The BSH Guidelines Official Podcast

Dr Paula Bolton Maggs presents the podcast on the Guidelines on the use of irradiated blood components.

To provide healthcare professionals with clear guidance on situations when the use of irradiated blood components is indicated. The term ‘blood component’ means the therapeutic constituents of human blood (red cells, white cells, platelets and plasma) that can be prepared by various methods (JPAC　https://www.transfusionguidelines.org/red‐book/definitions). The multidisciplinary writing group developed evidence‐based clarification and practical guidance in clinical areas of ambiguity. Publications relating to patients of all age groups have been assessed. The guidance may not be appropriate in all patient situations and assessment of individual circumstances with the appropriate risk assessments and patient involvement may lead to alternative decisions.

Dr Bolton Maggs discusses the guideline in three parts but also, stresses that the podcast is not a substitute for reading the guideline:

1) Background on the use of irradiation and new evidence on aetiology of transfusion - associated - graft - versus - disease.

2) Specific issues for Hodgins and non Hodgins lymphoma

3) Summary of the changes for paediatric transfusion

Dr Bolton- Maggs has recently retired as a Consultant Haematologist and Director of Serious Hazards of Transfusion (SHOT).

Dr Simon Rule presents a short podcast on the BSH Guideline for the management of mantle cell lymphoma.

The aim is to provide healthcare professionals with guidance on the management of patients with mantle cell lymphoma (MCL). Individual patient circumstances may dictate an alternative approach. This is an update of the guidance published in 2012 (McKay et al, 2012), incorporating new therapeutic options, including transplant data. Developments in pathology, in particular molecular pathology and use of positron emission tomography/computed tomography (PET/CT) scanning in staging and response assessment are now covered in a separate Good Practice Paper (McKay et al, 2018).

Dr Rule discusses the following:

1) Diagnostic

2) Management 

3) Changes from the previous guideline. 

Dr Simon Rule at the time of recording was a Consultant Haematologist at Plymouth Hospitals NHS Trust and Professor in Haematology at Plymouth University Peninsula School of Medicine and Dentistry.

Dr Sue Pavord presents a podcast on the BSH UK guidelines on the management of iron deficiency in pregnancy.

Iron deficiency remains a significant problem for pregnant women in the UK. The objective of these guidelines is to provide healthcare professionals with recommendations for the prevention, diagnosis and treatment of iron deficiency in pregnancy and in the postpartum period.

The guidelines update and replace the previous ones (Pavord et al, 2012). The prevalence of anaemia in pregnancy remains high. In order to minimise adverse outcomes, including use of blood transfusion, further research is required to define optimal management, as many current recommendations are not supported by high quality evidence.

Dr Pavord discusses this guideline in three parts:

1) The prevalence and impact of Iron deficiency in pregnancy.

2) How to diagnose it.

3) How to manage it.

Dr Sue Pavord is a Consultant Haematologist at Oxford University Hospitals and Associate Senior Lecturer in Medicine at St Edmund Hall.