Essentials of Blood Banking SR Mehdi
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fm1Essentials of BLOOD BANKINGfm2
fm3Essentials of BLOOD BANKING
A Handbook for Students of Blood Banking and Clinical Residents
Second Edition
SR Mehdi MD Professor of Hematology Department of Pathology Era's Lucknow Medical College Lucknow, Uttar Pradesh, India
fm4
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This book has been published in good faith that the contents provided by the author contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the author specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the author. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Essentials of Blood Banking
First Edition: 2006
Second Edition: 2013
9789380704524
Printed at
fm5Dedicated to
My parentsfm6
fm7Preface to the Second Edition
Blood banking has come of age. The transfusion medicine is one of the thrust areas of medical research. The scare of transfusion-transmitted diseases and globalisation of AIDS have led to extraordinary media attention. The medicolegal aspects of blood banking act as a booster for maintaining quality and ensuring safety of blood.
Majority of the blood banks in the developing countries have developed their component laboratories. The use of whole blood is minimised day-by- day.
Almost all the departments of the hospital, surgical or non-surgical, hospital staff, medical or paramedical, and people in the form of patients or healthy blood donors come in contact of blood banks. The dissemination of knowledge of blood banking has become need of the hour.
I thank all my readers who had shown very good response to the first edition of this book.
Now, it is a pleasant feeling to write the preface for the second edition of the title Essentials of Blood Banking (A Handbook for Students of Blood Banking and Clinical Residents). I have tried to incorporate in this edition the advancement in blood grouping and cross-matching techniques by the microtube gel method, screening of alloantibodies and apheresis. A new chapter on Obstetrical Transfusion Practice has also been added.
Many textbooks and technical manuals of blood banking are available in the market, but they are too exhaustive for the students who are not specialising in transfusion medicine and are interested only in the basic technical and clinical aspects of blood banking.
I hope this title would appeal to those students who look for a book on blood banking which is informative as well as handy.
I would like to thank my wife, daughter and son for providing me encouragement at each and every step of writing of the book. I am also indebted to my teachers and seniors who had always been a source of inspiration for me. I wish to thank my colleagues and students of medical colleges of Aligarh Muslim University, Aligarh, Uttar Pradesh, India, and King Saud University, Riyadh, Saudi Arabia, for creating an excellent academic and professional environment.fm8
Last but not least, I thank M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for advising me at each and every step of publication and coming out with the second edition of my title Essentials of Blood Banking.
SR Mehdi
fm9Preface to the First Edition
In the last two decades, the progress in the field of blood banking has been phenomenal. Blood banking has grown up as transfusion medicine, an independent discipline. Blood banking is no more confined to only cross-matching and supply of blood. The spectrum of tests for transfusion-transmitted diseases is getting wider day-by-day. Pre-transfusion testing of blood for HIV1, HIV2, anti-HCV and in some of the countries, for HTLV1 has become mandatory, besides other tests. Newer techniques and latest generation testing kits are pouring in. Professional blood donors are banned.
HIV/AIDS awareness has shifted the focus of media on blood banks. Medicolegalities and ethical issues are very much in consideration. The talk of the day is Safety of the Blood. Regional transfusion centres have come up. Blood banks are directly under the supervision of the national and states AIDS Control Organisations.
The concept of whole blood transfusion has become obsolete. Transfusion of specific component of the blood has specific indications. A component laboratory is a must for every blood bank. The clinicians must be exposed to the usage and benefits of component therapy.
In this scenario, no person working in a hospital set-up, whether as a doctor or paramedic, can afford to be ignorant about the essentials of blood banking. The staff working in the transfusion services as “provider” and the clinicians and nurses acting as “facilitator” must ensure the transfusion of safe and disease-free blood to the “end user”, i.e. the patient.
Therapeutic apheresis and stem cell collection have brought blood banking into clinical fold. Institutes are awarding MD and fellowships, exclusively in transfusion medicine. The progress and scope in the field of transfusion medicine is tremendous.
The handbook Essentials of Blood Banking deals with the basics of blood banking in brief, keeping in mind the requirements of the blood bank staff and the clinical residents. The blood bank personnel can refer to this book for techniques and the residents can carry the handbook to the wards. Even if one patient is saved of the complications of blood transfusion by the reader, the book will serve its purpose.fm10
I wish to thank all my colleagues at the transfusion services of the Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India, and the King Fahad Specialist Hospital, Buraidah, Kingdom of Saudi Arabia, who helped me to pick up the techniques of the trade by creating an enlightened and congenial working atmosphere. I would also like to thank National AIDS Control Organisation (NACO) and Uttar Pradesh State AIDS Control Society (UPSACS) for the best of the trainings and providing me an opportunity to serve as the Coordinator for Training of Trainers (TOT) Programme for HIV/AIDS.
SR Mehdi