The role of plasma transfusion in pre-hospital haemostatic resuscitation

Author(s):  
Harriet Tucker ◽  
Ross Davenport ◽  
Laura Green
2021 ◽  
Vol 49 (8) ◽  
pp. 030006052110328
Author(s):  
Viralkumar Amrutiya ◽  
Rutwik Patel ◽  
Moaaz Baghal ◽  
Bhoomi Patel ◽  
Trupti Waykole ◽  
...  

We present a case of transfusion-related acute lung injury as a complication of convalescent plasma transfusion in a patient who presented with COVID-19–related severe acute respiratory syndrome. Despite treatment with tocilizumab, remdesivir, and intravenous steroids, worsening dyspnea prompted adjunctive treatment with convalescent plasma. Two hours after completion of the plasma transfusion, the patient developed hypoxia-induced cardiac arrest secondary to transfusion-related acute lung injury. This case sheds light on life-threatening transfusion reactions and emphasizes the need to investigate post-transfusion monitoring protocols as well as the possible role of surveillance equipment.


Author(s):  
Zahra Soleimani ◽  
Sedigheh Hantoushzadeh ◽  
Azam Soleimani

Introduction: Management of seriously ill patients infected with new corona virus (SARS-CoV-2) is challenging especially in pregnancy and postpartum state. Case presentation: A 39- year-old primigravid critically ill woman with acute respiratory distress (ARDS) due to confirmed SARS-CoV-2 infection underwent urgent cesarean delivery (a healthy neonate) at 33 weeks and 5/7 of pregnancy. She received treatments including hydroxychloroquine, antivirals and broad-spectrum antibiotics while she was intubated for mechanical ventilation. In spite of all treatments, she developed a critical course after the mild primary clinical improvement. Convalescent plasma transfusion as a rescue treatment was performed and led to an improvement in her general condition and delayed gradual recovery in respiratory function after two months. Conclusion: The promising role of early treatment with convalescent plasma transfusion in seriously ill pregnant women infected with SARS-CoV-2, needs to be elucidated by further randomized studies.


2020 ◽  
Vol 8 (S1) ◽  
pp. 112-116
Author(s):  
Kumar H

The present coronavirus disease 2019 (COVID-19) pandemic has brought the focus back onto the passive immunization potential of the Convalescent plasma. This however has many challenges as availability of recovered patients as donors, eligibility of recovered patients for convalescent plasma donation, Safety profile of convalescent plasma. Considering the lack of efficacious treatments for COVID 19 and the epidemic situation with high mortality rate, the evaluation of convalescent plasma therapy in COVID-19 is the need of the hour. In this article, the feasibility and challenges are discussed based on the literature published on role of convalescent plasma therapy in COVID-19. Based on the limited scientific data available, convalescent plasma transfusion (CPT) therapy in COVID-19 patients appears safe, clinically effective, and reduces mortality. However an ongoing clinical study at our Centre should give us a good direction to establish the efficacy of CPT to COVID-19 patients. Keywords: convalescent plasma therapy; COVID-19; coronavirus; SARS-CoV-2


JAMA ◽  
1966 ◽  
Vol 195 (12) ◽  
pp. 1005-1009 ◽  
Author(s):  
D. J. Fernbach
Keyword(s):  

JAMA ◽  
1966 ◽  
Vol 195 (3) ◽  
pp. 167-172 ◽  
Author(s):  
T. E. Van Metre

2018 ◽  
Vol 41 ◽  
Author(s):  
Winnifred R. Louis ◽  
Craig McGarty ◽  
Emma F. Thomas ◽  
Catherine E. Amiot ◽  
Fathali M. Moghaddam

AbstractWhitehouse adapts insights from evolutionary anthropology to interpret extreme self-sacrifice through the concept of identity fusion. The model neglects the role of normative systems in shaping behaviors, especially in relation to violent extremism. In peaceful groups, increasing fusion will actually decrease extremism. Groups collectively appraise threats and opportunities, actively debate action options, and rarely choose violence toward self or others.


2018 ◽  
Vol 41 ◽  
Author(s):  
Kevin Arceneaux

AbstractIntuitions guide decision-making, and looking to the evolutionary history of humans illuminates why some behavioral responses are more intuitive than others. Yet a place remains for cognitive processes to second-guess intuitive responses – that is, to be reflective – and individual differences abound in automatic, intuitive processing as well.


2020 ◽  
Vol 43 ◽  
Author(s):  
Stefen Beeler-Duden ◽  
Meltem Yucel ◽  
Amrisha Vaish

Abstract Tomasello offers a compelling account of the emergence of humans’ sense of obligation. We suggest that more needs to be said about the role of affect in the creation of obligations. We also argue that positive emotions such as gratitude evolved to encourage individuals to fulfill cooperative obligations without the negative quality that Tomasello proposes is inherent in obligations.


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