geekay

wow...thanks for the suggestion..sounds great.....

"Play it safe" .. yes... new sample please !

Dear Mr David Saikin, Could you kindly send me this presentation ? My email is engeekay2003@yahoo.co.in with lots of thanks, engeekay2003

A person with the history of convulsions, on therapy with carbamzepine, is eligible for donation ? I think I have read it somewhere that, they are eligible for donation, as long as they are free of convulsions for the preceding / past one year ! I would like to have the inputs from the senior members please ! From the time I started my career, i was under the impression that, even a needle ***** can elicit another episode of seizures, in patient withe the history of convulsions... Any inputs on the matter would be appreciated....

10-15 ml per kg body weight is the calculation we use for the reciepients who are receiving FFP... But the question asked is with regard to the minimum amount of FFP which need to be present inside the FFP.... and as per AABB, the volume need to be between 150- 250 ml.,.per unit of FFP ?

Hi all members,...... When I saw this thread "incomplete WB collections", a genuine querry came to my mind.. Hope the senior members will cast their feel on this. As per AABB protocol, a volume of 10.5 mil per Kilogram body weight can be removed from a healthy Blood Donor. But that calcualtion , which I feel is on the upper limit of the margin, always have the donors of our Blood Bank (in the body weight range 58-65 kilgrams ) face problems during / after blood donations. (I have found a volume of around 7-8 ml per kilogram body weight very comfortable for the donors in our part, with majority of the donors heavy smokers) So after umpteen number of "trial and error method", a lesser volume of around 350, or 400 or 500 ml is being practised now, dependijng upon the previous donation experience and the weight of the donor.. After starting this practise, the problems had been as good as NIL. Your opinions on this would be appreciated. Now, we are shifting into the 100% leucodepletion protocol. The bags we are going to use is TERUMO 500 ml capacity bags. But here , my querry is , "Has the degree of leucodepletion of the blood product" any inflluence / effect / relation with the volume of the WB collected ? In such a scenarion, how do you want us / what as per accepeted protocol would be the best method, to reduce the post donation complicatioons due to 500 ml collection ? or in other words, if 400 ml of WB is collected in the 500 ml leucofilter bags, has it any effect on the finished product ? Please do share your feelings and expertise.. regards to all.. engeekay2003

Was the same technique follwed during both the prosecures ? wishes engeekay2003

Hello there, I dont think this is something , to be too much bothered with ! I feel that, this is something which can be resolved by having a frank discussion across the table . Definitely, the earlier management will pass on the "blood banking part of the records" (at least) if they are made to realise the importance. You should be happy with the fact that, they agreed to give the details when it is required.. Think about the situation if they had said a "NO" ? That shows that they are considerate... and will pass on the details of all the patients if they are made the realise the importance of that ! Think about more simple solutions rather than going for more complicated ways like "legal" ! best wishes ... sincerely, engeekay2003

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Hi there, Im India, almost all the leading hospitals have started using Blood components some eight years ago itself. Only in the primitive areas where component preparations are impossible due to shortage of staff and Blood Banks, they resort to whole blood transfusions. Almost all the hospitals have the facility for doing apheresis too ! Any components in any combinations (PC + RCC, RCC + Plasma etc etc) are being issued to the patients, without any questions asked as the Clinicians hold the upper hand in Indian hospitals ! sincerely, engeekay2003

Hi everybody, Now that many hospital Blood Banks have started doing NAT for TTDs, has it allowed you to be "more relaxed" in Donor selection ? Or is it that you are following the old gold saying of "any history of Hepaitis after the 11th birthday" disqualifies the Donor ? and similar situations for "recent sexual exposure with a sexual worker" , "imprisonment", " homoseuality" etc etc....! I am very curious about this.. Your inputs will be very much appreciated.... with wishes, engeekay2003

Hi there, "Blood Banking is an art of playing safe". If that statement is true why take the risk of transfusing an "antibody positive" unit and have sleepless nights ? Play it safe..and have a beautiful sleep. best wishes ! engeekay2003

Hi sir, Yhe best place where you can have all these details : 1. Drugs Control Authority of India, New Delhi. 2. National Aids Control Organisation (NACO) 3. Lions Blood Bank of every District. 4. Red Cross Blood Banks. best wishes ! engeekay2003

Hi there, Usually, the Anti HBs testing is carried on routine, in Asian countries where the incidence of Anti HBc positivity is more . Here to minimise the number of discarded units we do Anti HBs . if the unit is high in titre for anti HBS (usually more than 50 units ) we use it . otherwise, we discard it. But in this era of NAT, I think the importance of anti HBc or Anti HBs as the part of the testing for Blood Donors has come down ? with regards, engeekay2003

