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Evolution Of Veterinary Transfusion Medicine And Blood Banking

M. Holowaychuk, K. Yagi
Published 2016 · Medicine

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From ancient times to the modern day, knowledge of transfusion medicine and blood banking has advanced from blood existing as a spiritual fluid of vitality to it being a lifesaving therapeutic resource used on a regular basis. The most significant advancements in transfusion medicine have been made during the past 200 years, with veterinary transfusion medicine becoming a specialized area of interest for the past few decades. Transfusion medicine has progressed from fresh whole blood transfusions to targeted component therapy, with veterinary professionals performing transfusions in small, large, and exotic animals. Providing a safe and reliable blood product with availability that meets demands is now an emerging focus, as new knowledge cautions practitioners that transfusions, even when properly administered, can be harmful to patients. Advancements in veterinary transfusion medicine include blood typing, compatibility testing, laboratory diagnostics to determine whether a transfusion is indicated, proper administration and dosage of blood products, as well as prevention, monitoring, and treatment of transfusion-associated complications. Veterinary blood banking has progressed from whole blood collection on an emergency basis with minimal regard to pre-transfusion compatibility testing, to the collection, storage, and processing of blood components and transfusion only after suitable recipient screening. This has led to the establishment of commercial blood banks and processing of blood products using specialized equipment, with evidence-based guidelines regarding donor screening. Additional advancements include methods to maximize the limited donor pool and awareness of storage lesions, as well as safety measures such as leukoreduction. Professional organizations such as the Veterinary Emergency and Critical Care Society (VECCS), American College of Veterinary Emergency and Critical Care (ACVECC), American College of Veterinary Internal Medicine (ACVIM), and American College of Veterinary Anesthesia and Analgesia (ACVAA), among others, actively pursue advancement of knowledge in the field of veterinary transfusion medicine and blood banking. Veterinary transfusion medicine as a specialty area of knowledge is growing, as seen through the re-emergence of efforts to establish sustainable organizations such as the International Association of Veterinary Blood
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