Hi, if the clinician request additional unit of red cells from type & screen sample within 72 hour period (patient already transfused), do you:
1. Crossmatch using existing T&S sample
2. Request new sample, repeat T&S, then crossmatch using new sample
to make it clear, i give you all case scenario:
1.1.2016: T&S sample send
2.1.2016: request 1 unit of red cells then transfused
3.1.2016: request another unit of red cells. So in this junction, do you just crossmatch using existing sample or request new sample then do all over again.
My concern is for patient who already has antibody, but undiagnosed before and undetected during current admission (antibody strength deteriorated over time), once expose to corresponding antigen, may rapidly produce antibody via secondary immune response. How rapid? I dont know
tq in advance