Transfusion Tubing for Massive Transfusion

[ejani]

Hello...  I am sorry if this has been addressed earlier.  I haven't been able to find any information on this topic or references.  Our trauma coordinator is asking:

 

"During a massive transfusion can they alternate 1 packed red blood cell and 1 fresh frozen plasma in the same line going to the same site"?  

 

I would say yes, but she would like hard references for the physician education.  Any advice or references you would like to share would be great!  Thanks

[goodchild]

What does the 'instructions for use' indicate for your infusion sets?

[tbostock]

Not sure; our blood during MTPs is transfused through the rapid infuser.  Goes in very quickly so there would be no need to run two through the same line.

[Dansket]

Get the vendor's name and rapid infuser model number and google it!

 

Don't run platelets through a rapid infuser (one that also functions as a blood warmer).

Edited November 12, 2015 by Dansket

[tbostock]

Get the vendor's name and rapid infuser model number and google it!

 

Don't run platelets through a rapid infuser (one that also functions as a blood warmer).

We put brightly colored labels on our rapid infusers (no platelets or cryo) and also label our tags for those products that they cannot be warmed.  When we deliver them we also tell the nurse not to warm these.  No way to really know in the heat of a massive bleed situation if they notice though.

[Auntie-D]

Our protocol only states that platelets need a fresh line.