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Showing results for tags 'neonatal exchange'.
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When reviewing our utilization data in comparison to the AAP nomogram I think our neonatologists are doing too many neonatal exchange transfusions. We're a hospital of approximately 600 beds with a level 3 NICU and are performing on average 1 every 18 months. How many is everyone else doing each year?
- 3 replies
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- neonatal exchange transfusion
- neonatal exchange
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My hospital is currently is the process of discontinuing making reconstituted whole blood in house due to multiple factors (competency, FDA license/inspection, equipment, etc...). Due to some restructuring of our blood supplier we now have access to ordering this product through them (yay!) with a turn-around-time of about 6ish hours. Our neonatologists have been understanding of the reasons and the move to the new process, however, they do want to set up an alternative option for emergency situations (extreme bad weather that would significantly delay the TAT). I've heard of some hospitals that are using alternating aliquots of red cells and FFP in place of the reconstituted whole blood which seems like it would be fine, but I can't find any good procedures/guidelines outlining this process or any evidence-based journal articles. Has anyone else come across this before or have access to any guidelines/articles about this? Or how does your hospital handle neonatal exchange transfusion without whole blood? Thanks in advance!
- 17 replies
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- wb
- reconstituted whole blood
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(and 2 more)
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