The Division of Transfusion Medicine works 24x7 & is responsible for the collection processing testing & storage of blood to be given to patients at Sakra World Hospital (traditional "blood banking"). The blood bank also has facilities for Plateletpheresis to cater to patients with thrombocytopenia. The blood bank provides transfusion support to patients with hemophilia and related bleeding disorders and thalassemia Transfusion Medicine also performs therapeutic apheresis procedures to treat patients with neurologic, kidney and blood diseases.
Transfusion Medicine includes the following work units:
Donor Services collects the majority of the blood products needed by patients at SWH Donor Services personnel schedule appointments for donation, counsel & evaluate potential blood donors and collect their blood.
Each whole blood donation can be separated into its different components and be used to help up to four patients! The Component Laboratory prepares these different blood products.
The Immunohematology Laboratory helps patients who have formed an antibody against red blood cells due to previous red blood cell exposures such as pregnancy or transfusion. The laboratory will identify which portion of the red blood cell the antibody recognizes. The identification will help select blood products for future transfusions to prevent the antibody from interacting with and possibly destroying the transfused blood. Multiple tests may be required to identify a red blood cell antibody. Some of the test names include antibody screening & identification, antigen typing, direct ant globulin.
Quality Assurance Unit
The Quality Assurance Unit watches over the safety, purity, potency and efficacy of the blood products collected and transfused at SWH.
Therapeutic Apheresis Unit
The Therapeutic Apheresis Unit uses special machines to remove disease-causing substances and cells from the blood of patients. In addition, the unit also collects stem cells for blood and bone marrow transplantation.
The Transfusion Laboratory is responsible for ensuring that the best and safest blood products are given to patients. Laboratory staff members perform the cross match testing to make certain that a patient is given compatible blood.
In addition, the Division of Transfusion Medicine is involved in the training of health care professionals.
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The centre of Blood transfusion at Sakra is one among the best blood bank in marathahalli with services like donor service, laboratories for storage of blood components, Immunohematology, Therapeutic apheresis unit etc and deliver quality blood products to patients.
What is Blood Transfusion?
A blood transfusion is the transfer of blood or blood products from one person (donor) into another person's bloodstream (recipient). This is usually done as a lifesaving manoeuvre to replace blood cells or blood components lost through severe bleeding, during surgery when blood loss occurs or to increase the blood count in an anaemic patient.
Who needs a blood transfusion?
Many people undergoing surgery need a blood transfusion because they lose blood during their operations. Some people need a blood transfusion to replace blood lost during the surgery. Some need blood if they are going through conditions such as liver infection, anaemia, a bleeding disorder (haemophilia or thrombocytopenia).
What are the types of blood transfusion?
There are three types of blood transfusion:
Red blood cell transfusions: Red blood cells are the most commonly transfused components of the blood, they carry oxygen from the lungs to the body’s organs and tissues. Red blood cell transfusion is required if you lost the blood due to an injury or surgery.
Platelets and clotting factor transfusions: Platelets and clotting factors help stop bleeding which includes internal bleeding also. In some conditions, your body doesn’t make enough platelets or clotting factors so you may need regular transfusions of platelets and clotting factors.
Plasma transfusions: Plasma is a liquid part of the blood which contains proteins, clotting factors, hormones, vitamins, cholesterol, sugar, sodium, potassium, calcium, and more. If you have liver disease or you have been badly burned then you may need a plasma transfusion.
What are the different types of blood?
There are four types of blood, A, B, AB, and O. every person has one of the types and it can be Rh-positive or Rh-negative. People with type-O negative blood are considered as universal donors and people with type AB positive blood are considered as universal recipients.
If you have Rh-positive blood then you can receive blood from Rh-negative or Rh-positive, but if your blood type is Rh-negative then you should only receive Rh-negative blood.
What is a blood bank?
A blood bank is a place where blood is collected, processed, tested, and stored. Blood bank staff screen all donated blood for Transfusion Transmitted infections like HIV, HBsAg, HCV, Malaria & Syphilis and they also screen for blood type and unexpected antibodies. To prepare blood for a transfusion, we at SWH Blood Bank remove white blood cells before storage by using Inline filter bags for collecting blood. This process is called white cell or leukocyte (LU-ko-site) reduction. Although rare, some people are allergic to white blood cells in donated blood. Removing these cells makes allergic reactions less likely. So during the emergencies, it is easy for them to give blood according to the patient’s need. Sakra World Hospital Transfusion Medicine Physician is always available for consultation and our laboratory services are available 24/7.
What is an autologous blood transfusion?
It is the procedure of collecting blood from a patient and re-transfusing it back to the same patient when needed. It reduced the risk of transmission of infection.
What is apheresis?
Apheresis is a medical procedure that involves removing whole blood from a donor or patient and separating the blood into individual components so that one particular component can be removed. The remaining blood components then are re-introduced back into the bloodstream of the patient or donor.
Apheresis is used for the collection of donor blood components (such platelets or plasma) as well as for the treatment for certain medical conditions in which a part of the blood that contains disease-provoking elements is removed.
What to expect during a blood transfusion?
Blood transfusion can be done at the doctor’s office and a hospital. They are also done during surgery and in emergency cases. During the blood transfusion, a needle is inserted into the IV line into one of your blood vessels. Through this line, you receive healthy blood and the procedure usually takes 1 to 4 hours.
What to expect after a blood transfusion?
After a blood transfusion, the doctor will check your temperature, blood pressure, and heart rate. You may have some soreness and mild pain at the site where IV was inserted for a few days.
After a few days, the specialist may ask for blood tests to know how your body is reacting to the transfusion.
What are the risks associated with a blood transfusion?
Blood transfusion is not 100% risk-free. The most common reactions are mild allergic or febrile reactions and are not life-threatening.
Additional transfusion risks and reactions:
Severe allergic reaction
Respiratory distress due to fluid overload (Transfusion-Associated Circulatory Overload), or injury to the lungs (Transfusion-Related Acute Lung Injury)
Fever, chills, rash
Hemolytic transfusion reaction (an immune reaction where antibodies lead to the destruction of transfused red blood cells)
Mistransfusion (human error leading to the transfusion of the wrong product)
Giving your consent
The patient receiving a blood transfusion is asked to give consent for transfusion after understanding the reasons, risks and benefits of transfusion.