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Exchange transfusion is a medical procedure where a patient’s blood is replaced by donor blood or other fluids. It is used to treat various conditions, such as anemia, severe infection, and jaundice, as well as to replace lost blood from trauma or surgery. Exchange transfusions can also be used to remove excess toxins from the body and replace them with fresh, healthy blood. The process begins by drawing blood from the patient’s arm or hand and then replacing it with donor blood using a special intravenous (IV) line. The patient’s blood is slowly replaced with donor blood or other fluids during the process. The rate at which the blood is returned depends on the patient’s condition and can range from a few minutes to several hours.
Pre-procedure
Pre-procedure for an exchange transfusion involves several steps to ensure patient safety and successful transfusion. Firstly, the medical team should assess the patient's condition and ensure that the procedure is necessary and will benefit the patient. A blood sample may need to be taken to ensure that the patient has no underlying medical conditions that could complicate the procedure or lead to adverse reactions.
The patient’s vital signs should be taken and monitored throughout the procedure. Additionally, an IV line should be started to ensure that fluids can be administered as needed. If the patient is not already intubated, intubation should be considered to minimize the risk of aspiration. The patient’s hemoglobin levels should also be monitored, and the exchange transfusion should not be started until the hemoglobin has been determined.
Procedure
The procedure of exchange transfusion in Mysore starts with a sample of the baby’s blood being taken. The sample is then tested to determine the baby’s blood type and to confirm the presence of any infections or other conditions that might need to be treated. Once the sample has been tested, the doctor will determine the amount of donor blood or components required.
The doctor will then make an incision in the infant’s umbilical cord and insert a catheter. The catheter is attached to a reservoir filled with donor blood or components. The blood or components are then slowly released into the baby’s bloodstream, replacing the baby’s blood. The baby’s blood is removed from the body and stored for future use.
Post-procedure
After the procedure, the patient’s vital signs, including temperature, pulse, and blood pressure, must be monitored closely. The patient’s blood should also be tested to ensure the patient’s body accepts the donor blood. The patient should also be kept warm and hydrated with fluids to prevent further complications.
In addition, the patient may be given antibiotics to prevent infection and medications to prevent clotting or from helping with clotting that may occur during the transfusion. The patient should also be given regular blood tests to check for any changes in the patient’s blood composition.
The patient may also be given a transfusion of other fluids, such as albumin, to help replace lost fluids from the transfusion or to help maintain proper electrolyte levels. The patient may also be given iron supplements to replace any iron lost during the transfusion.
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