scodina Posted March 24, 2011 Share Posted March 24, 2011 We currently wash red cells for IUT procedures. We have been having difficulty obtaining washed RBCs lately. We do not have a cell washer and our blood supplier has stopped washing cells. I saw a thread on the CBBS website indicating that washing red cells for intrauterine transfusion is actually contraindicated, because it lowers the hematocrit of the unit. Higher hematocrit levels are better for the baby.AABB does not state that washed red cells are required for IUT unless you are using mom's blood (in the event that she has an antibody to a high frequency antigen). I have spoken with our perinatologists. They are willing to switch to non-washed red cells if I can show them documentation. Is anyone aware of a study or book that support this?Thank you! Link to comment Share on other sites More sharing options...
LIMPER55 Posted March 26, 2011 Share Posted March 26, 2011 Transfusion therapy clinical principles and practices 2nd edition pages 173-175 offer advice.If the unit is more than 7 days old, the rbc's should be washed etc. Link to comment Share on other sites More sharing options...
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