Hi there, I think I also thought the same ...it would be rather haemorrhagic rather than icteric ! fully agree with Trechtech2 ! wishes to all. engeekay2003

Hi there, something which was rather bothering me here. But, from this reply, am I to asume that, "autologous donation" can be collected even if he/she is "Hepatitis carrier" " Why I am asking this is , few years back, there was an issue which I had faced. The patient was perfect in all other factors. and the surgeon wanted to go for autologous. After collection of the unit, as a protocol we follow in our hospital, ( to be free from legal problems) we screened that blood also. He was HBsAg positive. As per the norm, are we supposed to use this as it is for "autologous Transfsuion" ? Maybe some experienced persons can give inputs ? with regards, engeekay2003

Hi, I am yet to read that article. I had the opportunity to work in a cardiac centre where daily around 6-8 cardiac surgeries were being performed. One of the surgeions was very very particular about the first 2 units of bloods to be of the "same days; collection" ! whereas the second surgeon was more that happy to accept "less than five days' " old red cells . and the success rate used to be 99 %. Though I had done my own home work about the protocols for cardiac surgeries, nowhere I could find any specificity regarding "fresh blood or warm blood" ! In contrast, in the hospital where I am attached to now, use less than 7 days old blood for cardiac cses, with almost the same success rate. Ultimately, what I feel is...it is the surgeons likings and the place where he got trained....is what matters... "Fresher the blood, better for the cardiac cases"....maybe thats an old saying ? ( as long as the Blood Bank has enough inventory of components .) regards...

Hi there... Immedite few points which I had come to my mind... Are they cases of congenital hyperbilirubinemia ? May be calling back those donors, and elicitng some medical / personal history will give more definite clues ? I am sure , no sensible Blood bank person will use such units just because that they are "serologically negative" ! best wishes ...

Hi, Any rapid test by any manufacturer can give false positives, just like ELISA ! In addition, due to the lack of specificity , ELISA can be trusted more than any "rapid tests".. If I had been in your position, I would have gone ahead with NAT for the sake of the Donors interest ....and confirmation.... and for the patients safety, I will never use this Donors blood for transfusion...( as per AABB protocol !) best wishes !

Previously the paediatricians used to say "NO" to RBCs with SAGM / SAGAM / OPTISOL as it contained mannitol. But the latest edition ( ? ) of AABB says, it can be used for neonates and paediatrics.. I had my own inhibitions on that...Hence wanted to clarify with the more senoior and experienced people among us about the actual practice ... thanks and best wishes..... engeekay2003

Hi everybody, Some years back, the very usage of red cells preserved in SAGM/ OPTISOL solution in paediatrics or neonatals , was a delicate issue everywhere. I am keen to know what our senior and more experienced people in this site are practising now ? Are there any paediatricians still very particular against the usage of SAGM/OPTISOL in paediatrics ? (mannitol or any other ingredients in the OPTISOL solution ? ) Are the peadiatricians still insisting on red cellspreserved in exclusively in CPD / CPDA / solutions without additives ? Or is it that... red cells in OPTISOL / SAGM is being widely used for all neonatals / paediatrics as our technical manual prescribe ? Inputs from all would be appreciated ! with warm wishes... engeekay2003

Hi As per the AABB protocol, if anybody has developed jaudice due to Hepatitis causing viruses, after the eleventh Birthday, he should be rejected for life. But it still surproses me why the different countries in Asia stick onto the 4 year or 5 year deferral period for Hepatitis... (That too .many Blood banks dont do the screening for anti HBc in Donors.....) Maybe that explains the reason for more cases of PTH there..? with regards, engeekay2003

Hi, - Get the copies of all important Bloods by AABB (latest editions) - start with a free local Blood Grouping campaign..which will give you a good data of willing Blood Donors and also the group incidence in the locality. They may be called when you start operating. - The start with all paper modalities , infrastructure etc etc., based on local rules and regulations.. - Get the list of suppliers of equipments and reagents in the locality . ask for the details. like quotation etc etc.. hope this may help..? with regards, engeekay2003

In Hindi movies from India, we often find the Blood Donor and the recipient lying on adjacent beds in the hospital and the blood transfusion happening... In majority of the occasions, it is the climax scene, when the father / mother recognises the son / daughter whom they had lost years back...It will be accompanied by a touching song . This is NOT a matter of olden days...even now.....in this era of modern technology and awarenesss...and advancements... with wishes, engeekay2003

When the patients safety is concerned, it makes sense when we do the titre of O plasma....but for B plasma titration, only in selected cases/ patients only, it helps...and makes sense too... with wishes and regards, engeekay2003