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22.28:

Blood Transfusion

JoVE Core
Anatomy and Physiology
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JoVE Core Anatomy and Physiology
Blood Transfusion

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A blood transfusion is a medical procedure to replace lost whole blood or its components due to injury, surgery, or treatment for conditions like anemia or cancer.

For a successful blood transfusion, the donor's and recipient's blood should be compatible to avoid antigen-antibody reactions.

This compatibility is commonly determined using the ABO blood group system.

For example, if a type A patient receives blood from a type B donor, the recipient's anti-B antibodies will react with the B antigen on the donor's cells, causing agglutination and hemolysis.

Individuals with type O blood lack A or B antigens, theoretically making the O blood type a universal donor group.

Conversely, individuals with the AB blood type are considered universal recipients, as they lack antibodies against A or B antigens.

But the clinical application of the universal recipient and donor based on the ABO system can be risky due to other naturally occurring antigens other than ABO antigens, like the Rh family.

So, it is best to use an accurately matched blood type to avoid transfusion complications.

22.28:

Blood Transfusion

Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.

Blood Transfusion Overview

A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is carefully introduced into the recipient's bloodstream. Compatibility between the donor's and recipient's blood is crucial to avoid adverse reactions.

ABO Blood Group System

The ABO system classifies blood types based on the presence or absence of antigens on the surface of red blood cells (RBCs). There are four blood types in this system: A, B, AB, and O.

Agglutination and the Role of Antibodies

Agglutination, or the clumping of RBCs, occurs if a recipient receives blood from a donor with a different blood type. This happens when the recipient's antibodies react with the donor's antigens. For example, if a person with blood type A receives blood from someone with blood type B, the recipient's anti-B antibodies will react with the donor's B antigens, causing agglutination.

O and AB: Universal Donor and Recipient

The O blood group is known as the universal donor because individuals with type O blood lack A and B antigens, so their blood does not react with antibodies in any recipient's blood. Conversely, individuals with the AB blood type are universal recipients because they can receive blood from any donor type without worrying about antibody-mediated agglutination.

Importance of Screening

Although the concepts of universal donor and recipient exist, relying solely on these can be risky. To ensure ideal compatibility, medical professionals conduct screenings using soluble ABO antigens found in bodily fluids like saliva, semen, and sweat or from pinprick peripheral blood samples. This screening helps identify potential incompatibilities, reducing the risk of serious adverse reactions such as hemolysis or anaphylaxis.

In conclusion, understanding the ABO blood group system and careful screening are essential for safe blood transfusions, which are vital in saving lives and treating medical conditions.