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ChrisH

Not the same 5 day thaw plasma discussion

What type of plasma products are you using?  

15 members have voted

  1. 1. What type of plasma products are you using?

    • Use only 24 hour products
    • Use only 5 day thawed plasma products
    • Use a mixture of 24hr and 5 day products


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We have yet to go to 5 day thawed plasma, and my pathologist always ask me what the bigger institutions are doing. So who out there is using 5 day thawed?

thanks chris

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We use both 24 hour plasma and 5 day plasma. We are a 500+ bed hospital

in the state of Ohio.

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500+ Teaching Hospital (multi-organ Transplants) in the Nations Capital and have used 5-day thawed Plasma for over 5 years. After switching to 5-day thawed plasma wastage dropped from 40 units per month to about 2 per month.

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New Mexico - one trauma hospital, one large tertiary care hospital and 5 regional hospitals all use 5 day thawed plasma. I can't speak for the other hospital system.

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Tagging along with this one as our dinosaur consultant haematologist is still having us working with 4 hour expiry!!!!

what??!!! NOO!! show him/her an article with comparative studies. Send it by email and copy the Blood Bank director.

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what??!!! NOO!! show him/her an article with comparative studies. Send it by email and copy the Blood Bank director.

It's not as bad as it sounds - we're a remote and rural lab and probably only thaw 2 units a month, if that. Our stock tends to go out of date rather than getting wasted through non-use post thaw. Saying that though we did use 16 units of FFP and 8 units of Cryo the other day in a RTI - cyclist v/s car :( Cyclist survived - 31 units of blood used also! Thank god he was group A and antibody free...

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Level I trauma center. About 4000 RBC's per year. We use 5-day or 24 hour interchangeably - unless pt has a known factor deficiency (which is hardly ever).

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We are a level I trauma center and love it. We use both 24 hour and 5 day. We keep 2 AB thawed at all times along with 2 A's. The AB's are converted right away, then the A's are converted at the end of the 24 hour period. We have seen a huge drop in waste. It is also nice for those orders that are to give then as soon as it is ready, the order is now for hold, or cancelled. :mad:

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We use 5-day or 24 hour interchangeably - unless pt has a known factor deficiency (which is hardly ever). Initially they are 24 hr, after the 24 hrs we convert to 5 day.

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Tagging along with this one as our dinosaur consultant haematologist is still having us working with 4 hour expiry!!!!

You ought to at least get him/her to the FDA accepted 6 hour limit - they have had that for years (centuries!?!). If you are in the States - you could also apply to the FDA for a variance to go to 24 hour expiration (the AABB site has an example letter). Even with very low use, that would get you in line with most other hospitals. That said, we also use a mixture of 24 hour FFPTH and 5 day plasma (converted to an additional 4 days after 24 hours, if not used). Works well and has limited our loss too. We use about 40-60 units a month.

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