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April 2024 Challenge

lyla_n

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Everything posted by lyla_n

  1. lyla_n
    We have two ways of testing bacterial contamination of platelets : the Bactalert and other is Verax PGD test. We use them both in conjunction. I would like to know what is the best procedure and ideal process flow of this. Can some one please share their policy for the same.
  2. lyla_n
    When a platelet unit tests positive what to do about the other components from same unit. Do we discard them?
  3. lyla_n
    thanks.. Here we have a policy of incubating the patients plasma with cord cells and adult O cells at 4 C.. is this the correct way? Is there a standard procedure and protocol for doing cold agglutination testing?
  4. lyla_n
    is it a must to do cold agglutinin for every Cardiac surgery or CABG patient? What is the aim of doing this cold agglutinin?
  5. lyla_n
    Thats another problem.. The unit was mis labelled as B+. On rechecking the group it was found to be A+ And yes the grouping was done from segment attched to blood bag. - - - Updated - - - No didn do an immediate spin. No H/O bone marrow transplant. And QC of machine and reagents was done
  6. lyla_n
    Recently encountered a case of a B+ patient who when cross matched with A+ blood is compatible. the grouping for both the samples was run on Tango as well as Techno and also done manually. No discrepancy in forward and reverse typing. The cross match was also repeated manually. Still compatible. What could be the reasons? patient is a case of CBD stricture scheduled for surgery.Historical blood group is also B+ and no H/O transfusions in the recent past.
  7. lyla_n
    O neg 70 y/o , M trauma case. Antibody screen neg. Crossmatched 12 O pos PRBCs , all showing 1+ to 2+ in gel Then cross matched O neg units, compatible. What could be the reason? Why did the antibody screen not show up any thing? We are using Bio rad antibody screening panels
  8. lyla_n
    yes that is certainly preferable. But what about when a significant proportion of the donor population is G6 PD deficient?
  9. lyla_n
    what is the policy regarding G 6PD def donors?? should they be allowed to donate red cells?or is it better to defer them from blood donation?
  10. lyla_n
    Patient 24 y/m b thall DAT 3+ Antibodies: Anti K and anti E transfusion interval shortening progressively to now approx 5 days Current Hb 5g/dl How can we find whether he has developed any other alloantibody? we are currently giving him Phenotypically matched blood for Rh and Kell only. what should be the plan?
  11. lyla_n
    How much plasma can be collected from a donor by Trima depending on his weight? Are there any guidelines? Searched the fda site. Cant find it. can some plz post here.
  12. lyla_n
    well we did contact the local caridian bct rep and he told us that we dont need saline replacement.. can u tell me from where can i get the specifications as to what should be the volume of a double red cell product? we have configured it to 230ml of each split and saline replacement for >500ml? can u give me a ref for double red cell quality criteria.
  13. lyla_n
    if a donor has a hb of 12.5 but his Hct<38. Do we accept him or not as a donor for regular donation and what about plateletpheresis donation? Is it important to have the Hct above 38?
  14. lyla_n
    Could any one post a SOP for double red cell collection !!! It would really help.. or from where i could get the guide lines
  15. lyla_n
    Double red cell collection: What is the protocol?? Is it necessary to have saline compensation during or after the procedure? Do we have to add any storage solution to the red cell units after collection?? The machine we intend to use is TRIMA accel..
  16. lyla_n
    wat should be the donor pre counts for Double platelet collection and also for triple platelet collection?
  17. lyla_n
    whats the donor eligibility criteria for Double platelet donation.. also if we collect 5x 10(11) platelets do we split it? hw does it qualify in quality control?
  18. lyla_n
    what is the upper limit for hb levels for blood donation?? is it acceptable to go to 19g/dl or 20g/dl in accepting donors?
  19. lyla_n
    what is the upper limit of cut off for hemoglobin levels in donors? Is it ok for donors with hb >17g/dl to donate?what should be the policy in such cases?
  20. lyla_n
    another thing i need to clear is how soon after apheresis can we issue the product i.e SDP? is it necessary to place it on the plat agitator for an hour after preparing it and den issue it
  21. lyla_n
    Yes thats wat i think too Lara. We should take AB as the nxt choice instead of O or evn A. B'coz the plasma volume of the child is less.. No sense transfusin incompatible plasma..
  22. lyla_n
    wat bag to use to transfer half of the contents to? there is only a plasma collection bag with the kit that we are using.so do we transfer half the product into plasma collection bag and half is stored in the platelet collection bag? is it then necessary to use kits meant for double platelet collection?
  23. lyla_n
    Patient 2 yrs B+. weight 10kg. group B platelets not available. Next choice platelets should be ? Is it better to transfuse AB platelets than O to avoid risk of high titre anti A and anti B considering small plasma volume of child? wat abt A platelets? wats the order? AB then A then O or different frm this? :redface:
  24. lyla_n
    we have started with double platelet collections recently. What is the best time to split the product?? immediately after preparing it or at the time of issue? hw to know which split should have how much volume and platelet count and what should be the ideal procedure for decing how to split the product?
  25. lyla_n
    we have started with double platelet collections recently. What is the best time to split the product?? immediately after preparing it or at the time of issue? hw to know which split shoul have how much volume and platelet count and what should be the ideal procedure for decing how to split the product?
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