Practical points about blood components in ICU; PRBC, FFP, Platelets
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- เผยแพร่เมื่อ 16 ธ.ค. 2022
- #bloodcomponents
In the above video, we are discussing the practical points about blood components in ICU namely PRBC, FFP, Platelets.
The ICU Channel is a project by Educational Society of Bedside Intensive Care Medicine (ESBICM) for providing forever free bedside intensive care education to doctors and nurses working in ICU & ED. Other than this channel, we provide the following streams of learning; have a look below, we would love to see you there.
1. icu.in forums:
If you have any doubt regarding any video or topic, you can post in comment section or discuss on icu.in forums @ icu.in/forums/index.php (icu.in forums are mainly used to give a detailed reply on simple or complex topics so that the doubt is thoroughly discussed and clarified)
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On our instagram account we share ICU info cards form which you can grasp crucial tips and info while scrolling:
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3. Telegram group of The ICU Channel and discussion group of ESBICM
A. The first group is channel type on which we keep posting the images/videos/updates and you can comment and discuss on those. This helps to keep discussion specific to that post and easy to track:
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Joining link: t.me/esbicm.
If you have telegram app on your phone, simply search The ICU Channel by ESBICM or ESBICM and you can find us there.
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This is a regular update library where you can access and ALSO contribute to it which remains helpful for all the learners for years to come.
icu.in database gallery link:
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To make it simple, we have divided the content on the channel into 6 playlists as follows.
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Brief Info:
1. ESBICM: Educational Society of Bedside Intensive Care Medicine is an organization with the mission to change the way intensive care is delivered in the world today using this platform for providing FREE Bedside Intensive Care Education to every healthcare professional involved in care of critically ill patients.
Its vision is to strengthen the bedside intensive care even in the smallest and most remote ICU of the world.
More details on esbicm.com #esbicm
2. icu.in …sharing what’s critical
icu.in is an online platform by ESBICM to provide free academic activities under one roof. The icu.in forums and ICU database gallery are its core strengths. icu.in #icu_in
3. The ICU Channel
The ICU Channel is the official TH-cam channel of ESBICM. / theicuchannel
We hope that this small effort of ours will be of some help to those working in ICU and emergency department. #theicuchannel
Thank you.
Dr. Ankur, Intensivist.
Founder President, ESBICM
Keep learning!
drankur [at] esbicm.org
Disclaimer: esbicm.com/disclaimer/
Thanks Dr. Ankur for crispy n detailed explanation covering possible doubts.
For FFP -
(Need ABO compatability to decide choice, no crossmatch, not RhD compatibility as is devoid of RBC)
Thawing make coagulation factors labile so once thawed - use it or discard, should not be restored.
First choice - identical ABO gr compatability
Second choice (If identical not available)- different ABO group can be used provided bag should be High titre (HT) -ve for anti-A or anti-B.
However, O gr FFP is given to O gr recipient only not for other groups A,B or AB recipients
(As per BCSH guidelines)
My Q to to Dr. Ankur sir, do we follow same in India regarding O gr FFP ???
(Correct me if anything wrong)
Sorry im seeing it now...very late after posting.
Pinning your comment 👍🏼
@@TheICUChannel
plz reply to my Q whenever possible
My takeaway from your video is platelet transfusion should be done ASAP as they start to clump when not stored in an agitating container.
Thank you Doc for being so clear! Learned a lot!
Thanks. Your way explaining things is really nice and helps our Clinical practice.
Wow, never expected this. 🤓 But you are the first member to use the super thanks feature . Lots and lots of thanks to u . It go a long way to maintain and support the initiative. 🌱
You're great teacher and obviously good doctor too..
Thank you so much for enlightenment
Keep doing and keep teaching.
