvavitvi
Type		članek
Source		In: Cerar V, Novak-Antolič Ž, editors. Desetletnica Porodnišnice Ljubljana. Zbornik prispevkov 4. strokovni sestanek; 1997 dec 20; Ljubljana. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Publication year		1998
Volume		str. 77-87
Language		slo
Abstract		Blood transfusion is still one of the necessities of obstetric medicine although the frequency of its application is decreasing in most countries. Slovenian blood transfusion service provides concentrated and purificated constituents of blood in order to avoid as many side effects as possible. Todays positive trends are a decreasing usage of whole blood and an increasing usage of concentrated components, although the total consumption is still thought to be too high. By following the standards of quality at all phases of work from the donor to the patient and considering the quite favourable epidemiological situation in Slovenia (12 anti-HIV positive donors out of 1 050 295 donations during the period from 1986 to 1997), educational work with blood donors and the quality of laboratory testing, it can be concluded that blood transfusion is as safe as it can be, although it is never 100% safe. Changes in transfusion practice are inevitable, the most important being the re-evaluation of transfusion triggers which affect the unnecessary use of blood, based on the evaluation of relevant clinical events, laboratory values and the specific needs of each patient, the use of autologous blood, recombinant proteins and pharmacological agents in order to decrease the need for the transfusion of homologous blood.
Descriptors		BLOOD TRANSFUSION PREGNANCY COMPLICATIONS HEMORRHAGE PREGNANCY QUALITY ASSURANCE, HEALTH CARE SAFETY BLOOD COMPONENT TRANSFUSION BLOOD COMPONENT REMOVAL ERYTHROCYTE TRANSFUSION BLOOD PLATELETS LEUKOCYTES SERUM ALBUMIN FACTOR VIII FACTOR IX GAMMA-GLOBULINS BLOOD TRANSFUSION, AUTOLOGOUS URTICARIA ANAPHYLAXIS PULMONARY EDEMA GRAFT VS HOST REACTION HEMOSIDEROSIS BACTERIAL INFECTIONS VIRUS DISEASES PARASITIC DISEASES RECOMBINANT PROTEINS