crossmatching again

[sona]

hi all

if a unit is cross matched for a baby patient who needs to be txed only50cc of blood acc to his weight

my question is if we transfer 50 cc of blood in a sterile transfer bag and issue it , is the practice right?

and secondly if the child needs more transfusion within three days do we have to re xmatch the same unit with a new sample in the case that 50cc of that unit has been txed ? ?

plz clarify

[Malcolm Needs ☆]

hi all

if a unit is cross matched for a baby patient who needs to be txed only50cc of blood acc to his weight

my question is if we transfer 50 cc of blood in a sterile transfer bag and issue it , is the practice right?

and secondly if the child needs more transfusion within three days do we have to re xmatch the same unit with a new sample in the case that 50cc of that unit has been txed ? ?

plz clarify

I can't answer your first question, because the rules are different around the world, but the answer to the second part is that you would not have to re-crossmatch, as the baby's immune system is poorly developed at birth, and so the baby could not possibly have made any antibodies in such a time scale.

:):)

[vilma_mt]

hi all

if a unit is cross matched for a baby patient who needs to be txed only50cc of blood acc to his weight

my question is if we transfer 50 cc of blood in a sterile transfer bag and issue it , is the practice right?

and secondly if the child needs more transfusion within three days do we have to re xmatch the same unit with a new sample in the case that 50cc of that unit has been txed ? ?

plz clarify

Transfer Bags usually from Pall are used for transferring, aliquoting or pooling blood/blood products. This was used way before pedi-bags.

[Eagle Eye]

hi all

if a unit is cross matched for a baby patient who needs to be txed only50cc of blood acc to his weight

my question is if we transfer 50 cc of blood in a sterile transfer bag and issue it , is the practice right?

and secondly if the child needs more transfusion within three days do we have to re xmatch the same unit with a new sample in the case that 50cc of that unit has been txed ? ?

plz clarify

Is baby <4 months old? then you do not need to crossmatch again...basically this is based on your policy..

[sona]

the baby is 4 mnths old

thax everybody ur answers have made me clear !

[adiescast]

For the first part of your question: if the baby needs 50 cc and you only put 50 cc in the bag, there will not be 50 cc to infuse after it goes through tubing and filter. We usually add 10cc to whatever they order to allow for that. The nurses here use a pump that measures the volume going to the baby so they don't give too much.

[manojimabloodbank]

hi all

if a unit is cross matched for a baby patient who needs to be txed only50cc of blood acc to his weight

my question is if we transfer 50 cc of blood in a sterile transfer bag and issue it , is the practice right?

and secondly if the child needs more transfusion within three days do we have to re xmatch the same unit with a new sample in the case that 50cc of that unit has been txed ? ?

plz clarify

it should be transfused within 24 hrs. If the baby needed more transfusion we can collect the blood in multiple bag, so that we can separate the required amount without opening the bag.

[bmalon3]

If the original unit of blood is spiked in order to transfer 50cc's then the expiration of the original bag goes down to 24 hrs. So if the baby needs more blood in 3 days. A new unit of blood should be x'matched.

[Abdulhameed Al-Attas]

For Neonatal Routine Transfusions( Not Exchange),we obtain initial specimen from the neonate,perform forward ABO and D typing,perform the Ab. screen using either the neonatal or maternal specimen.

If Ab.screen is positive:Identify any Antibodies present and select a fresh group O, D-compatible packed RBC unit lacking the corresponding antigens,Crosmatch the blood using the maternal or neonatal serum/plasma and donor cells,

include the Antiglobulin phase.Only dispense compatible unit(s) ie. without agglutination or hemolysis.

But if Ab.screen is Negative,we do NO X-maching,just dedicate group O Rh compatible,Fresh (>10 days)packed RBCs

and aliquot the requested amount using the sterile connecting devce(Terumo Sterile Tubing Welder),include 5-10 mls forthe dead space of the tubing.NOTE- if the Antibody screen is neghative and Group O, D compatible cells are used, further compatibility testing and ABO/Rh grouping are NOT necessary during the neonatal period.