Thanks a lot for kind words, I am just sharing what I know
hi, awesome .keep it up.God bless
Sir i m very grateful to you for sharing this information.. sir kindly made a separate video on indications of rbc ffps and platelets
Very very informative
Thanking you sir. Your information
What a brilliant way of explaining.. hats off sir
it was simple, not brilliant I think. thanks for the comment.
Thanks a lot sir.we are learning a lot of clinical scenarios from your videos.
thank you.
Thank you 🙏
Thank you sir...
THANKS A LOT SIR
Thankyou very much sir
Thank you so much sir 👍👍...nice efforts.... Thanks again
So nice of you, thanks.
Very informative video, thank you sir🙏
Most welcome
Thank you sir , very informative
Glad it was helpful!
Very informative, much is new for me ,though I am working for many years.
same here with everyone . every day is a new learning.
Very clear and day to day question covered
Glad it helped
Thanku sir
Thanq so much sir 🤗 very informative
thanks Vipin
Sir need a video on blood culture collection precautions especially if the person was started on antibiotics....many times we receive patient who have already received antibiotics as so how to go about such cases
Wow, this is amazing ❤
glad you liked it
Thanks....Happy new year Sir..Continue enlightening us
So nice of you. your small contribution goes a long way in continuing this effort. thanks a lot again.
Intresting and highly informative.
Thank you sir.
thank you
@@TheICUChannel Ab+ve platlets r considered as universal platlets donors.
Like as the o-ve donars r universal blood donars
Besides components must b prepared within 8 hours of collection
Question ❓ can we use frozen rbcs for transfusion
Thank you so much sir.
Most welcome
great thank you
Welcome
Very thanks sir,
Most welcome
Thankyou so much sir 💐
Most welcome
Helpful information sir ,and quality of sound too good🙏
Thanks and welcome.
Very helpful video
Glad to hear that
Sir your videos very informative
thank you and keep watching.
Excellent video
Glad you liked it
Thanks!
Thanks a lot , this will go a long way to help the mission continues .
Sir please talk about blood cultures. How many sets of samples to be taken, types (aerobic or anaerobic) and sites.
Thanks sir
Welcome
Thank u sir
Welcome 🙏🏼
You are doing amazing job Dr, can u recommend a single good book for ICU.
esbicm.com/recommended-books-to-read-in-icu/
What are the acceptance criteria for small lysis / pink colour observed in some cases in PRP after low spin centrifugation.
Can you please discuss about important latest articles,journals.may be once a month.
this is a nice idea. thank you , will think on it.
Sir one video for Indications of all components transfusion with Cryo ppt in next video please.
By how many thousands does one bag of RDP and SDP increase the platelet counts in blood after transfusion?and duration of platelet survival after transfusion? Much power to you :)
About what transfusion sets each should be transfused?
Does all three require filtered transfusion sets?
Sir have you used universal donor or recipient concept practically, that mean you have used O positive blood group to some other blood group..what is your take on this concept in practical scenario
Is it mandatory to give blood transfusion through the blood warmer?
Did he say mannitol as a cell membrane stabilizer? Thanks
Sir... if patient having increase PT&INR with pr bleeding &Hematemesis in the case of CLD/HE,how many unit/ml,FFP should be transferred or dose of FFP?
From the ist day of collection to last day of shelf life of donor blood , ph drops from 7.2 to 6.7 (roughly) wl it cause some adverse
ashpublications.org/hematology/article/2013/1/651/20827/Fresh-versus-old-blood-are-there-differences-and
Sir kindly give one lecture on sedating or paralyising patient on different modes of ventilator, which medication is best at which mode.
same question .
Yes please
Respected sir
What is the formula to calculate for blood transfusion iv set( drop factor/ mnt
Sir in pediatrics we require small volume of blood (for eg 50 ml... If Blood bank give us 220 ml blood bag
We transfuse 50 ml from it.
On next day again we require 50 ml blood, then we again give requisition for blood.
Sir why we don't give blood from the previous blood bag if remaining blood stored in fridge?
