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. 2014 Aug;14(3):e306-18.
Epub 2014 Jul 24.

Recognition, Investigation and Management of Acute Transfusion Reactions: Consensus guidelines for Oman

Arwa Z Al-Riyami  1 , Sabria Al-Hashmi  2 , Zainab Al-Arimi  3 , Louis D Wadsworth  4 , Abdulhakim Al-Rawas  5 , Murtadha Al-Khabori  1 , Shahina Daar  6
Affiliations

Recognition, Investigation and Management of Acute Transfusion Reactions: Consensus guidelines for Oman

Arwa Z Al-Riyami et al. Sultan Qaboos Univ Med J. 2014 Aug.

Abstract

The recognition and management of transfusion reactions (TRs) are critical to ensure patient safety during and after a blood transfusion. Transfusion reactions are classified into acute transfusion reactions (ATRs) or delayed transfusion reactions, and each category includes different subtypes. Different ATRs share common signs and symptoms which can make categorisation difficult at the beginning of the reaction. Moreover, TRs are often under-recognised and under-reported. To ensure uniform practice and safety, it is necessary to implement a national haemovigilance system and a set of national guidelines establishing policies for blood transfusion and for the detection and management of TRs. In Oman, there are currently no local TR guidelines to guide physicians and hospital blood banks. This paper summarises the available literature and provides consensus guidelines to be used in the recognition, management and reporting of ATRs.

Keywords: Blood Safety; Blood Transfusion; Health Planning Guidelines; Oman; Transfusion Reactions.

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Figures

Figure 1:
Figure 1:
Approach to acute transfusion reactions. ABC = airway, breathing and circulation; BP = blood pressure; TRALI = transfusion-related acute lung injury; TACO = transfusion-associated circulatory overload; TAD = transfusion-associated dyspnoea; TR = transfusion reaction; EDTA = ethylene-diamine-tetra-acetic acid.
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