Does anyone have any information or procedures, worksheets, etc. they are willing to share for a neonatal exchange transfusion? We currently transfuse neonates with PRBC, Plts and FP as needed and we all have knowledge and experience on that process. Unfortunately, we have little to no experience at all in the exchange process. We are looking for information on the actual process of creating the PRBC + FP component unit used for the exchange process. I understand the need for O negative, CMV neg, Irradiated and less than 5 day PRBC and the AB frozen plasma. The current PRBC we have dedicated for pediatric transfusions arrives from our blood supplier with satellite bags sterilely attached to it (typically 3-4 small pediatric satellite bags are attached to the unit for aliquots units to be prepared). My main question is how is the unit physically and asceptically created? I've researched and know a little about the calculation required for a HCT and total volume...... Any one willing to help in the process or share any information they have available would be greatly appreciated. I'm told this will become a common occurrence in the near future and I'm wanting to be as prepared as we all can be. Any resources out there or knowledge you have for me and my pathologist would be appreciated.
