TACO

[amym1586]

Could anyone help me out with this AABB standard 5.19.7 for Transfusion Associated Circulatory overload (TACO)

BB shall have a policy for responding to request for products for patients identified by the ordering physician or other authorized health professional as being increased risk for TACO.

 

I'm drawing a blank as to what a BB policy would need to say for that

[pinktoptube]

Suggest using a slower infusion rate, aliquot  (lower volume), or only transfuse if medically necessary?

I'm curious how everyone is looking at handling this requirement.

[heathervaught]

I will occasionally get requests from a hospital to provide a divided red blood cell for a patient with congestive heart disease.  They transfuse one half over the allowed 4 hour window, then have an additional 4 hours to complete the second half.

[SMILLER]

Right.  We would split a unit.

 

Scott

[amym1586]

Gotcha!  We don't spit units here.  There's a small paragraph about prevention in the Technical manual guess I'll put something like that in there.   Thanks for putting me on the right track!

[tbostock]

We have in our Patient Blood Management and Nursing Transfusion policy that we encourage single unit transfusions, with re-evaluation after the first to prevent TACO.  Also mentioned in our Transfusion Reaction policy (that is a combined BB/Nursing policy) about TACO and how to prevent and react to it.