Transfusion Reaction
Nov 24, 2023
Acute haemolytic transfusion reaction (AHTR) is a rare, life-threatening reaction that occurs once every 76,000 transfusions. π©Έπ©Έ
It usually begins with an increase in temperature and heart rate. It may also present as rigors, breathlessness, chest pain or pain at the cannula site. In patients under GA, it may present as tachycardia and hypotension and progress to profound coagulopathy (DIC). π€
Here’s what the National Blood Authority suggest you should do:
As soon as you suspect a transfusion reaction:
π Stop the transfusion immediately and activate emergency procedures if required.
π Check and monitor the patient’s vital signs.
π Maintain intravenous access (do not flush the existing line and use a new IV line if required).
π Repeat all clerical and identity checks; ensure the right pack has been given to the right patient.
π Notify the anaesthetist/treating medical officer and the blood bank immediately.
After the transfusion has been stopped (except for some types of mild reaction), you may be requiredr to send freshly collected blood and urine samples along with the component pack and IV line. Document the reaction in the patient’s medical record and complete an incident report if required by local policies. π
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Ref: https://www.lifeblood.com.au/health-professionals/clinical-practice/adverse-events/acute-haemolytic-reactions
