Haematology and Haemotherapy
Haematology is a medical specialty, a branch of internal medicine dedicated to the study of the normal function of the components of the blood as well as diseases caused by changes in the formation and/or destruction of blood components.
Blood is composed of cellular and non-cellular elements. The former include the red blood cells (responsible for supplying oxygen to tissue), the white blood cells (responsible for our body's defence against threats from micro-organisms) and the platelets (responsible for coagulating blood to prevent bleeding from wounds and trauma). The non-cellular components are diverse and include vitamins, proteins, minerals, etc., which are involved in various mechanisms for the proper functioning of our body.
Clínica Rotger's Haematology Unit is made up of medical specialists, nurses, laboratory technicians and administrative staff.
The two main areas of the department are the Hematology Clinic and the Transfusion Service.
The Hematology Clinic examines blood diseases in which the quantity of its components is altered: anemia, leukopenia and plaquetopenia.
Pathologies affecting the haemostatic system are also studied: bleeding and thrombosis.
In addition, we care for patients who require anticoagulation in various situations, such as chronic atrial fibrillation, valve prosthesis replacement or thrombotic episodes, as well as oncohematological pathologies (lymphomas, leukemias, myelomas).
The service is also responsible for the diagnosis based on the medical history, the physical examination during the medical consultation and the blood analyses in the laboratory. If required by the pathology, bone marrow aspiration and/or biopsies are performed, the latter under sedation under the supervision of the anaesthetist team in the operating room.
The specialists of the department are also responsible for the administration of endovenous or subcutaneous treatments: immunochemotherapy, treatment with immunoglobulins, iron, etc., administered in the Day Clinic of Oncology, which is equipped with comfortable single rooms and with specialized nursing assistance.
One of the main objectives of the service is to provide the patient with the warmth and dedication of the Clinica Rotger, a quick access to medical consultation, and to avoid excessive waiting times.
The Transfusion Service is a unit which dependends on Haematology and deals with the collection, storage, analysis, processing and transfusion of blood or one of its components; blood products: red blood cells, platelets, plasma, cryoprecipitates, coagulation factors and therapeutic bloodletting.
The main task of the department is to maintain and manage the stock of blood reserves of the Clinica Rotger and to provide hemotherhic coverage to the clinic and some external hospitals, which due to their small size do not have their own transfusion service. The units are supplied by the Banc de Sang i de Teixits de les Illes Balears. A specially designed network of refrigerators and freezers with rigorous temperature controls ensures the perfect preservation of blood and hemocomponents at all times.
The Serevice prepares and performs the transfusions required by the patients, of various hemocomponents (hematites, fresh plasma, platelets, cryoprecipitate, etc.). Pre-transfusion studies are carried out here to ensure the full compatibility and quality of the trans-funded products. Strict traceability from donor to recipient persists throughout the process.
It has a pre-deposit self transfusion program that allows, in scheduled surgery, to replenish with the same blood of the patient the blood losses suffered during the surgical act.
It also develops, at the request of specialists, platelet-rich plasma (PRP) preparations from the patient's own blood, a product high in tissue growth factors, which helps to restore the integrity of injured tissues more quickly.
It has a highly qualified Immunohematology Laboratory, where, in addition to performing pretransfusion compatibility tests, immunohematological checks of pregnant women, fetus-maternal compatibility in the umbilical cords of all newborns, the study and diagnosis of hemolytic anemias and immunohematological determinations in general, acts as a reference center in Immunothermatology for other laboratories.
It has established a Quality Management System certified by ISO 9001:2008 that accredits the correct organization of the Service.