miniBB Posted April 16, 2009 Share Posted April 16, 2009 Hello All! We are currently in the process of doing correlations from Tube to Gel. Our issue is that managment want us to do completely away with tube and take everything to gel... This worries us. We have expressed our concerns, especially about having tube as a back up and for IS XM. Just curious if any other lab has gone completely tubeless or not, *haha* and what your thoughts on the subject. THANKS =o] Link to comment Share on other sites More sharing options...
JOANBALONE Posted April 16, 2009 Share Posted April 16, 2009 We are a level 1 trauma center, 600+ beds. We use gel routinely; tube is an alternate, back-up method. We had concerns at first, but have since grown to like it. Link to comment Share on other sites More sharing options...
bbbirder Posted April 16, 2009 Share Posted April 16, 2009 I think you will need to keep tube, especially for the antibody screen and antibody ID. There are patients who may react strangely in gel or who have warm autos that gel enhances and you need tube for them.Linda Frederick Link to comment Share on other sites More sharing options...
Eagle Eye Posted April 17, 2009 Share Posted April 17, 2009 WE are level 1 trauma center 600+ beds...We have Gel for type & screen, panels, extended crossmatches....we still have tube for back up ABORH type for traumas when we can not wait to complete gel ABORH, we also do IS XM in tubes. I think you need to keep tubes!!!!!!!! you can have Computer XM instead of IS XM. and if you are not a trauma center may be you can do away with tube......keep as just rare back up, to do prewarm, tube screening for the suspected antibody to gel diluent or preservative.(here we dilute immucor reagent and run in gel). Link to comment Share on other sites More sharing options...
David Saikin Posted April 17, 2009 Share Posted April 17, 2009 YOu still need tubes . . . we use them for IS xm, titers, warm autos (I have never been able to totally absorb out a warm auto when tested with gel), fetal bleed screens . . . and sometimes you need them for antibody id's (Peg or LISS as enhancement). And, as stated above, when you need an emergency ABORh type, tubes are still the way to go. Link to comment Share on other sites More sharing options...
Michaele Posted April 17, 2009 Share Posted April 17, 2009 Hello, we are (finally) moving from a full crossmatch to IS crossmatches. What kind of correlations do we have to do for this? Link to comment Share on other sites More sharing options...
AMcCord Posted April 18, 2009 Share Posted April 18, 2009 I agree 100% with David. There are some antibodies that cannot be ID'd with gel (reaction too weak)that can be with tube/PeG. Many warm autos have to be worked with in tube - they love gel too much. Link to comment Share on other sites More sharing options...
David Saikin Posted April 19, 2009 Share Posted April 19, 2009 Michaele - I don't think you need to do any correlations . . . you do perform ISxm on all your full xms, yes? If this is the case, you already perform this test so it does not require validation/correlation. More importantly, your procedure should define when to perform IS and when to perform the full xm. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted April 24, 2009 Share Posted April 24, 2009 I agree entirely with most of the authors in this thread.I am the manager of the red cell immunohaematology department at NHSBT-Tooting Centre in London and, whilst we use gel as a "first defence" in all cases, we would be totally lost without tube technique, particularly in cases of autoimmune haemolytic anaemia, and in particular within that group, cold autoimmune haemolytic anaemia, where pre-warming of the reactants is vital. Link to comment Share on other sites More sharing options...
bbbirder Posted April 27, 2009 Share Posted April 27, 2009 I have to ask: What is a "Tooting Center"?Linda Frederick Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted April 27, 2009 Share Posted April 27, 2009 It is the National Health Service Blood and Transplant (NHSBT) Centre at Tooting in London.Until recently, the NHSBT was known as the National Blood Service (NBS).The Tooting Centre serves as a Centre to collect, process, test and issue blood, but also has a Reference Red Cell Immunohaematology Department, where I am the manager and a Histocompatability and Immunogenetics Department (which is a total mystery to me - being entirely red cell orientated!!!!!!!!!!!!!!!!!!). Link to comment Share on other sites More sharing options...
bbbirder Posted April 28, 2009 Share Posted April 28, 2009 Thanks,I thought maybe it had something to do with trombones or trumpets. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted April 28, 2009 Share Posted April 28, 2009 (edited) :haha:I see what you mean!And an awful lot of my "friends" and colleagues reckon I'm full of hot air! Edited April 28, 2009 by Malcolm Needs mispelling. Link to comment Share on other sites More sharing options...
RR1 Posted April 28, 2009 Share Posted April 28, 2009 (edited) Thank you Linda and Malcolm......I needed a good laugh today!!! Edited April 28, 2009 by RR1 . Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted April 28, 2009 Share Posted April 28, 2009 Thank you Linda and Malcolm......I needed a good laugh today!!!I wouldn't mind Linda, but Rashmi is one of my friends and colleagues from a hospital with which my Reference Laboratory deals!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!:disbelief Link to comment Share on other sites More sharing options...
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