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SbbPerson

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Posts posted by SbbPerson

  1. On 11/7/2024 at 2:01 PM, gagpinks said:

    Hi 

    We Received URGENT request for 1 unit of blood transfusion for 1 year old child who had previous transfusion at abroad due Thalassemia Major. 

    This was patient 1st visit in the UK therefore Rh and K phenotype was not known .  As per guidelines Rh and K phenotype performed. 

    Rh phenotype results obtained as below

    C mf E 4+ c+4 e4+ K mf. (Probably R2r)

    Because patients was previously transfused at other country sample was sent for genotype which will take 2 weeks to get results back. 

    Due to clinical condition, patient, required urgent transfusion therfore with Haematology consultation 1 unit of blood C-K- blood issued by IAT xmatch.  Meanwhile sample was  sent for Rh genotype and results received  as C+E-c-e+ (R1R1). 

    Totally different phenotype result

    Why? 

    I know patient had multiple  transfusion at abroad.  

    But never seen. 

    Thankfully we had consultant approval to issue C-K- blood. 

    Lesson learned always involve clinical team to decide. 

    Any further comments 

     

     

     

     

    May I ask what was the patient's type and screen result prior to any transfusion? 

     

  2. 5 hours ago, urvibhula said:

    What would you do if cold-stored platelets were left at room temperature? Is it safe to return them to inventory? Does the expiration date need to be adjusted?

    1) If left in room temp, pH drops, number of activated platelets increase, and risk for infection increases.

    2) Return to room temp or cold temp inventory? 

    3) 4 to 6 hours shelf life in left in room temp. 

    Source: https://pubmed.ncbi.nlm.nih.gov/33085783/

     

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