PLASMA
Keywords:
Blood transfusion, red blood cells, plasma, platelets, blood components, transfusion safety, cross-matching, blood typing, donor screening, coagulation disorders, anemia, thrombocytopenia, hemolytic reaction, TRALI, hematology.Abstract
Blood transfusion is an essential and life-saving medical procedure widely used in modern healthcare for the treatment of severe blood loss, anemia, coagulation disorders, and various hematological conditions. It involves the administration of whole blood or specific blood components such as red blood cells, plasma, and platelets, depending on the clinical needs of the patient. Red blood cell transfusion improves oxygen-carrying capacity, plasma transfusion replaces clotting factors, and platelet transfusion helps prevent or control bleeding. The safety and effectiveness of transfusion therapy rely heavily on laboratory procedures including blood grouping, cross-matching, compatibility testing, and infectious disease screening. Modern advances in transfusion medicine, including nucleic acid testing and improved blood storage systems, have significantly reduced the risks associated with transfusion. Nevertheless, complications such as allergic reactions, febrile reactions, hemolytic reactions, transfusion-related acute lung injury, and transfusion-transmitted infections may still occur. Therefore, careful clinical assessment and adherence to transfusion guidelines are necessary to ensure patient safety. This article highlights the clinical importance, indications, safety measures, complications, and future perspectives of blood transfusion in contemporary medicine. Supported by current public-health and clinical guidance, transfusion remains a cornerstone of emergency and hospital care when used appropriately.
References
1. Carson, J. L., Stanworth, S. J., Guyatt, G., et al. Red Blood Cell Transfusion: 2023 AABB International Guidelines. JAMA. 2023;330(19):1892–1902. https://doi.org/10.1001/jama.2023.12914
2. World Health Organization (WHO). Blood transfusion safety. Geneva: WHO. Available at: WHO Blood Transfusion Safety
3. World Health Organization (WHO). Blood safety and availability. Fact sheet, 2025. Available at: WHO Blood Safety and Availability
4. Centers for Disease Control and Prevention (CDC). Blood Safety Basics. 2024. Available at: CDC Blood Safety Basics
5. Centers for Disease Control and Prevention (CDC). Clinical Testing Guidance for Blood Safety. 2025. Available at: CDC Clinical Testing Guidance for Blood Safety
6. Centers for Disease Control and Prevention (CDC). Clinical Guidance for Bacterial Contamination and Blood Safety. 2024. Available at: CDC Clinical Guidance for Bacterial Contamination
7. Hoffbrand, A. V., & Moss, P. A. H. Essential Haematology. 8th ed. Wiley-Blackwell; 2019.
8. McPherson, R. A., & Pincus, M. R. Henry’s Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Elsevier; 2021.
9. Kumar, V., Abbas, A. K., & Aster, J. C. Robbins and Cotran Pathologic Basis of Disease. 10th ed. Elsevier; 2020.
10. Guyton, A. C., & Hall, J. E. Textbook of Medical Physiology. 14th ed. Elsevier; 2021.


