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4 results on '"Nicolas Jabbour"'

1. Transfusion-Free Medicine and Surgery

Author

Nicolas Jabbour and Nicolas Jabbour

Subjects
Blood--Transfusion--Complications, Transfusion-free surgery, Blood--Transfusion--Law and legislation, Blood substitutes--Therapeutic use
Abstract

This book aims to be a guide to the practice of blood conservation. The first chapter discusses the legal and administrative aspects of bloodless medicine describing the legal principles and practical issues relatd to refusal of transfusion. The second is on balancing the risks and benefits of transfusion includes clinical vignettes of appropriate and inappropriate transfusion. The remainder of the book covers the principles and practice of bloodless medicine, including a chapter on the scientific issues of haemostasis and the investigation of bleeding idsorders. The book concludes with chapters on blood conservation in neonatal and paediatric surgery, the costs associated with blood transfusion and the quest for artifical blood. New chapters will be included to address blood utilization in oncology and geriatric patients.

Published
2014

2. History of blood transfusion and patient blood management

Author

Nicolas Jabbour (Editor), Farmer, Shannon, Isbister, J., Leahy, M., Nicolas Jabbour (Editor), Farmer, Shannon, Isbister, J., and Leahy, M.

Abstract

For more than two decades authorities have been calling for a major change in transfusion practice [1]. This is now even more urgent as new challenges continue to emerge. These include supply difficulties due to a diminishing donor pool and an increasing aging and consuming population, spiralling costs of blood and ongoing safety issues. Knowledge of transfusion limitations continues to grow, while a burgeoning literature demonstrates a strong dose-dependent relationship between transfusion and adverse patient outcomes [2, 3]. These factors combine to now make change vital [4].Historically, changing long-standing medical practice has been challenging– perhaps even more so in transfusion. Despite professional guidelines and educational initiatives, wide variations in transfusion practice exist between countries, institutions and even between individual clinicians within the same institution [5–8]. This suggests that much practice may be based on misconceptions, belief and habit rather than evidence. It is not the first time strongly entrenched belief has been an impediment to scientific progress. Edwin Hubble’s description of an expanding universe in 1929 has been hailed as one of the great intellectual revolutions of the twentieth century. However, it has been suggested that, because of knowledge of Newton’s law of gravity, an expanding universe could have been predicted over two hundred years earlier [9]. What slowed scientific progress? The widely held belief in a static universe prevailed. The belief was so strong at the time that in 1915 Einstein even modified his theory of relativity to accommodate it [9].A brief review of the history of transfusion provides some insights as to how a behavior-based practice developed in transfusion and therefore how change may be effected by a more patient-focused approach(Figure 1.1).

Published
2014

3. Transfusion-Free Medicine and Surgery

Author

Nicolas Jabbour and Nicolas Jabbour

Subjects
Blood--Transfusion, Blood--Transfusion--Complications, Blood--Transfusion--Law and legislation, Blood substitutes--Therapeutic use, Blood--Collection and preservation
Abstract

Essential guide to the new field of transfusion-free medicine and surgery – written by leading experts in the field. Transfusion Free Medicine and Surgery provides a comprehensive approach to a new paradigm shift in the field of blood management. The principles are easy and this platform provides an all-inclusive review of red blood cell production, oxygen delivery, coagulation and the role of blood transfusion in an intensive care setting. Controversial as it may sound, this book opens the door for ethical/legal debates, by putting them into perspective and providing answers to perplexing situations. The economics of blood transfusion and the hidden costs that allude the clinician are also brought into the equation. Why Buy This Book? Provides the groundwork for developing a successful transfusion-free clinical program Includes all key issues related to blood products, blood transfusion and transfusion-free medicine and surgery Discusses controversial issues associated with this new and fast moving field Includes self-assessment questions to help the reader with their continuing professional education and development Transfusion Free Medicine and Surgery is ideal for: Specialists working in transfusion and transfusion-free medicine Haematologists in practice and in training Anyone involved in any surgical discipline, internal medicine, ICU care or anaesthesia who is interested in this field

Published
2005

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