Inadvertent Transfusion of Two Incompatible Blood Units: A Case Report

Background: An incompatible blood transfusion may lead to hemolytic transfusion reactions and severe complications such as intravascular hemolysis, multiorgan failure, and even death. Prevention, early diagnosis, and treatments have the main roles to decrease transfusion complications. Cases Report:...

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Main Authors: Sara Salarian, Bahador Bagheri, Mahboubeh Darban, Alireza Shakeri
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2023-06-01
Series:Novelty in Biomedicine
Subjects:
Online Access:https://journals.sbmu.ac.ir/nbm/article/view/39844
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author Sara Salarian
Bahador Bagheri
Mahboubeh Darban
Alireza Shakeri
author_facet Sara Salarian
Bahador Bagheri
Mahboubeh Darban
Alireza Shakeri
author_sort Sara Salarian
collection DOAJ
description Background: An incompatible blood transfusion may lead to hemolytic transfusion reactions and severe complications such as intravascular hemolysis, multiorgan failure, and even death. Prevention, early diagnosis, and treatments have the main roles to decrease transfusion complications. Cases Report: We present a case of a 43-year-old woman with a history of mandibular malignancy and facial reconstruction surgery who needed to blood transfusion due to a hemorrhage around her tracheostomy, and inadvertently 2 units of incompatible blood were transfused. The errors conduce to this issue and consideration to prevent and manage incompatible blood transfusions are discussed. Conclusion: This case showed that an effective technique for recognizing and avoiding transfusion mistakes is staff awareness of the potential errors at the bedside and in the laboratory. Furthermore, patients’ immunological status, early detection, and recognition of blood transfusion manifestation are critical factors for early diagnosis and treatment.
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spelling doaj.art-9c9f273edcdd45b7bcc71c2b05c6057a2023-07-29T07:13:28ZengShahid Beheshti University of Medical SciencesNovelty in Biomedicine2345-39072023-06-01112778010.22037/nbm.v11i3.3984439844Inadvertent Transfusion of Two Incompatible Blood Units: A Case ReportSara SalarianBahador BagheriMahboubeh DarbanAlireza ShakeriBackground: An incompatible blood transfusion may lead to hemolytic transfusion reactions and severe complications such as intravascular hemolysis, multiorgan failure, and even death. Prevention, early diagnosis, and treatments have the main roles to decrease transfusion complications. Cases Report: We present a case of a 43-year-old woman with a history of mandibular malignancy and facial reconstruction surgery who needed to blood transfusion due to a hemorrhage around her tracheostomy, and inadvertently 2 units of incompatible blood were transfused. The errors conduce to this issue and consideration to prevent and manage incompatible blood transfusions are discussed. Conclusion: This case showed that an effective technique for recognizing and avoiding transfusion mistakes is staff awareness of the potential errors at the bedside and in the laboratory. Furthermore, patients’ immunological status, early detection, and recognition of blood transfusion manifestation are critical factors for early diagnosis and treatment.https://journals.sbmu.ac.ir/nbm/article/view/39844blood transfusionabo incompatibilitycoomb's testhematuriahemolytic transfusion reaction
spellingShingle Sara Salarian
Bahador Bagheri
Mahboubeh Darban
Alireza Shakeri
Inadvertent Transfusion of Two Incompatible Blood Units: A Case Report
Novelty in Biomedicine
blood transfusion
abo incompatibility
coomb's test
hematuria
hemolytic transfusion reaction
title Inadvertent Transfusion of Two Incompatible Blood Units: A Case Report
title_full Inadvertent Transfusion of Two Incompatible Blood Units: A Case Report
title_fullStr Inadvertent Transfusion of Two Incompatible Blood Units: A Case Report
title_full_unstemmed Inadvertent Transfusion of Two Incompatible Blood Units: A Case Report
title_short Inadvertent Transfusion of Two Incompatible Blood Units: A Case Report
title_sort inadvertent transfusion of two incompatible blood units a case report
topic blood transfusion
abo incompatibility
coomb's test
hematuria
hemolytic transfusion reaction
url https://journals.sbmu.ac.ir/nbm/article/view/39844
work_keys_str_mv AT sarasalarian inadvertenttransfusionoftwoincompatiblebloodunitsacasereport
AT bahadorbagheri inadvertenttransfusionoftwoincompatiblebloodunitsacasereport
AT mahboubehdarban inadvertenttransfusionoftwoincompatiblebloodunitsacasereport
AT alirezashakeri inadvertenttransfusionoftwoincompatiblebloodunitsacasereport