Credits: None available.
How much is not enough? How much is too much? Creating a comprehensive and meaningful internal assessment program can seem like a daunting project, especially if you are trying to do it alone! This session will focus on practical quality audits that any transfusion service can develop, schedule, and perform that meet accreditation requirements for self-assessment, add value to your quality program by uncovering problem areas to focus on, and promote ongoing quality improvement. Examples of various internal audits and easy-to-follow audit tools will be shared, as well as tips on how to grow and maintain your self-assessment program by utilizing your own team members as assessors with the goal of maximizing the benefits to be gained from a robust internal quality audit program. You can do this!!! We're here to help you.
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Credits: None available.
Histocompatibility in HSCT is more than just identifying a 10/10 HLA-matched donor. Have you ever wondered about how HLA-DPB1 (DP) is different to other HLA loci and why we use different terms like “permissive” and “nonpermissive mismatches”? Ever wanted a (very) basic introduction to killer cell immunoglobulin-like receptor (KIR) and how some places use KIR typing in donor selection? And how about the different types of donor chimerism and their clinical significance when it is not a straightforward 100% chimerism result?
In this session, we will bring a case-based approach in highlighting key teaching points on some of these aspects of histocompatibility. Don’t worry if you do not have prior knowledge; we will provide the introductions. This session is categorized as “Intermediate” only because we going beyond the basics of HLA.
This session is an extension of and inspired by feedback from last year’s session “A Step Above the Basics of HLA for Apheresis/Transfusion Practitioners”.
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Credits: None available.
This program will describe what is currently known about the unique thrombo-inflammatory coagulopathic response associated with SARS-CoV2 infection, how it is uniquely different from other thrombotic disorders, and how current testing strategies including the use of thromboelastography/rotational thromboelastometry can be used to assess or to understand COVID-19 associated coagulopathy. Finally. anticoagulant strategies to prevent and treat COVID-19 associated coagulopathy will be evaluated, along with discussion of the latest clinical treatment trial results.
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Credits: None available.
This proposed session will explore recent developments in our understanding of the effect of transfusion interventions and diagnostic tests in major bleeding. A common massive hemorrhage protocol cannot be recommended for all causes of major bleeding, and interventions need to be tailored by cause of bleeding. For example, patients with major bleeding due to gastrointestinal need a different management approach to those with obstetric bleeding or trauma (red cell transfusions, tranexamic acid). Many centers that treat massively bleeding patients rely on viscoelastic hemostatic assays to provide information about the coagulation status of their patients. Recently a large randomized trial of injured patients found that bleeding and survival was not different between patients resuscitated with either a viscoelastic or conventional coagulation strategy. This talk will review this and other studies on diagnostic tests and discuss our current standards for monitoring major bleeding.
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Credits: None available.
Oral abstract session focused on Transfusion Medicine and Cellular Therapy Innovation.
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Credits: None available.
In 2020, three large Phase III Randomized Control Trials (RCTs) that focused on neonatal red blood cell transfusions were published. Two studies evaluated the long term neurocognitive and mortality outcomes of pre-term infants receiving red blood transfusions at high and low hemoglobin thresholds. The third study assessed the use of erythrocyte stimulating agent (erythropoietin) to improve neuroprotection of extremely low birth weight infants (birth weight ≤ 1000 grams). The results of these RCTs will help shape the future of red blood cell transfusion in this highly vulnerable population. This joint AABB/ISBT session will not only discuss the results of these transformative studies but will also explore limitations of these type of trials and the future of optimizing RBC transfusion for these patients.
Franz AR, et al. JAMA. 2020;324(6):560-570. Juul SE, et al. N Engl J Med. 2020;382(3):233-243. Juul SE, et al. Jama, Pediatr. 2020;174(10):933-943.
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Credits: None available.
Oral abstract session focused on Innovation in Apheresis and other Therapeutic Approaches.
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Nothing to Disclose
Nothing to Disclose
Credits: None available.
This program encompasses the experiences from two institutions after facing challenging opportunities of becoming partners with sponsors or manufacturers and principal investigators in order to provide support for a particular study or research project.
The presenters will share institutional and personal experiences in the recent past and will provide smart and practical solutions to overcome issues and challenges for those institutions whom are requested to participate and being able to support cutting edge science and its applications in the clinical setting.
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Credits: None available.
Oral abstract session focused on transfusion medicine adverse events in pediatric and adult settings.
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Credits: None available.
The SARS-CoV-2 pandemic has helped to create new opportunities for telehealth practices in apheresis medicine. This session will offer an overview of telemedicine in apheresis ("telapheresis"), including descriptions of single-center, mobile, and telapheresis models, the benefits and risks of telapheresis, virtual expert apheresis consultation, telapheresis physician privileging, and HIPAA (Health Insurance Portability and Accountability Act) compliant electronic communication. Discussion of telapheresis medical-legal and ethical concerns, and guidance regarding coding and reimbursement strategies will be addressed. The session will briefly review physician peer-to-peer virtual consultation, virtual apheresis order templates, video telephony platforms, how to handle apheresis complications via telapheresis, and operational and logistical considerations regarding implementation of telapheresis programs. The American Society For Apheresis (ASFA) and the American Association of Blood Banks (AABB) should continue to take the lead in this emerging field and develop standards & guidelines for "best practices" in telapheresis.
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