Is it to prevent sepsis or any other reason?
Why we transfused platelets before prbc does any rationale about this?
God 🙏
Most informative video part 2 ?
means, i didn't understand that.
@@TheICUChannel mean we need more information about BT. sir
To kya iska part 2 bhi ayga kya?
Will try .
Sir you said that transfusion requires about 4 h .
Did you mean for every unit that time or for whole quantity? suppose i have to transfuse about 2 unit in how much time should i do it?
Thank you in advance
single bag (single unit) of prbc should be finished in MAX 4 hours; obviously you can transfuse fast also depending on the condition.
sir, i tranfused by mistake 1 PRBC in one hours ,one of my fellow also
,is there any complication. if yes then how to manage
No , maximum duration is recommended 4 hours … u can give fast depending on the patients requirement . The concept is you should give it too slow or too late .
@@vipulyadav9265 No, Nthg wrong in that . U can give fast depending on the patient condition and requirement. 4 hours is the maximum time or duration recommended. The concept is you should not give it too slow or too late .
Sir what it means ...when someone says send second sample of pcv ....??? What does second second sample mean? What is first sample?
can pressure bags be used from platelets and plasma when transfusing?
No . Also they are not for picking up BP in bleeding patients; only PRBC picks up BP in such situations
Sir
Can blood group A and blood group B be transfused in AB+ patients simultaneously
Is there any difference between transfusing stored whole blood and freshly donated whole blood?
if the storage blood bank is good one, CLINICALLY there is not an issue. for academic purpose posting a snippet from an article.
Thus far, the issue of potential sequelae from transfusing stored RBCs remains a highly controversial issue. However, what is not controversial is that RBC storage is an unnatural state during which a series of substantial changes take place to the stored RBCs. These changes result in the formation of cellular and chemical entities known to have biological activities in other settings, giving rise to several distinct hypotheses by which stored RBCs may alter recipient biology.
ashpublications.org/hematology/article/2013/1/651/20827/Fresh-versus-old-blood-are-there-differences-and
Sir how long prbc can be stored in icu refrigerator once we get from blood bank?
At 4-6 degree based on its shelf life mentioned in the PRBC bag.
Sir how long stored prbc and ffp prp in icu refrigerator can be used ??
Only prbc can be stored Upto their shelf life .
Once issued , platelets and ffp can’t be stored .
sir in 8.51 what do you mean by changing the transfusion site for every transfusion? Thank you
actually it is transfusion SET not SITE ( my pronunciation not clear)
@@TheICUChannel thank you sir
Sir if a doner in on antidiabetic or other hormonal prepration or anticoagulants can donate blood.. please reply????
Or antihypertensive medication etc.. please explain??
Sir 2-3 years for single doner platelets collection ?
2-3 hours ... did I said years?? oh , sorry for that. pinning your comment so that others can also know the correction.
Yes, sir, you said 2-3 years, that is I was confused. Thanks.
@@abudaniyal715 sorry for that , I have pinned your comment
Thank you sir what should be the frequency of packed RBC transfusion in case of a patient with ckd and hb is 6 what would be the frequency of transfusion and how many units should be transfused. Should there be a gap of atleast 2h between transfusions ?
Sir how much time these blood components take to function?
Didn’t get your question. Can u elaborate .
After transfusion of blood components, they start functioning just aftr transfusion or they take time?. Eg. PRBC starts to transport oxygen immediately or will take time to function??
Is there any book regarding ICU???
th-cam.com/video/VZZRWMQFCpE/w-d-xo.html
Why is transfusion site changed after every transfusion sir?
Transfusion SET (IV Set) ; not site
@@TheICUChannel ok sry sir wrongly heard
May be i was not clear .
For platelets any dosage?
Mentioned in the lecture
हिंदी इंग्लिश दोनो होता तो अच्छा होता।।
we tried but later found that audience is global so understanding becomes a challenge at times.,