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2018, Number 4

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Med Crit 2018; 32 (4)

Legal implications of blood transfusion in Critical Care Unit

Monares ZE, Juárez NA, Pérez NOR, Poblano MMN
Full text How to cite this article 10.35366/TI184J

DOI

DOI: 10.35366/TI184J
URL: https://dx.doi.org/10.35366/TI184J

Language: Spanish
References: 4
Page: 237-240
PDF size: 114.90 Kb.


Key words:

Hemorrhagic shock, blood transfusion, anemia, legal.

ABSTRACT

Background: Hemotransfusions are a common procedure in intensive care units worldwide. The medical personnel involved in hemotransfusion are usually not familiar with the legal framework of such a provision.
Clinical case: A 17-year-old female admitted to the ICU with multiple trauma, severe hemorrhagic shock, severe cranioencephalic traumatism, urgent decompressive craniotomy, hemopneumothorax and splenic lesion, such diagnoses generate hemorrhagic shock with severe anemia due to hemoglobin at 5 g/dL. The mother of the patient, responsible for her, prohibits any transfusion of blood products by religious idea. The doctors in charge request expert support in the legal area to know what is the best behavior to follow, with the effect of anticipating and preventing possible legal conflicts, who explain that life is not a legal right available, and in the face of serious conditions, the hemotransfusion must be done.
Conclusions: A legally valid policy should be established on the rights and obligations of blood transfusions, which should be known by all health workers in the institution where said policy is implemented and that of requesting legal advice in each case presented in this type of conflicts.


REFERENCES

  1. Vincent JL, Piagnerelli M. Transfusion in the intensive care unit. Crit Care Med. 2006;34(Suppl. 5):S96-101.

  2. Taylor RW, Manganaro L, O’Brien J, Trottier SJ, Parkar N, Veremakis C. Impact of allogenic packed red blood cell transfusion on nosocomial infections rates in the critically ill patient. Crit Care Med. 2002;30(10):2249-2254.

  3. Reglamento de la Ley General de Salud en Materia de Prestación de Servicios de Atención Médica. Disponible en: http://www.salud. gob.mx/unidades/cdi/nom/compi/rlgsmpsam.html

  4. Código Penal Federal. Disponible en: http://www.diputados.gob. mx/LeyesBiblio/ref/cpf.htm




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C?MO CITAR (Vancouver)

Med Crit. 2018;32