Keimyung Medical Journal, Vol.7(1) : 114~119, 1988
The immediate objective of most blood transfusion is to increase the oxygen-carrying capacity of the patient's circulation. Since this can be accomplished with the use of packed red cells alone; the common practice of transfusion of whole blood has been criticized as wasteful. The use of packed red cells allows the preparation of whole blood components; primarily plateletes and fresh-frozen plasma; for those patients with specialized bleeding disorders and who do not necessarily need an increase in oxygen-carrying capacity.
We observed the changes in component transfusion from 1983 through 1987. Total units of blood transfused for 5 years were 83; 213 units and the use of blood components increased from 17.8% to 51.1% from 1983 to 1987.
Large annual increases in the use of packed red cells; fresh-frozen plasma and platelet concentrates occured during 5 years.
The apheresis use for transfusion increased from 59 units to 308 units from 1985 to 1987.