
mpmiola
Membersmpmiola last won the day on September 1 2020
mpmiola had the most liked content!
About mpmiola
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Rank
Junior Member
- Birthday 07/04/1978
Profile Information
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Gender
Male
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Occupation
Transfusional Agency Manager
Recent Profile Visitors
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mpmiola reacted to a post in a topic: Transfusion of platelet in bone marrow transplantation with RhD incompatibility
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mpmiola reacted to a post in a topic: Transfusion of platelet in bone marrow transplantation with RhD incompatibility
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I would like to know the behaviors that have been adopted in your service in cases of bone marrow transplantation from RhD + patient, RhD- donor for transfusion of platelet concentrate. Is there a concern to provide RhD- since the infusion? Or after the patient only presents donor phenotyping RhD-? In the impossibility of providing RhD-, have hemotherapists indicated anti-D prophylaxis?
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mpmiola reacted to a post in a topic: Life Membership of IBMS.
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John C. Staley reacted to a post in a topic: Acute hemolytic reaction by C3d?
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yan xia reacted to a post in a topic: Acute hemolytic reaction by C3d?
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galvania reacted to a post in a topic: Acute hemolytic reaction by C3d?
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Malcolm Needs reacted to a post in a topic: Acute hemolytic reaction by C3d?
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We understand what happened. We received the patient 12 hours before this transfusion. Despite having denied previous transfusions, we contacted the health service of origin who informed us that he had transfused platelets in pool (600 ML) the group O. Therefore, we believe that the reaction after red blood cell transfusion was a coincidence, and the anti-B of the transfused platelets must be the cause of hemolysis.
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We didn't have B- in stock
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Malcolm Needs reacted to a post in a topic: Acute hemolytic reaction by C3d?
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We performed the tests with serum, everything negative. The most likely suspicion is passive anti-B
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Thank you Malcolm, we do not test with serum, I will do the tests now
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Hello, I need help to understand this Acute Transfusional Hemolytic Reaction. A patient under investigation for acute promyelocytic leukemia, after transfusion of red blood cells in group O, presented fever (38.6 ° C). Immunohematological results of the patient: - pre-transfusion: B negative, negative irregular antibody test, negative DAT, negative compatibility test - post-transfusion: negative B, negative IAT, positive DAT 2+ (C3d only), negative compatibility test, negative eluate, negative anti-B test with eluate serum Laboratory results: - evidence of hemolysis: DA
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mpmiola reacted to a post in a topic: Cold Agglutinin incubation phases
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mpmiola started following 2nd ABO, Adsorption and elution technique using anti-A, Positive antibody screen/ negative panel and 1 other
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mpmiola reacted to a post in a topic: Patient Blood Management
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mpmiola reacted to a post in a topic: Programmed transfusion at predefined frequencies
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mpmiola reacted to a post in a topic: Programmed transfusion at predefined frequencies
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mpmiola reacted to a post in a topic: Programmed transfusion at predefined frequencies
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mpmiola reacted to a post in a topic: Programmed transfusion at predefined frequencies
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I do not agree with the transfusion prescribed at pre-defined frequencies, such as 4/4, 6/6, 8/8 and 12/12 hours. We are trying to change this here, but we find resistance. How is it in your service?
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Confirmatory test for ABO groups in first attend patients
mpmiola replied to mpmiola's topic in Transfusion Services
I'm very afraid of this happening here. -
Confirmatory test for ABO groups in first attend patients
mpmiola replied to mpmiola's topic in Transfusion Services
That's exactly the card. -
Confirmatory test for ABO groups in first attend patients
mpmiola replied to mpmiola's topic in Transfusion Services
Thank you all for the answers. Unfortunately, some places here in Brazil employ nursing technicians to work in a blood bank. -
Confirmatory test for ABO groups in first attend patients
mpmiola replied to mpmiola's topic in Transfusion Services
Sorry Malcolm, I did not get it. Is it better to have nothing than to leave them to do? Or simply is a bad option! -
Confirmatory test for ABO groups in first attend patients
mpmiola replied to mpmiola's topic in Transfusion Services
We have already thought about releasing red blood cells from group O until a confirmation, but it was not well accepted at the time. Do you have problems with stock due to red blood cell release "O" until confirmation? How do you do for underweight children? Do you wash the red blood cells to remove antibodies? -
Confirmatory test for ABO groups in first attend patients
mpmiola replied to mpmiola's topic in Transfusion Services
Yes, in Brazil too, but not for an additional test at the bedside. Either way, training is needed also. -
Confirmatory test for ABO groups in first attend patients
mpmiola replied to mpmiola's topic in Transfusion Services
Our transfusion team is composed of nurses. Pre-transfusion tests are performed at the transfusion agency. This bedside test would be a confirmatory one. In the proposal we received from a company, they claim that the tests are easy to perform and the card should be returned to the transfusion agency for registration. We do not currently have a confirmatory test and we release identical ABO transfusion without a second sample. That scares me. It's a time bomb. -
AMcCord reacted to a post in a topic: Confirmatory test for ABO groups in first attend patients
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Confirmatory test for ABO groups in first attend patients
mpmiola replied to mpmiola's topic in Transfusion Services
Thank you R1R2 and AMcCord by the contribution