Appointments are directed at studying and preventive or therapeutic guiding patients with the following pathologies:
- Congenital or acquired bleeding disorders;
- Changes in iron metabolism (hemochromatosis and other states of iron overload), with the possibility of performing therapeutic hemapheresis;
- Erythrocyte pathology (anaemias, polyglobulias, hemoglobinopathies);
- Platelet pathology;
- Hypocoagulation guidance;
- Frames or suspicions of congenital or acquired thrombophilia.
Within the scope of thrombophilia, and in addition to the most detailed possible clinical information, patients should bring:
- Available supplemental diagnostic tests;
- Updated information on all prescribed therapy;
- Referral criteria
- Relevant family history of venous thromboembolism;
- Spontaneous venous thromboembolism – or with no apparent triggering factor;
- Thromboembolism at a young age (< 45 years);
- Thrombosis in unusual territory – e.g., mesenteric, portal, sagittal sinus;
- Multiple site thrombosis;
- Recurrent thrombosis;
- Thrombosis under hypocoagulant therapy;
- Recurrent miscarriages (> 2)
Areas of intervention
Transfusion Medicine Service:
The Transfusion Medicine Service permanently ensures the quality and safety of transfusion acts to Hospital patients, intervening in the diagnosis and therapeutics of clinical situations within the scope of the Immunohemotherapy specialty, within compliance of the technical and legal requirements.
Providing services to Hospital Services, Functional Units, and Operating Units, responding to requests for blood components and blood products, with the inherent approach: clinical evaluation, immunohematological studies, dispatch, and haemovigilance.
The field of laboratory intervention is developed in the Laboratory of Immunohemotherapy and Transfusion, where we follow analytical parameters in the scope of Immunohematology, directed to the Hospital and in response to the requests received from Clinical Pathology. The necessary procedures are performed to dispatch components or blood products for therapeutic purposes. In addition to the laboratory component, the immunohematerapist is responsible for detecting of situations that can be treated without the use of blood therapy, and for the diagnostic and therapeutic investigation of transfusion reactions and autoimmune haemolytic anaemias.
The Laboratory of Immunohematology and Transfusion is integrated in the National Program of Outside Quality Control of Immunohematology of the Portuguese Institute of Blood and Transplantation.