Pattern Of Utilization Of Platlets And Fresh Frozen Plasma In Tertiary Care Hospital With Review Of Literature

Today’s transfusion medicine practice aims at providing the specific component of the blood required; this process of transfusing only the portion of the blood needed by the patient is called blood component therapy. Transfusion of whole blood has become a rarity now except in certain situations. Blood component therapy has become an integral part of treatment of many diseases in all fields of medicine.1 In many nations whole blood transfusion is reduced and instead whole blood is separated in to components. These components are then used separately, as indicated in according to patient’s need. It is important to study the pattern of utilization of blood and blood components in the hospital. It helps to find out trend of usage which decreased the cost of treatment, reduce wastage of blood components and improves the infrastructure for storage of blood components for future.

Aspectos legales de la transfusión de hemoderivados en el paciente crítico pediátrico hijo de padres Testigos de Jehová, a propósito de un caso mediáticamente relevante / Legal aspects of blood-derived transfusion in a pediatric critical patient whose parents are Jehova Witness: with regard to a medically relevant case

Caso: en el mes de agosto del año 2013, se dio lugar un caso en la ciudad de Guayaquil, que llamó la atención a los medios de comunicación. Una jueza, dictaminó una orden judicial (medida cautelar) para la administración de sangre a un neonato ingresado en Unidad de Cuidados Intensivos Neonatales, que requería transfusión sanguínea urgente y que era hijo de padres que negaban la transfusión al menor de edad aduciendo motivos religiosos. Este artículo tiene como objetivos verificar fuentes sobre el caso y realizar una revisión bibliográfica sobre los fundamentos religiosos, bioéticos y legales que sustenten el evento. Para el desarrollo del mismo se realizó entrevistas tanto a la Jueza involucrada, como al procurador jurídico de la Congregación de los Testigos de Jehová del Ecuador, al Asesor Jurídico de la Jefatura de la DINAPEN (Dirección Nacional de la Policía especializada en Niños, Niñas y Adolescentes), y al Director Nacional Tutelar de la Defensoría del Pueblo del Ecuador. Este reporte de caso, además cuenta con una revisión actualizada del tema con el fin de esclarecer las condiciones en las que se debe recurrir a instancias judiciales ante la negativa de los padres de transfusión a menores de edad en condiciones críticas.

Case: in august 2013, a particular medical case called the attention of the Media in the city of Guayaquil. A Judge granted a judicial order (interim measure) for blood transfusion to a newborn child who was an inpatient in the Newborn Intensive Care Unit and needed the treatment urgently. The parents of the Child refused the blood transfusion due to their religious beliefs. The objectives of the present article are to share the interviews of the sources of the case and confirm the event. In addition, a review of the religious, bioethical and legal issues behind the event has been portrayed. Interviews to the Judge involved, the Jehovah's Witness of Ecuador Attorney, the Legal Adviser of DINAPEN (Police Specialized in Children National Management Office), and the National Tutelary Attorney of the Public Defense Office of Ecuador were performed. Furthermore, the article will set the procedure in which legal action shall be sought for the administration of blood transfusions in critical situations when parents deny a blood transfusion in children.